Table 1

Summary outcomes for children receiving hydroxyurea for sickle cell disease

OutcomeEffect
Blood markers
 Haemoglobin levelNot significantly different
 Percentage of fetal haemoglobinIncreased (very low quality evidence)
Clinical outcomes
 Pain crisesDecreased (low quality evidence)
 HospitalisationsDecreased (low quality evidence)
 Blood transfusion therapyInsufficient data
 Acute chest syndromeInsufficient data
 Secondary strokeDecreased (very low quality evidence)
No effect (low quality evidence)
Prevention of end organ damage
 SpleenNo significant difference (low quality evidence)
 KidneyNo significant difference (low quality evidence)
 Brain (transcranial Doppler velocity)Decreased (very low quality evidence)
Mortality
 MortalityDecreased effect
Toxicity
 NeutropeniaMild to moderate (moderate quality evidence)
 Leg ulcersInsufficient data
 ThrombocytopeniaInsufficient data
 AnaemiaInsufficient data