Evidence map›Paper›PMID 37383191›Full record

ArticleHeliyon2023

Intravenous iron therapy among patients with heart failure and iron deficiency: An updated meta-analysis of randomized controlled trials.

Mohamed Hamed, Sheref A Elseidy, Asmaa Ahmed, Ravi Thakker, Hend Mansoor, Houman Khalili, Amr Mohsen, Mamas A Mamas, Subhash Banerjee, Dharam J Kumbhani and 2 more

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

12 authors at 9 institutions in 2 countries.

Mohamed HamedDepartment of Internal Medicine, Florida Atlantic University, Boca Raton, FL, USA.
Sheref A ElseidyDepartment of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.
Asmaa AhmedDepartment of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.
Ravi ThakkerDivision of Cardiology, University of Texas Medical Branch, Galveston, TX, USA.
Hend MansoorDepartment of Pharmacy, University of Kentucky, Lexington, KY, USA.
Houman KhaliliDivision of Cardiology, Memorial Healthcare System, Hollywood, FL, USA.
Amr MohsenDivision of Cardiology, Loma Linda University, Loma Linda, CA, USA.
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Keele, UK.
Subhash BanerjeeDivision of Cardiology, Baylor University Medical Center, Dallas, TX, USA.
Dharam J KumbhaniDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Islam Y ElgendyDivision of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, KY, USA.
Ayman ElbadawiDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Rochester General Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Kentucky · USBaylor University Medical Center · USFlorida Atlantic University · USKeele University · GBLoma Linda University · USMemorial Healthcare System · USThe University of Texas Medical Branch at Galveston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Randomized clinical trials (RCTs) evaluating the role of intravenous (IV) iron administration in patients with heart failure (HF) and iron deficiency (ID) have yielded inconsistent results. Methods: Electronic search of MEDLINE, EMBASE and OVID databases was performed until November 2022 for RCTs that evaluated the role of IV iron administration in patients with HF and ID. The main study outcomes were the composite of HF hospitalization or cardiovascular mortality, and individual outcome of HF hospitalization. Summary estimates were evaluated using random effects model. Results: The final analysis included 12 RCTs with 3,492 patients (1,831 patients in the IV iron group and 1,661 patients in the control group). The mean follow-up was 8.3 months. IV iron was associated with a lower incidence in the composite of HF hospitalization or cardiovascular mortality (31.9% vs. 45.3%; relative risk [RR] 0.72; 95% confidence interval [CI] 0.59-0.88) and individual outcome of HF hospitalization (28.4% vs. 42.2; RR 0.69; 95% CI 0.57-0.85). There was no significant difference between both groups in cardiovascular mortality (RR 0.88; 95% CI 0.75-1.04) and all-cause mortality (RR 0.95; 95% CI 0.83-1.09). IV iron was associated with lower New York Heart Association class and higher left ventricular ejection fraction (LVEF). Meta-regression analyses showed no effect modification for the main outcomes based on age, hemoglobin level, ferritin level or LVEF. Conclusion: Among patients with HF and ID, IV iron administration was associated with reduction in the composite of HF hospitalization or cardiovascular mortality and driven by a reduction in HF hospitalization.

Indexed as

AnemiaIron deficiencyIV iron

Identifiers

PMID37383191
PMCPMC10293724
OpenAlexW4380985688

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.