Evidence map›Paper›PMID 38669341›Full record

ArticleBlood advances2024

Modified Delphi panel consensus recommendations for management of severe aplastic anemia.

Daria V Babushok, Amy E DeZern, Carlos M de Castro, Zora R Rogers, David Beenhouwer, Michael S Broder, Suzanne R Fanning, Sarah N Gibbs, Rabi Hanna, Jaroslaw P Maciejewski and 5 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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  17. Towards graft-Haematologica · 2025
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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

15 authors at 10 institutions in 1 country.

Daria V BabushokDivision of Hematology-Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA.
Amy E DeZernSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD.
Carlos M de CastroDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Durham, NC.ORCID 0000-0002-4485-6025
Zora R RogersDivision of Pediatric Hematology-Oncology, University of Texas, Southwestern Medical Center, Dallas, TX.ORCID 0000-0003-1478-2368
David BeenhouwerPartnership for Health Analytic Research, Beverly Hills, CA.
Michael S BroderPartnership for Health Analytic Research, Beverly Hills, CA.
Suzanne R FanningPrisma Health Cancer Institute, University of South Carolina, Greenville, SC.
Sarah N GibbsPartnership for Health Analytic Research, Beverly Hills, CA.
Rabi HannaDepartment of Pediatric Hematology Oncology and Bone Marrow Transplantation, Cleveland Clinic, Cleveland, OH.
Jaroslaw P MaciejewskiTranslational Hematology and Oncology Research Department, Cleveland Clinic, Cleveland, OH.
Bart L ScottClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0001-9620-7839
Srinivas K TantravahiDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Marcin W WlodarskiDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-6638-9643
Irina YermilovPartnership for Health Analytic Research, Beverly Hills, CA.ORCID 0000-0001-6035-2815
Bhumika J PatelPrisma Health Cancer Institute, University of South Carolina, Greenville, SC.ORCID 0009-0008-4984-7751
Partnership for Health Analytic Research · USCleveland Clinic · USPrisma Health · USDuke Medical Center · USFred Hutch Cancer Center · USSidney Kimmel Comprehensive Cancer Center · USSt. Jude Children's Research Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractSevere aplastic anemia (SAA) is a rare hematologic condition for which there is no clear management algorithm. A panel of 11 experts on adult and pediatric aplastic anemia was assembled and, using the RAND/University of California, Los Angeles modified Delphi panel method, evaluated >600 varying patient care scenarios to develop clinical recommendations for the initial and subsequent management of patients of all ages with SAA. Here, we present the panel's recommendations to rule out inherited bone marrow failure syndromes, on supportive care before and during first-line therapy, and on first-line (initial management) and second-line (subsequent management) therapy of acquired SAA, focusing on when transplant vs medical therapy is most appropriate. These recommendations represent the consensus of 11 experts informed by published literature and experience. They are intended only as general guidance for experienced clinicians who treat patients with SAA and are in no way intended to supersede individual physician and patient decision making. Current and future research should validate this consensus using clinical data. Once validated, we hope these expert panel recommendations will improve outcomes for patients with SAA.

Indexed as

Anemia, AplasticDelphi TechniqueDisease ManagementHumans

Identifiers

PMID38669341
PMCPMC11331724
OpenAlexW4395661425

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.