Reliability of Different RBC Indices and Formulas in Discriminating between β-Thalassemia Minor and other Microcytic Hypochromic Cases

Mediterranean Journal of Hematology and Infectious Diseases
Elahe BordbarBeth E Zucconi

Abstract

Different indices and formulas of CBC parameters have been suggested as indicators of early stage screenings to detect couples with β-thalassemia minor (BTMi). In this study, we evaluated the accuracy of five previous published formulas and compared them to our new formula (│80-MCV│×│27-MCH│) in screening of β-thalassemia. All couples in the premarital β-thalassemia screening program of Roodbar, Iran, for whom molecular analysis had been done, were selected during two years. The red blood cell parameters were applied to each formula, and a ROC curve was plotted for each one to check its discriminative effectiveness in β-thalassemia detection. None of the studied indices and formulas demonstrated 100% precision. However, we found that the Shine-Lal formula and our formula had the highest sensitivity in identifying BTMi individuals. The highest specificity belonged to our formula and Sirdah formula. Previous studies reported different sensitivities and specificities for the formulas. This can be attributed to different kinds of HBB gene mutations in various populations. Undoubtedly, physicians in different areas should evaluate the accuracy of published formulas for their own populations in the discrimination of BTMi from other c...Continue Reading

Citations

Dec 18, 2018·Journal of Pediatric Hematology/oncology·Gonul AydoganNihal Ozdemir
Nov 9, 2019·BMC Medical Informatics and Decision Making·V LaengsriP Nuchnoi
Feb 10, 2017·Clinical Chemistry and Laboratory Medicine : CCLM·Eloísa Urrechaga, Johannes J M L Hoffmann
Jul 17, 2021·Indian Journal of Hematology & Blood Transfusion : an Official Journal of Indian Society of Hematology and Blood Transfusion·Aarzoo JahanSompal Singh

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