Evidence map›Paper›PMID 23210504›Full record

SynthesisInfluenza and other respiratory viruses2013

Burden of influenza in Latin America and the Caribbean: a systematic review and meta-analysis.

Vilma Savy, Agustín Ciapponi, Ariel Bardach, Demián Glujovsky, Patricia Aruj, Agustina Mazzoni, Luz Gibbons, Eduardo Ortega-Barría, Rómulo E Colindres

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Influenza and other respiratory viruses, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Immunogenicity and safety of Southern Hemisphere inactivated quadrivalent influenza vaccine: a Phase III, open-label study of adults in Brazil.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Cost of lost productivity from acute respiratory infections in South America.Revista panamericana de salud publica = Pan American journal of public health · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Severe acute respiratory infections (SARI) from influenza in adult patients in Chile: the experience of a sentinel hospital.Revista panamericana de salud publica = Pan American journal of public health · 2019
    Article
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.

Vilma SavyInstituto Nacional de Enfermedades Infecciosas, ANLIS "Dr. Carlos G. Malbran", Buenos Aires, Argentina.Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, ArgentinaGlaxoSmithKline Biologicals, Rio de Janeiro, Brazil.
Agustín Ciapponi
Ariel Bardach
Demián Glujovsky
Patricia Aruj
Agustina Mazzoni
Luz Gibbons
Eduardo Ortega-Barría
Rómulo E Colindres

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInfluenza causes severe morbidity and mortality. This systematic review aimed to assess the incidence, etiology, and resource usage for influenza in Latin America and the Caribbean.

designMeta-analytic systematic review. Arcsine transformations and DerSimonian Laird random effects model were used for meta-analyses.

settingA literature search from 1980 to 2008 in MEDLINE, Cochrane Library, EMBASE, LILACS, Ministries of Health, PAHO, proceedings, reference lists, and consulting experts. SAMPLE: We identified 1092 references, of which 31 were finally included, in addition to influenza surveillance reports. We also used information from the 10 reports from the collaborative group for epidemiological surveillance of influenza and other respiratory virus (GROG), and information retrieved from the WHO global flu database FLUNET.

main outcome measuresIncidence, percentage of influenza specimens out of the total received by influenza centers and resource-use outcomes.

resultsA total of 483 130 specimens of patients with influenza were analyzed. Meta-analysis showed an annual rate of 36 080 (95%CI 28 550 43 610) influenza-like illness per 100 000 persons-years. The percentage of influenza out of total specimens received by influenza centers ranged between 4.66% and 15.42%, with type A the most prevalent, and A subtype H3 predominating. The mean length of stay at hospital due to influenza ranged between 5.8 12.9 days, total workdays lost due to influenza-like illnesses were 17 150 days, and the mean direct cost of hospitalization was US$575 per laboratory-confirmed influenza case.

conclusionsOur data show that seasonal influenza imposes a high morbidity and economic burden to the region. However, the vaccine-uptake rate has been low in this region. Population-based cohort studies are required to improve the knowledge about incidence and resource utilization, which would inform healthcare authorities for decision making.

Indexed as

Caribbean RegionHealth Care CostsHealth ResourcesHumansIncidenceInfluenza, HumanLatin AmericaPrevalenceBurden of diseasecostsepidemiologyinfluenzainfluenza-like illnessLatin America & Caribbeanuse of resources

Identifiers

PMID23210504
PMCPMC4634294

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.