Evidence map›Paper›PMID 26898367›Full record

ArticleJournal of clinical immunology2016

Primary Immunodeficiency Diseases in Aguascalientes, Mexico: Results from an Educational Program.

Aristoteles Alvarez-Cardona, Sara Elva Espinosa-Padilla, Saul Oswaldo Lugo Reyes, Javier Ventura-Juarez, Jaime Asael Lopez-Valdez, Lucila Martínez-Medina, Alberto Santillan-Artolozaga, Adriana Cajero-Avelar, Alma R De Luna-Sosa, Luis F Torres-Bernal and 1 more

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Article in Journal of clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

11 authors.

Aristoteles Alvarez-CardonaUniversidad Autonoma de Aguascalientes, Aguascalientes, Mexico.
Sara Elva Espinosa-PadillaImmunodeficiencies Research Unit, a Jeffrey Modell Diagnostic Center at the National Institute of Pediatrics, Mexico City, Mexico.
Saul Oswaldo Lugo ReyesImmunodeficiencies Research Unit, a Jeffrey Modell Diagnostic Center at the National Institute of Pediatrics, Mexico City, Mexico.
Javier Ventura-JuarezUniversidad Autonoma de Aguascalientes, Aguascalientes, Mexico.
Jaime Asael Lopez-ValdezCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Lucila Martínez-MedinaCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Alberto Santillan-ArtolozagaCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Adriana Cajero-AvelarCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Alma R De Luna-SosaCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Luis F Torres-BernalCentennial Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Francisco J Espinosa-RosalesImmunodeficiencies Research Unit, a Jeffrey Modell Diagnostic Center at the National Institute of Pediatrics, Mexico City, Mexico. espinosa_francisco@yahoo.com.mx.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary immunodeficiencies (PIDs) are a heterogeneous group of disorders characterized mainly by recurrent infections. Late diagnosis remains as one of the main issues to solve. We aimed to increase PID diagnosis in Aguascalientes, a 1.3 million inhabitants state in the center of Mexico, and to describe the clinical features of such patients.

methodsWe developed an educational program for health personnel and general public; patients with possible PID were referred to a State University clinical center from December 2011 to December 2012. The patients were evaluated at the clinic and their definitive diagnosis pursued through laboratory, molecular and genetic assays. We describe the findings of those patients and analyze the impact of the program in terms of number of referrals.

resultsAfter 41 talks and 12 media appearances 151 patients were referred for evaluation. Fifteen (9.9%) were diagnosed with PID: five (33%) had antibody deficiencies, seven (47%) Well-defined syndromes, two (13%) Severe combined Immunodeficiency (SCID) and one case (7%) of an innate immune deficiency. All of the 15 PID patients had been referred by physicians, as opposed to the public. We estimated a "number needed to teach" of 75 physicians to get one PID patient referral.

conclusionEducational programs are a fundamental part of the global efforts to increase PID diagnosis and care. To be successful, such programs should include public relations, reach for first-contact physicians, and aim to develop an efficient referral network with molecular diagnostic capability. Enhancing medical knowledge on PID is a successful strategy to improve early diagnosis and treatment.

Indexed as

Health Knowledge, Attitudes, PracticeRegistriesAdolescentAdultChildChild, PreschoolCommunity-Institutional RelationsFemaleHumansImmunologic Deficiency SyndromesInfantInfant, NewbornMaleMexicoMiddle AgedPatient Selectionawarenesseducational programPrimary immunodeficiency diseases

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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.