Evidence map›Paper›PMID 37146300›Full record

ArticleBlood transfusion = Trasfusione del sangue2024

Longitudinal prospective comparison of pancreatic iron by magnetic resonance in thalassemia patients transfusion-dependent since early childhood treated with combination deferiprone-desferrioxamine vs deferiprone or deferasirox monotherapy.

Paolo Ricchi, Antonella Meloni, Laura Pistoia, Maria R Gamberini, Liana Cuccia, Massimo Allò, Maria C Putti, Anna Spasiano, Rosamaria Rosso, Valerio Cecinati and 8 more

Open access · greenAbstract read
In one paragraph

Article in Blood transfusion = Trasfusione del sangue, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Endocrinopathies in Hemoglobinopathies: What Is the Role of Iron?International journal of molecular sciences · 2023
    Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 1 country.

Paolo RicchiU.O.S.D. Malattie Rare del Globulo Rosso, Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli", Naples, Italy.
Antonella MeloniDepartment of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Laura PistoiaDepartment of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Maria R GamberiniUnità Operativa di Day Hospital della Talassemia e delle Emoglobinopatie, Dipartimento della Riproduzione e dell'Accrescimento, Azienda Ospedaliero-Universitaria "S. Anna", Cona (FE), Italy.
Liana CucciaUnità Operativa Complessa Ematologia con Talassemia, ARNAS Civico "Benfratelli-Di Cristina", Palermo, Italy.
Massimo AllòEmatologia Microcitemia, Ospedale San Giovanni di Dio-ASP Crotone, Crotone, Italy.
Maria C PuttiDipartimento della Salute della Donna e del Bambino, Clinica di Emato-Oncologia Pediatrica, Azienda Ospedaliero-Università di Padova, Padua, Italy.
Anna SpasianoU.O.S.D. Malattie Rare del Globulo Rosso, Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli", Naples, Italy.
Rosamaria RossoUnità Operativa Talassemie ed Emoglobinopatie Azienda Ospedaliero-Universitaria Policlinico "Vittorio Emanuele", Catania, Italy.
Valerio CecinatiStruttura Semplice di Microcitemia, Ospedale "SS. Annunziata" ASL Taranto, Taranto, Italy.
Riccardo RighiDiagnostica per Immagini e Radiologia Interventistica, Ospedale del Delta, Lagosanto, Italy.
Stefania RenneStruttura Complessa di Cardioradiologia-UTIC, Presidio Ospedaliero "Giovanni Paolo II", Lamezia Terme (CZ), Italy.
Giuseppe PeritoreUnità Operativa Complessa di Radiologia, ARNAS Civico "Benfratelli-Di Cristina", Palermo, Italy.
Antonino ValloneReparto di Radiologia, Azienda Ospedaliera "Garibaldi" Presidio Ospedaliero Nesima, Catania, Italy.
Vincenzo PositanoDepartment of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Emilio QuaiaInstitute of Radiology, Department of Medicine, University of Padua, Padua, Italy.
Filippo CademartiriDepartment of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Alessia PepeInstitute of Radiology, Department of Medicine, University of Padua, Padua, Italy.
Regione ToscanaAzienda di Rilievo Nazionale ed Alta Specializzazione · ITPresidio Ospedaliero · ITUniversity of Padua · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITFondazione Toscana Gabriele Monasterio · ITOspedale SS. Annunziata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn transfusion-dependent thalassemia patients who started regular transfusions in early childhood, we prospectively and longitudinally evaluated the efficacy on pancreatic iron of a combined deferiprone (DFP) + desferrioxamine (DFO) regimen versus either oral iron chelator as monotherapy over a follow-up of 18 months. MATERIALS AND

methodsWe selected patients consecutively enrolled in the Extension-Myocardial Iron Overload in Thalassemia network who received a combined regimen of DFO+DFP (No.=28) or DFP (No.=61) or deferasirox (DFX) (No.=159) monotherapy between the two magnetic resonance imaging scans. Pancreatic iron overload was quantified by the T2* technique.

resultsAt baseline no patient in the combined treatment group had a normal global pancreas T2* (≥26 ms). At follow-up the percentage of patients who maintained a normal pancreas T2* was comparable between the DFP and DFX groups (57.1 vs 70%; p=0.517).Among the patients with pancreatic iron overload at baseline, global pancreatic T2* values were significantly lower in the combined DFO+DFP group than in the DFP or DFX groups. Since changes in global pancreas T2* values were negatively correlated with baseline pancreas T2* values, the percent changes in global pancreas T2* values, normalized for the baseline values, were considered. The percent changes in global pancreas T2* values were significantly higher in the combined DFO+DFP group than in either the DFP (p=0.036) or DFX (p=0.030) groups. DISCUSSION: In transfusion-dependent patients who started regular transfusions in early childhood, combined DFP+DFO was significantly more effective in reducing pancreatic iron than was either DFP or DFX.

Indexed as

beta-ThalassemiaIron OverloadThalassemiaBenzoatesChild, PreschoolDeferasiroxDeferiproneDeferoxamineDrug Therapy, CombinationHumansIronIron Chelating AgentsMagnetic Resonance ImagingMagnetic Resonance SpectroscopyPancreasPyridonesBenzoatesDeferasiroxDeferiproneDeferoxamineIronIron Chelating AgentsPyridonesTriazoles

Identifiers

PMID37146300
PMCPMC10812892
OpenAlexW4372337178

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.