Evidence map›Paper›PMID 38442722›Full record

ArticleJournal of Korean medical science2024

Impact of Lactate Dehydrogenase and Hemoglobin Levels on Clinical Outcomes in Patients With Paroxysmal Nocturnal Hemoglobinuria: Results From the National Korean PNH Registry.

Jun Ho Jang, Jin Seok Kim, Cindy Thiow Koon Lim, Nora J Kleinman, Karl-Johan Myren, Alice Wang, Yogesh Patel, Jong Wook Lee

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
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

8 authors at 5 institutions in 3 countries.

Jun Ho JangDivision of Hemato-oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7423-4676
Jin Seok KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8986-8436
Cindy Thiow Koon LimIQVIA Solutions Asia Pte Ltd., Singapore.ORCID https://orcid.org/0000-0001-7408-2422
Nora J KleinmanIQVIA Solutions Hong Kong Ltd., Hong Kong SAR.ORCID https://orcid.org/0000-0001-8203-2724
Karl-Johan MyrenAlexion, AstraZeneca Rare Disease, Boston, MA, USA.ORCID https://orcid.org/0000-0003-2065-2930
Alice WangAlexion, AstraZeneca Rare Disease, Boston, MA, USA.ORCID https://orcid.org/0000-0002-6509-6440
Yogesh PatelAlexion, AstraZeneca Rare Disease, Boston, MA, USA.ORCID https://orcid.org/0000-0002-8916-5228
Jong Wook LeeDivision of Hematology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. jwlee@catholic.ac.kr.ORCID https://orcid.org/0000-0003-2949-4166
Alexion Pharmaceuticals (United States) · USIQVIA (United Kingdom) · GBSamsung Medical Center · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University · KR

Funding

Alexion PharmaceuticalsAstraZeneca Rare Disease
6 · The paper itself

Abstract

backgroundParoxysmal nocturnal hemoglobinuria (PNH) is a rare hematologic disorder caused by uncontrolled terminal complement activation, which leads to intravascular hemolysis (IVH), thromboembolism (TE), renal failure, and premature mortality.

methodsWe performed a secondary analysis of data collected from patients enrolled in the Korean National PNH Registry to assess the relative importance of risk factors, specifically lactate dehydrogenase (LDH) and hemoglobin (Hb), in predicting the incidence of TE, impaired renal function, and death in complement inhibitor-naïve patients with PNH.

resultsMultivariate regression modeling indicated that LDH ≥ 1.5 × upper limit of normal (ULN), male sex, and pain were associated with increased risk of TE (

conclusionIn complement inhibitor-naïve patients with PNH, LDH ≥ 1.5 × ULN was a significant predictor of TE, and TE was a significant predictor of death. Hb was not a significant predictor of TE, impaired renal function, or death. Therefore, controlling IVH will improve clinical outcomes for patients with PNH.

Indexed as

Hemoglobinuria, ParoxysmalThromboembolismComplement Inactivating AgentsHumansL-Lactate DehydrogenaseMalePainRepublic of KoreaComplement Inactivating AgentsL-Lactate DehydrogenaseAnemiaHemolysisMortalityParoxysmal Nocturnal Hemoglobinuria

Identifiers

PMID38442722
PMCPMC10911938
OpenAlexW4391934878

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.