Evidence map›Paper›PMID 39754675›Full record

ArticleIndian journal of pediatrics2025

Unveiling the Burden of Sickle Cell Anemia: A Pilot Study Validating Dried Blood Spots for Newborn Screening.

Madhu Latha Karra, Emine A Rahiman, Manasa Narahari, Aparna Varma Bhongir, Gunvanti Rathod, Shyamkrishnan R, Vijay Kumar Guduru, Surender Kagitapu, Anand Pyati, Sangeetha Sampath

Abstract readValidation Study
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In one paragraph

Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Madhu Latha KarraDepartment of Biochemistry, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India. madhu.harini123@gmail.com.ORCID 0000-0002-1058-4682
Emine A RahimanDepartment of Pediatrics, Kasturba Medical College, Manipal, Udupi, Karnataka, India.
Manasa NarahariDepartment of Pediatrics, Kakatiya Medical College, Warangal, Telangana, India.
Aparna Varma BhongirDepartment of Biochemistry, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.
Gunvanti RathodDepartment of Pathology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.
Shyamkrishnan RDepartment of Biochemistry, Malabar Medical College Hospital and Research Centre, Modakkalur, Calicut, Kerala, India.
Vijay Kumar GuduruDepartment of Pediatrics, Kakatiya Medical College, Warangal, Telangana, India.
Surender KagitapuDepartment of Pediatrics, Kakatiya Medical College, Warangal, Telangana, India.
Anand PyatiDepartment of Biochemistry, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.
Sangeetha SampathDepartment of Biochemistry, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.

Funding

All-India Institute of Medical Sciences AIIMS/BBN/IM-F/2021/08
6 · The paper itself

Abstract

This hospital-based cross-sectional study aimed to screen newborns for sickle cell anemia immediately after birth and validate dried blood spot (DBS) samples against conventional venous blood samples (CBS) for hemoglobin variant analysis by HPLC. Among 751 newborns, 2.93% were found to have sickle cell trait. Hemoglobin variants were analyzed in both DBS and CBS samples, showing good agreement with 100% sensitivity and 100% specificity. Passing Bablok regression indicated minimal proportional bias, while Bland-Altman analysis showed a bias of 0.67, but the line of equality within the 95% CI of the bias indicated acceptable minimal systematic bias. The concordance correlation coefficient was 0.91 (p < 0.0001), Pearson's ρ (precision measure) was 0.967, and Cohen's kappa statistics gave a weighted kappa of 0.93, confirming no significant differences between the two methods. This study supports DBS as a reliable method for universal neonatal screening for sickle cell disease, demonstrating its potential for widespread clinical use.

Indexed as

Anemia, Sickle CellDried Blood Spot TestingNeonatal ScreeningCross-Sectional StudiesFemaleHumansInfant, NewbornMalePilot ProjectsSensitivity and SpecificityAnemiaDried blood spotsHbSMethod comparisonMethod validationNewborn screeningSickle cell diseaseSickle cell trait

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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.