Seasonal variations in hematological disorders: A 10-year single-center experience.

acute lymphoblastic leukemia acute myeloid leukemia acute promyelocytic leukemia aplastic anemia immune thrombocytopenic purpura seasonal variations

Journal

International journal of laboratory hematology
ISSN: 1751-553X
Titre abrégé: Int J Lab Hematol
Pays: England
ID NLM: 101300213

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 01 04 2020
revised: 06 08 2020
accepted: 14 08 2020
pubmed: 16 9 2020
medline: 7 5 2021
entrez: 15 9 2020
Statut: ppublish

Résumé

To assess the seasonal variations in hematological disorders among patients diagnosed on the basis of bone marrow biopsy, who attended National Institute of Blood Diseases (NIBD) clinics during 2006 to 2015. We retrospectively reviewed the 10-year records of hematological disorders among patients' NIBD clinics from year 2006 to 2015. All cases of aplastic anemia (AA), acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), immune thrombocytopenic purpura (ITP), and acute promyelocytic leukemia (APML) were categorized on the basis of the seasons in which they were diagnosed such as winter (December-February), spring (March-May), southwest monsoon periods (June-September), and retreating monsoon period (October and November). Statistical analysis was performed by using SPSS and STATA. Inferential statistics were explored using the chi-square test for heterogeneity to evaluate seasonal variations. P-value <0.05 was taken as significant. A total of 1982 cases were reviewed. Men were predominantly higher (n = 1190, 60%) as compared to women (n = 792, 40%). Frequency of ALL was found to be higher (513, 25.9%), followed by ITP (504, 25.4%), AML (490, 24.7%), AA (396, 20%), while APML was observed in only 79 (4%) patients. Seasonal variations in the diagnosis of hematological disorders were observed (P-value < .001), except in APML diagnosis (P-value = .445). Significant seasonal variations were also detected in both genders in stratified analysis. The finding of this study has reported an increase in the hematological disorder during 2006 to 2015. Particularly, majority of the cases were reported in southwest monsoon period, whereas least cases were reported in retreating period. Significant seasonal and yearly variations were detected in all diagnosis except the APML.

Identifiants

pubmed: 32931145
doi: 10.1111/ijlh.13337
doi:

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

93-98

Informations de copyright

© 2020 John Wiley & Sons Ltd.

Références

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Auteurs

Jawad Hassan (J)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

Syed Omair Adil (SO)

Dow University of Health Sciences, Karachi, Pakistan.

Zeeshan Haider (Z)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

Sidra Zaheer (S)

Dow University of Health Sciences, Karachi, Pakistan.

Nida Anwar (N)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

Muhammad Nadeem (M)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

Saqib Hussain Ansari (SH)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

Tahir Shamsi (T)

National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan.

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