Evidence map›Paper›PMID 25946238›Full record

SynthesisMemorias do Instituto Oswaldo Cruz2015

Accuracy of mucocutaneous leishmaniasis diagnosis using polymerase chain reaction: systematic literature review and meta-analysis.

Ciro Martins Gomes, Suleimy Cristina Mazin, Elisa Raphael dos Santos, Mariana Vicente Cesetti, Guilherme Albergaria Brízida Bächtold, João Henrique de Freitas Cordeiro, Fabrício Claudino Estrela Terra Theodoro, Fabiana dos Santos Damasco, Sebastián Andrés Vernal Carranza, Adriana de Oliveira Santos and 2 more

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Memorias do Instituto Oswaldo Cruz, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions for American cutaneous and mucocutaneous leishmaniasis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Persistence ofBiomedicines · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. The accuracy of the Montenegro skin test for leishmaniasis in PCR-negative patients.Revista da Sociedade Brasileira de Medicina Tropical · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Sensitivity of different DNA extraction methods and PCR to detect resistance in patients with leprosy stratified by the bacilloscopic index.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
  14. 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

12 authors at 2 institutions in 1 country.

Ciro Martins GomesPrograma de Pós-Graduação em Clínica Médica.
Suleimy Cristina MazinDepartamento de Neurociências e Ciências do Comportamento.
Elisa Raphael dos SantosServiço de Dermatologia.
Mariana Vicente CesettiServiço de Dermatologia.
Guilherme Albergaria Brízida BächtoldDepartamento de Clínica Médica.
João Henrique de Freitas CordeiroDepartamento de Clínica Médica.
Fabrício Claudino Estrela Terra TheodoroFaculdade de Medicina, Universidade de Brasília, Brasília, DF, Brasil.
Fabiana dos Santos DamascoHospital Regional da Asa Norte, Brasília, DF, Brasil.
Sebastián Andrés Vernal CarranzaPrograma de Pós-Graduação em Clínica Médica.
Adriana de Oliveira SantosFaculdade de Medicina, Universidade de Brasília, Brasília, DF, Brasil.
Ana Maria RoselinoHospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Raimunda Nonata Ribeiro SampaioDepartamento de Clínica Médica.
Universidade de Brasília · BRUniversidade Brasil · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The diagnosis of mucocutaneous leishmaniasis (MCL) is hampered by the absence of a gold standard. An accurate diagnosis is essential because of the high toxicity of the medications for the disease. This study aimed to assess the ability of polymerase chain reaction (PCR) to identify MCL and to compare these results with clinical research recently published by the authors. A systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was performed using comprehensive search criteria and communication with the authors. A meta-analysis considering the estimates of the univariate and bivariate models was performed. Specificity near 100% was common among the papers. The primary reason for accuracy differences was sensitivity. The meta-analysis, which was only possible for PCR samples of lesion fragments, revealed a sensitivity of 71% [95% confidence interval (CI) = 0.59; 0.81] and a specificity of 93% (95% CI = 0.83; 0.98) in the bivariate model. The search for measures that could increase the sensitivity of PCR should be encouraged. The quality of the collected material and the optimisation of the amplification of genetic material should be prioritised.

Indexed as

BiopsyClinical Trials as TopicConfidence IntervalsDNA, ProtozoanHumansLeishmaniasis, MucocutaneousPolymerase Chain ReactionQualitative ResearchROC CurveSensitivity and SpecificityDNA, Protozoan

Identifiers

PMID25946238
PMCPMC4489445
OpenAlexW2102980692

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.