Evidence map›Paper›PMID 42454634›Full record

ArticleTransfusion2026

A global survey of blood transfusion practices for patients with sickle cell disease.

Jeremy W Jacobs, Arwa Z Al-Riyami, Jeannie Callum, Meghan Delaney, David Daniel, Jenny White, Christopher Bocquet, Mohammed Farouk, Claude Tayou, Chinelo P Onyenekwu and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Transfusion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Jeremy W JacobsDepartment of Pathology, Microbiology and Immunology, Vanderbilt University, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-5719-9685
Arwa Z Al-RiyamiDepartment of Haematology, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.ORCID https://orcid.org/0000-0001-8649-0650
Jeannie CallumDepartment of Pathology and Molecular Medicine, Queen's University and Kingston Health Sciences Centre, Toronto, Canada.ORCID https://orcid.org/0000-0001-6133-0677
Meghan DelaneyDepartment of Pathology & Laboratory Medicine, Children's National Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0003-1089-5787
David DanielDivision of Transfusion Medicine, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-9670-1917
Jenny WhiteInternational Society for Blood Transfusion, Amsterdam, The Netherlands.
Christopher BocquetAssociation for the Advancement of Blood and Biotherapies, Bethesda, Maryland, USA.
Mohammed FaroukAfrican Society for Blood Transfusion, Cairo, Egypt.
Claude TayouFaculty of Medicine and Biomedical Sciences, Université de Yaoundé, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-2179-3105
Chinelo P OnyenekwuDepartment of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0002-9906-9694
Kristina PrusDivision of Pathology (Transfusion Medicine, Coagulation), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0009-0005-6841-1978
Divjot Singh LambaDepartment of Transfusion Medicine, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.ORCID https://orcid.org/0000-0003-0961-0369
Julie MakaniSickle Cell Program, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0002-4801-6250
Quentin EichbaumRoswell Park Comprehensive Cancer Center, Buffalo, New York, USA.ORCID https://orcid.org/0000-0003-3480-7892
Luiz AmorimHEMORIO, Rio de Janeiro, Brazil.
Silvano WendelConsultant in Transfusion Medicine, Cellular Therapy and Blood Bank, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1941-7733
France PirenneUniversity Paris Est Créteil, INSERM U955, and Etablissement Français du Sang, Créteil, France.
Vernon LouwDivision of Clinical Haematology, Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-2885-3342
Evan M BlochDivision of Transfusion Medicine, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-8181-9517

Funding

NHLBI NIH HHS 1K23HL151826
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) affects over 7 million people globally, with blood transfusion remaining a cornerstone of management. However, contemporary transfusion practices across diverse settings remain poorly characterized. We evaluated global transfusion practices for patients with SCD to identify gaps and inform resource prioritization. STUDY DESIGN AND

methodsWe conducted a cross-sectional web-based survey of clinicians and laboratory professionals providing transfusion support for SCD, distributed via email using three professional society's membership lists (July-September 2025). Variables included facility characteristics, pre-transfusion testing capabilities, antigen-matching strategies, transfusion modalities, and barriers to care, stratified by World Bank income classification.

resultsAfter excluding incomplete/duplicate responses, 102 facilities from 39 countries were analyzed; 95 actively treated patients with SCD. Facilities were predominantly public (73%), with 46% in lower-middle-income countries (LMICs). Routine newborn screening was performed by 33% overall (48% high-income countries [HICs] vs. 0% low-income). While ABO/RhD typing was nearly universal, antibody screening was available in only 72% of facilities (0% low-income, 47% LMICs, 98% HICs). Prophylactic RBC antigen matching was performed by 46% (18% LMICs vs. 70% HICs), primarily limited to Rh(CcEe) and K. Automated RBC exchange was available in 44% overall (0% low-income, 25% LMICs, 73% HICs); among facilities with exchange capability, 83% of HICs versus 36% of LMICs could provide exchange within 24 h for acute indications. DISCUSSION: Pronounced income-related disparities exist in SCD transfusion support. Facilities in lower-income settings disproportionately lack antibody testing, prophylactic matching, and timely automated exchange. Targeted infrastructure investment and context-appropriate guidelines are essential for equitable care.

Indexed as

Anemia, Sickle CellBlood TransfusionBlood Grouping and CrossmatchingCross-Sectional StudiesHumansSurveys and Questionnaires

Identifiers

PMID42454634

What OpenQuestion holds

Textmetadata
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.