Evidence map›Paper›PMID 39905388›Full record

SynthesisBMC pregnancy and childbirth2025

Patient experience and burden of haemolytic disease of the foetus and newborn: a systematic review.

P Maurice, J McCallion, M Fitzgibbon, J N Barthelmes, W Karmous, E J Hardy, S A Mitchell, C R Mitchell, J Lee, W Noel and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. "Baby You're Just Not Right for Me": The Various Problems of Feto-Maternal Incompatibilities.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Article
  5. 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.

P MauriceNational Center for Perinatal Hemobiology - Fetal Medicine Department - Armand Trousseau Hospital, AP-HP. Sorbonne Université, Paris, France.
J McCallionJanssen-Cilag EMEA, Wycombe, UK.
M FitzgibbonJanssen-Cilag EMEA, Dublin, Ireland.
J N BarthelmesJanssen-Cilag GmbH, Neuss, Germany.
W KarmousJanssen-Cilag EMEA, Issy-les-Moulineaux, France.
E J HardyMtech Access Ltd, Bicester, UK.
S A MitchellMtech Access Ltd, Bicester, UK.
C R MitchellMtech Access Ltd, Bicester, UK.
J LeeJanssen-Cilag EMEA, Birkerød, Denmark.
W NoelJanssen-Cilag EMEA, Dublin, Ireland.
Andras BorsiJanssen-Cilag EMEA, Wycombe, UK. aborsi1@ITS.JNJ.COM.
J M JouannicNational Center for Perinatal Hemobiology - Fetal Medicine Department - Armand Trousseau Hospital, AP-HP. Sorbonne Université, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaemolytic disease of the foetus and newborn (HDFN) is an immune disorder driven by maternal alloimmunisation against foetal/newborn red blood cell antigens. HDFN can cause significant morbidity and mortality, with symptoms in the foetus ranging from mild anaemia to hydrops fetalis. While in newborns, HDFN can lead to severe forms of neonatal hyperbilirubinaemia and kernicterus. This systematic review (SR) aimed to identify and summarise real-world evidence (RWE) related to the patient burden/experience and economic burden of HDFN.

methodsElectronic database searches supplemented by handsearching of grey literature, were conducted to identify studies that reported the clinical patient burden/experience, and economic burden of HDFN in Europe, the Middle East, and Africa (EMEA). Data from eligible studies were summarised in a narrative synthesis due to heterogeneity between studies.

resultsA total of 26 relevant publications were identified for inclusion in the SR, consisting of one study that directly measured Health Related Quality of Life, 9 studies reporting on proxy outcomes for patient burden and 18 studies reporting on economic burden (this includes two double-counted studies reporting more than one outcome type). Neurodevelopment, academic development, behaviour and personality were assessed as proxy outcomes for patient burden given the limited identification of patient-reported outcome data. These studies suggested potential neurodevelopmental impairments in children with HDFN. Despite these indirect insights into patient burden, identified data were limited and results should be interpreted with consideration of the inherent heterogeneity in design and endpoints assessed across RWE studies. Economic burden data were primarily limited to healthcare resource use outcomes, with limited reported data on healthcare costs, it is difficult to draw notable conclusions on the true economic burden of HDFN.

conclusionsThe current SR provides a clear summary of the available evidence for the patient experience and economic burden of HDFN. While the limited evidence indicates that HDFN does confer a significant burden on patients, the review identifies the need for further well-powered and representative observational studies using well-defined outcome measures to aid a greater understanding of the burden and experience of HDFN.

trial registrationThe protocol for this systematic review was registered in PROSPERO CRD42022328444.

Indexed as

Cost of IllnessErythroblastosis, FetalAfricaEuropeFemaleHumansInfant, NewbornMiddle EastPregnancyQuality of LifeEconomic burdenHaemolytic disease of the foetus and newbornPatient burdenSystematic review

Identifiers

PMID39905388
PMCPMC11792410

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.