Evidence map›Paper›PMID 25940786›Full record

ArticleTropical medicine & international health : TM & IH2015

Cysticercosis and epilepsy in rural Tanzania: a community-based case-control and imaging study.

Ewan Hunter, Kathryn Burton, Ahmed Iqbal, Daniel Birchall, Margaret Jackson, Jane Rogathe, Ahmed Jusabani, William Gray, Eric Aris, Gathoni Kamuyu and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 19% of its field
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Prevalence of Epilepsy, Human Cysticercosis, and Porcine Cysticercosis in Western Kenya.The American journal of tropical medicine and hygiene · 2022
    Article
  9. CystiHuman: A model of human neurocysticercosis.PLoS computational biology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

13 authors at 9 institutions in 3 countries.

Ewan HunterClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Kathryn BurtonCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Ahmed IqbalInstitute of Neurosciences, Southern General Hospital, Glasgow, UK.
Daniel BirchallNewcastle Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Margaret JacksonNewcastle Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Jane RogatheKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Ahmed JusabaniKilimanjaro Christian Medical Centre, Moshi, Tanzania.
William GrayNorthumbria Healthcare NHS Foundation Trust, North Shields, UK.
Eric ArisMuhimbili National Hospital, Dar es Salaam, Tanzania.
Gathoni KamuyuCentre for Geographical Medicine (Coast), Kilifi, Kenya.
Patricia P WilkinsCenters for Disease Control & Prevention, Atlanta, GA, USA.
Charles R NewtonCentre for Geographical Medicine (Coast), Kilifi, Kenya.
Richard WalkerNorthumbria Healthcare NHS Foundation Trust, North Shields, UK.
Kilimanjaro Christian Medical Centre · TZNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorthumbria Healthcare NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GBCenters for Disease Control and Prevention · USLondon School of Hygiene & Tropical Medicine · GBMuhimbili National Hospital · TZSouthern General Hospital · GBUniversity of Oxford · GB

Funding

Wellcome Trust 092654
6 · The paper itself

Abstract

objectiveTo assess the contribution of neurocysticercosis (NCC) to the burden of epilepsy in a rural Tanzanian population.

methodsWe identified adult people with epilepsy (PWE) in a door-to-door study in an established demographic surveillance site. PWE and community controls were tested for antibodies to Taenia solium, the causative agent of NCC, and all PWE were offered a computed tomography (CT) head scan. Data on household occupancy and sanitation, pig-keeping and pork consumption were collected from PWE and controls and associations with epilepsy were assessed using chi-square or Fisher's exact tests.

resultsSix of 218 PWE had antibodies to T. solium (2.8%; 95% CI 0.6-4.9), compared to none of 174 controls (Fisher's exact test, P = 0.04). Lesions compatible with NCC were seen in eight of 200 CT scans (4.0%; 95% CI 1.3-6.7). A total of 176 PWE had both investigations of whom two had positive serology along with NCC-compatible lesions on CT (1.1%; 95% 0.3-4.0). No associations between epilepsy and any risk factors for NCC were identified.

conclusionsNeurocysticercosis is present in this population but at a lower prevalence than elsewhere in Tanzania and sub-Saharan Africa. Insights from low-prevalence areas may inform public health interventions designed to reduce the burden of preventable epilepsy.

Indexed as

África subsaharianaAfrique subsaharariennecisticercosiscysticercosecysticercosisepilepsiaépilepsieepilepsyimagerie neurologiqueneuroimagenneuroimagingserologíasérologieserologysub-Saharan AfricaTanzaniaTanzanie

Identifiers

PMID25940786
PMCPMC5496663
OpenAlexW1821123071

What OpenQuestion holds

Textmetadata
LicenceTDM
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.