Evidence mapPaperPMID 39935698Full record

ArticleJournal of hematology2025

Increased Transferrin Concentrations Are Not Associated With Thrombosis in People Living at High Altitude.

Ricardo Amaru, Josef Prchal, Tomas Ganz, Xu Zhang, Daniela Paton, Mireya Carrasco, Emma Mancilla, Victor R Gordeuk

Abstract read
In one paragraph

Article in Journal of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Article
  2. KDIGO 2026 Clinical Practice Guideline for Anemia in Chronic Kidney Disease (CKD): a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
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  4. 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

8 authors.

Ricardo AmaruCell Biology Unit, School of Medicine, San Andres University, La Paz, Bolivia.
Josef PrchalDepartment of Medicine, University of Utah, VAH, and Huntsman Cancer Institute, Salt Lake City, UT, USA.
Tomas GanzUCLA Center for Iron Disorders, UCLA Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, David Geffen School of Medicine, Los Angeles, CA, USA.
Xu ZhangDepartment of Medicine, University of Illinois at Chicago, IL, USA.
Daniela PatonCell Biology Unit, School of Medicine, San Andres University, La Paz, Bolivia.
Mireya CarrascoInstituto Boliviano de Oncohematologia, La Paz City, Bolivia.
Emma MancillaDepartment of Medicine, University of Utah, VAH, and Huntsman Cancer Institute, Salt Lake City, UT, USA.
Victor R GordeukDepartment of Medicine, University of Illinois at Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bolivian Andean Aymara highlanders, living at 4,000 m for 14,000 years, have evolved genetic adaptations to hypoxia. These include Methods: A retrospective study was conducted in people living at high altitude (3,650 - 4,150 m). We analyzed serum transferrin concentration and thrombosis history in Aymara patients with high-altitude erythrocytosis (n = 149, median age 55 years, female gender 30%, iron deficiency 23%) or high-altitude anemia (n = 137, median age 43 years, female gender 86%, iron deficiency 57%). Results: The median transferrin concentration was 339 mg/dL in erythrocytosis patients versus 310 mg/dL in anemia patients (P = 0.037); it was 367 mg/dL in iron deficient versus 312 mg/dL in iron replete patients (P < 0.001). Thrombosis history was present in 13% of erythrocytosis and 8% of anemia patients (P = 0.25) and was present in 16% of iron deficient and 7% of iron replete patients (P = 0.017). After adjustment for erythrocytosis and iron deficiency in multivariate regression analysis, the mean (95% confidence interval) transferrin concentration was 277 (237 - 316) mg/dL in 30 patients with thrombosis history versus 324 (306 - 341) mg/dL in 256 patients without thrombosis history (P = 0.018). Similar trends occurred for the subgroups of arterial thrombosis history (P = 0.044) and venous thrombosis history (P = 0.22). Conclusions: In individuals with extreme environmental hypoxia, we found no evidence that increased transferrin is associated with increased thrombosis history. Rather, we observed a trend to decreased thrombosis history with increased transferrin levels.

Indexed as

FerritinHigh altitudeHypoxiaIron deficiencyThrombosisTransferrin

Identifiers

PMID39935698
PMCPMC11809596

What Socratic holds

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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 Socratic graph.