Evidence map›Paper›PMID 21695106›Full record

SynthesisPLoS neglected tropical diseases2011

Justified concern or exaggerated fear: the risk of anaphylaxis in percutaneous treatment of cystic echinococcosis-a systematic literature review.

Andreas Neumayr, Giuliana Troia, Chiara de Bernardis, Francesca Tamarozzi, Sam Goblirsch, Luca Piccoli, Christoph Hatz, Carlo Filice, Enrico Brunetti

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. PercutaneousWorld journal of gastroenterology · 2026
    Article
  8. Review
  9. Article
  10. Percutaneous Treatment of Hydatid Cysts with the Örmeci Technique.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Article
  11. Article
  12. Article
  13. Anaphylaxis during puncture of a hepatic hydatid cyst.Northern clinics of Istanbul · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Case report - Primary renal echinococcal infection.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Article
  20. Ultrasound and Cystic Echinococcosis.Ultrasound international open · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andreas NeumayrSwiss Tropical and Public Health Institute, Basel, Switzerland. andreas.neumayr@unibas.ch
Giuliana Troia
Chiara de Bernardis
Francesca Tamarozzi
Sam Goblirsch
Luca Piccoli
Christoph Hatz
Carlo Filice
Enrico Brunetti

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous treatment (PT) emerged in the mid-1980s as an alternative to surgery for selected cases of abdominal cystic echinococcosis (CE). Despite its efficacy and widespread use, the puncture of echinococcal cysts is still far from being universally accepted. One of the main reasons for this reluctance is the perceived risk of anaphylaxis linked to PTs. To quantify the risk of anaphylactic reactions and lethal anaphylaxis with PT, we systematically searched MEDLINE for publications on PT of CE and reviewed the PT-related complications. After including 124 publications published between 1980 and 2010, we collected a total number of 5943 PT procedures on 5517 hepatic and non-hepatic echinococcal cysts. Overall, two cases of lethal anaphylaxis and 99 reversible anaphylactic reactions were reported. Lethal anaphylaxis occurred in 0.03% of PT procedures, corresponding to 0.04% of treated cysts, while reversible allergic reactions complicated 1.7% of PTs, corresponding to 1.8% of treated echinococcal cysts. Analysis of the literature shows that lethal anaphylaxis related to percutaneous treatment of CE is an extremely rare event and is observed no more frequently than drug-related anaphylactic side effects.

Indexed as

Risk AssessmentAnaphylaxisEchinococcosisHumansIncidence

Identifiers

PMID21695106
PMCPMC3114754

What OpenQuestion holds

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Registered trials

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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.