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Updated: Mar 5, 2026

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Interventions for preventing silent cerebral infarcts in people with sickle cell disease
Lise J Estcourt1, Patricia M Fortin2, Sally Hopewell3
1Haematology/Transfusion Medicine, NHS Blood and Transplant, Oxford, UK.
Insights
This review assesses treatments like red blood transfusions, hydroxyurea, and hematopoietic stem cell transplant (HSCT) for preventing sickle cell disease (SCD)-related spinal cord injury (SCI). It aims to determine the most effective interventions for this serious complication.
Area of Science:
- Hematology
- Neurology
- Clinical Medicine
Background:
- Sickle cell disease (SCD) is a genetic blood disorder associated with severe complications.
- Spinal cord injury (SCI) is a debilitating consequence that can occur in individuals with SCD.
- Current treatment strategies for preventing SCI in SCD require further evaluation.
Purpose of the Study:
- To evaluate the efficacy of red blood transfusions in preventing SCI in SCD patients.
- To assess the effectiveness of hydroxyurea, alone or in combination, for SCI prevention in SCD.
- To determine the role of hematopoietic stem cell transplant (HSCT) in reducing or preventing SCI in SCD.
Main Methods:
- This is a protocol for a systematic review.
- The review will synthesize evidence on interventions for SCI prevention in SCD.
- Data will be collected on red blood transfusions, hydroxyurea, and HSCT.
Main Results:
- Results are pending completion of the systematic review.
- The review will compare the effectiveness of different treatment modalities.
- Evidence on the reduction or prevention of SCI will be analyzed.
Conclusions:
- Conclusions will be drawn based on the synthesized evidence from the review.
- The findings will inform clinical practice regarding SCI prevention in SCD.
- Recommendations for future research and treatment guidelines will be provided.
Abstract:
This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness of red blood transfusions and hydroxyurea alone or in combination and HSCT to reduce or prevent SCI in people with SCD.
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