Document Detail


Proposal of a score combining red blood cell indices for early differentiation of beta-thalassemia minor from iron deficiency anemia.
MedLine Citation:
PMID:  21418745     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
<title/> This study evaluates the diagnostic reliability of 11 red blood cells indices, together with our new index, referred to as '11T', in differentiation of beta-thalassemia minor (BTm) from iron deficiency anemia (IDA). A total of 129 patients with microcytic anemia were involved in a retrospective study, 80 with IDA and 49 with BTm. Using an automatic program, we calculated 11 discrimination indices and a new score, 11T, based on the results of these 11 tests. To confirm the interest of 11T, we performed a prospective study with 53 patients. 11T was most effective in differentiating BTm from IDA: 11T had the highest Youden's index (83%) and the best percentage of correctly identified patients (93%) and gave optimal performance in our prospective study. We proposed a score, 11T, which is able to discriminate between IDA and BTm with high specificity and high sensitivity in order to conduct the appropriate confirmatory examination.
Authors:
Alexandre Janel; Laurence Roszyk; Chantal Rapatel; Gabrielle Mareynat; Marc G Berger; Anne-Françoise Serre-Sapin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hematology (Amsterdam, Netherlands)     Volume:  16     ISSN:  1607-8454     ISO Abbreviation:  Hematology     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708388     Medline TA:  Hematology     Country:  England    
Other Details:
Languages:  eng     Pagination:  123-7     Citation Subset:  IM    
Affiliation:
Hématologie Biologique/Immunologie, CHU, Hôtel Dieu, Boulevard Léon Malfreyt, Clermont Ferrand, France.
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