Evidence map›Paper›PMID 42555447›Full record

ReviewNigerian medical journal : journal of the Nigeria Medical Association

The Burden of Thalassemia and Various Hemoglobinopathies in Bihar: Trends and Patterns.

Shuchismita, Iffat Jamal, Ravi Bhushan Raman, Debaditya Haldar, Jawed Akhtar, Vijayanand Choudhary, Archana Sinha, Shambhavi Sharan

Abstract readReview
In one paragraph

Review in Nigerian medical journal : journal of the Nigeria Medical Association. 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
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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

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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

8 authors.

ShuchismitaDepartment of Pathology (Hematology section), Indira Gandhi Institute of Medical Sciences, Patna.
Iffat JamalDepartment of Pathology (Hematology section), Indira Gandhi Institute of Medical Sciences, Patna.
Ravi Bhushan RamanDepartment of Pathology (Hematology section), Indira Gandhi Institute of Medical Sciences, Patna.
Debaditya HaldarDepartment of Pathology, Indira Gandhi Institute of Medical Sciences, Patna.
Jawed AkhtarDepartment of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna.
Vijayanand ChoudharyDepartment of Pathology (Hematology section), Indira Gandhi Institute of Medical Sciences, Patna.
Archana SinhaDepartment of Obstetrics and Gynaecology, Indira Gandhi Institute of Medical Sciences, Patna.
Shambhavi SharanDepartment of Pediatrics, Indira Gandhi Institute of Medical Sciences, Patna.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In India, the carrier frequency of the β-thalassemia trait (βTT) is substantially higher than the global average, estimated at 3.3% compared with 1.5% worldwide. The prevalence of βTT across India shows marked geographic variation, ranging from 0.5% to 17%, largely influenced by population migration, endogamy, and intercaste marriages. This genetic and demographic diversity makes India a complex conglomerate of multiple biological populations. The present study aimed to evaluate the spectrum of hemoglobinopathies and thalassemia in a region of Eastern India using cation-exchange high-performance liquid chromatography (CE-HPLC), while also analyzing associated demographic characteristics and hematological parameters. Methodology: This was a two-year (June 2022-May 2024), single-center, retrospective observational study involving 2,329 subjects who were screened for thalassemia and other hemoglobinopathies using CE-HPLC at the Department of Hematology of a tertiary care center in Northern India. Results: Of the 2,329 subjects screened, 2,067 (88.7%) were diagnosed as normal, 167 (7.1%) had βTT, and 35 (1.5%) were double heterozygous for HbE and βTT. The mean red blood cell (RBC) count among individuals with βTT was 4.58 ± 1.11 million/cumm, the highest among all hemoglobinopathies except for two cases of HbD-Punjab trait, which demonstrated a mean RBC count of 4.62 ± 0.36 million/cumm. HbF fractions were highest in cases of β-thalassemia major/intermedia, followed by individuals with double heterozygous HbE and βTT. Categorical variables were expressed as percentages, while numerical variables were summarized as mean ± standard deviation (SD). Statistical analysis was performed using SPSS version 25. Conclusion: This study underscores the high prevalence of β-thalassemia trait and other hemoglobinopathies in Eastern India, emphasizing the need for widespread screening programs and the adoption of improved diagnostic modalities.

Indexed as

hemoglobinopathieshigh-performance liquid chromatographyIndian populationprevalencescreeningβ-thalassemia trait

Identifiers

PMID42555447
PMCPMC13379837

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