Table 1

Characteristics and risk of bias assessment for cohort studies on transfusion therapy in pregnant women with sickle cell disease

Author (year), country, settingSingle vs multicenterDesignYears of studyInclusion criteriaRisk of bias assessment (NOS)
Selection ★★★★Comparability ★★Outcome ★★★Total/9Risk of bias (1-3: high; 4-6: moderate; 7-9: low)
Morrison (1976)28 * Single Prospective cohort, matched retrospectively with historical controls Apr. 1970 – Mar. 1974 SCD ★★ — ★ High 
United States Apr 1965 – Mar. 1970 - Historical controls 
Tertiary care  
Miller (1981)26  Single Retrospective cohort with historical controls 1978-1980 (PT) SCD ★★ — ★ High 
United States 1974-1979 (ODT) Historical controls 
Tertiary care  
Cunningham (1983)19  Single Retrospective cohort with historical controls 1973-1982 (PT) SCD ★★ — ★ High 
United States 1955-1972 (ODT) 
Tertiary care  
Tuck (1987)30  Multi Retrospective cohort 1978-1984 (PT) SCD ★ — — High 
United Kingdom 1975-1981 (Un-transfused) 
Tertiary care  
Koshy (1991)15  Single Retrospective cohort 1986-1990 SCD ★ — ★ High 
United States 
Tertiary care 
Morrison (1991)27  Single Retrospective cohort with historical controls Jan 1981-Dec 1990 HbSS, HbSC ★★ — ★ High 
United States 
Tertiary care 
Howard (1995)10  Multi Retrospective cohort 1991-1993 SCD ★★ — ★★ Moderate 
United Kingdom 
Hospitals England &Wales 
El-Shafei (1995)18  Single Mixed retrospective and prospective cohort May 1988 – Oct. 1994 (prospective) vs Nov. 1986 – Oct. 1988 (retrospective) SCD ★★ — ★ High 
Bahrain 
MoH Hospital 
Moussaoui (2002)29  Single Retrospective cohort Not stated HbSS ★★ — — High 
Libreville, Gabon 
Not stated 
Gilli (2007)17  Single Retrospective cohort 1994-2004 HbSS, HbSC ★★ ★ ★ Moderate 
Brazil 
Tertiary care 
Asma (2015)14  Single Retrospective cohort 2000-2013 SCD ★ — ★ High 
Turkey 
Tertiary care 
Author (year), country, settingSingle vs multicenterDesignYears of studyInclusion criteriaRisk of bias assessment (NOS)
Selection ★★★★Comparability ★★Outcome ★★★Total/9Risk of bias (1-3: high; 4-6: moderate; 7-9: low)
Morrison (1976)28 * Single Prospective cohort, matched retrospectively with historical controls Apr. 1970 – Mar. 1974 SCD ★★ — ★ High 
United States Apr 1965 – Mar. 1970 - Historical controls 
Tertiary care  
Miller (1981)26  Single Retrospective cohort with historical controls 1978-1980 (PT) SCD ★★ — ★ High 
United States 1974-1979 (ODT) Historical controls 
Tertiary care  
Cunningham (1983)19  Single Retrospective cohort with historical controls 1973-1982 (PT) SCD ★★ — ★ High 
United States 1955-1972 (ODT) 
Tertiary care  
Tuck (1987)30  Multi Retrospective cohort 1978-1984 (PT) SCD ★ — — High 
United Kingdom 1975-1981 (Un-transfused) 
Tertiary care  
Koshy (1991)15  Single Retrospective cohort 1986-1990 SCD ★ — ★ High 
United States 
Tertiary care 
Morrison (1991)27  Single Retrospective cohort with historical controls Jan 1981-Dec 1990 HbSS, HbSC ★★ — ★ High 
United States 
Tertiary care 
Howard (1995)10  Multi Retrospective cohort 1991-1993 SCD ★★ — ★★ Moderate 
United Kingdom 
Hospitals England &Wales 
El-Shafei (1995)18  Single Mixed retrospective and prospective cohort May 1988 – Oct. 1994 (prospective) vs Nov. 1986 – Oct. 1988 (retrospective) SCD ★★ — ★ High 
Bahrain 
MoH Hospital 
Moussaoui (2002)29  Single Retrospective cohort Not stated HbSS ★★ — — High 
Libreville, Gabon 
Not stated 
Gilli (2007)17  Single Retrospective cohort 1994-2004 HbSS, HbSC ★★ ★ ★ Moderate 
Brazil 
Tertiary care 
Asma (2015)14  Single Retrospective cohort 2000-2013 SCD ★ — ★ High 
Turkey 
Tertiary care 

MoH, Ministry of Health; NOS, Newcastle-Ottawa Scale; ODT, on-demand transfusion; PNM, perinatal mortality; PT, prophylactic transfusion.

*

Data include Morrison (1976) J Pediatr.

Data for patients in the prophylactic transfusion arm also previously reported as part of RCT (Koshy 1988).

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