Evidence map›Paper›PMID 41367887›Full record

ArticleBlood global hematology2025

Hydroxyurea Therapy in Sickle Cell Disease: Evaluating Healthcare Costs and Utilization in a Brazilian Tertiary Setting.

La'Ron L A Browne, Emilia Matos do Nascimento, Patricia Moura, Delaine Fidlarczyk, Jane Duran, Roberto Barbosa, Thais Oliveira, George Goshua, Jane S Hankins, Clarisse Lobo

Abstract read
In one paragraph

Article in Blood global hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

La'Ron L A BrowneDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN, United States.
Emilia Matos do NascimentoInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
Patricia MouraInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
Delaine FidlarczykInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
Jane DuranInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
Roberto BarbosaInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
Thais OliveiraInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.
George GoshuaSection of Medical Oncology & Hematology, Yale School of Medicine and Yale Cancer Center, New Haven, Connecticut, United States.
Jane S HankinsDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN, United States.
Clarisse LoboInstituto Estadual de Hematologia do Rio de Janeiro HEMORIO, Rio de Janeiro, RJ, Brazil.

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 1985 to 2026
$85.0M
NCI NIH HHS P30 CA016359
6 · The paper itself

Abstract

Patients with sickle cell disease (SCD) treated with hydroxyurea, a disease-modifying agent, experience reduced hospitalizations, blood utilization, opioid use, and mortality, but how the reduced acute care utilization translates to cost-savings is understudied. This study aimed to test whether hydroxyurea reduces overall care costs for SCD patients in Brazil. Healthcare costs in Brazilian Reais (R$) were collected from patients with SCD who had at least one encounter between January 1, 2018, and June 30, 2018. The total median healthcare resource utilization included ambulatory clinic, emergency department (ED), and inpatient care. Patients were stratified by hydroxyurea use and medication adherence (MPR >50% vs. ≤50%). A total of 3331 active patients were included in the analysis, with 3032 having at least one encounter. 51% were female, and the median age was 15 years (range 0-76). 2212 (73.0%), had HbSS/Sβ°thalassemia, followed by HbSC (n=610, 20%) and HbSβ

Indexed as

acute complicationsadmissioncost analysisemergency departmentemergency roomfinancial analysishospitalizationhydroxycarbamidemedication possession ratiomicro-costingsickle cell anemia

Identifiers

PMID41367887
PMCPMC12685005

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Registered trials

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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.