SynthesisBMJ (Clinical research ed.)2007
Effect of administration of intestinal anthelmintic drugs on haemoglobin: systematic review of randomised controlled trials.
Synthesis in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 7 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Interventions to improve water, sanitation, and hygiene for preventing soil-transmitted helminth infection.The Cochrane database of systematic reviews · 2022Pooled it
- The Impact of Nutrition-Specific and Nutrition-Sensitive Interventions on Hemoglobin Concentrations and Anemia: A Meta-review of Systematic Reviews.Advances in nutrition (Bethesda, Md.) · 2020Pooled it
- Public health deworming programmes for soil-transmitted helminths in children living in endemic areas.The Cochrane database of systematic reviews · 2019Pooled it
- Complexities and Perplexities: A Critical Appraisal of the Evidence for Soil-Transmitted Helminth Infection-Related Morbidity.PLoS neglected tropical diseases · 2016Pooled it
- Deworming drugs for soil-transmitted intestinal worms in children: effects on nutritional indicators, haemoglobin, and school performance.The Cochrane database of systematic reviews · 2015Pooled it
- Impact of hookworm infection and deworming on anaemia in non-pregnant populations: a systematic review.Tropical medicine & international health : TM & IH · 2010Pooled it
- Hookworm-related anaemia among pregnant women: a systematic review.PLoS neglected tropical diseases · 2008Pooled it
- Associations between intestinal parasitic infections, anaemia, and diarrhoea among school aged children, and the impact of hand-washing and nail clipping.BMC research notes · 2020Trial
- Trial
- The impact of a school-based hygiene, water quality and sanitation intervention on soil-transmitted helminth reinfection: a cluster-randomized trial.The American journal of tropical medicine and hygiene · 2013Trial
- Effect of intermittent preventive treatment of malaria on health and education in schoolchildren: a cluster-randomised, double-blind, placebo-controlled trial.Lancet (London, England) · 2008Trial
- Association between water, sanitation, and hygiene access and the prevalence of soil-transmitted helminth and schistosome infections in Wolayita, Ethiopia.Parasites & vectors · 2022Article
- Anemia and undernutrition in intestinally parasitized schoolchildren from Gakenke district, Northern Province of Rwanda.PloS one · 2022Article
- Comprehensive management of major aphthous ulcer.BMJ case reports · 2021Article
- Resolving "worm wars": An extended comparison review of findings from key economics and epidemiological studies.PLoS neglected tropical diseases · 2019Review
- What Approaches are Most Effective at Addressing Micronutrient Deficiency in Children 0-5 Years? A Review of Systematic Reviews.Maternal and child health journal · 2019Review
- The public health benefit and burden of mass drug administration programs in Vietnamese schoolchildren: Impact of mebendazole.PLoS neglected tropical diseases · 2018Article
- Toward the 2020 goal of soil-transmitted helminthiasis control and elimination.PLoS neglected tropical diseases · 2018Article
- Blood and guts: The intestinal vasculature during health and helminth infection.PLoS pathogens · 2018Article
- Individual, maternal and household risk factors for anaemia among young children in sub-Saharan Africa: a cross-sectional study.BMJ open · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effect of routine administration of intestinal anthelmintic drugs on haemoglobin.
designSystematic review of randomised controlled trials. DATA SOURCES: Electronic databases and hand search of reviews, bibliographies of books, and abstracts and proceedings of international conferences. STUDY SELECTION: Included studies were randomised or quasi-randomised controlled trials using an intestinal anthelmintic agent in the intervention group, in which haemoglobin was evaluated as an outcome measure. Trials in which treatment for schistosoma (praziquantel) was given exclusively to the intervention group were excluded.
resultsThe search identified 14 eligible randomised controlled trials. Data were available for 7829 subjects, of whom 4107 received an anthelmintic drug and 3722 received placebo. The pooled weighted mean difference (random effect model) of the change in haemoglobin was 1.71 (95% confidence interval 0.70 to 2.73) g/l (P<0.001; test for heterogeneity: Cochran Q=51.17, P<0.001; I(2)=61% (37% to 76%)). With the World Health Organization's recommended haemoglobin cut-offs of 120 g/l in adults and 110 g/l in children, the average estimated reduction in prevalence of anaemia ranged from 1.1% to 12.4% in adults and from 4.4% to 21.0% in children. The estimated reductions in the prevalence of anaemia increased with lower haemoglobin cut-offs used to define anaemia.
conclusionsRoutine administration of intestinal anthelmintic agents results in a marginal increase in haemoglobin (1.71 g/l), which could translate on a public health scale into a small (5% to 10%) reduction in the prevalence of anaemia in populations with a relatively high prevalence of intestinal helminthiasis.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.