Evidence map›Paper›PMID 27316794›Full record

ArticleBMC infectious diseases2016

Epidemiological and economic burden of Clostridium difficile in the United States: estimates from a modeling approach.

Kamal Desai, Swati B Gupta, Erik R Dubberke, Vimalanand S Prabhu, Chantelle Browne, T Christopher Mast

Registry-linked trialAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01241552 (A Phase III, Randomized, Double-Blind, Placebo-Controlled, Adaptive Design Study of the Efficacy, Safety, and Tolerability of a Single Infusion of MK-3415), which is not on this map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 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.

NCT01241552 phase3completednot on this map

A Phase III, Randomized, Double-Blind, Placebo-Controlled, Adaptive Design Study of the Efficacy, Safety, and Tolerability of a Single Infusion of MK-3415 (Human Monoclonal Antibody to Clostridium Difficile Toxin A), MK-6072 (Human Monoclonal Antibody to Clostridium Difficile Toxin B), and MK-3415A (Human Monoclonal Antibodies to Clostridium Difficile Toxin A and Toxin B) in Patients Receiving Antibiotic Therapy for Clostridium Difficile Infection (MODIFY I)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2011 to 2014Enrolled1,452ConditionsClostridium Difficile InfectionArmsMK-3415, MK-6072, MK-3415A, Placebo, SOC
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Omadacycline andThe Annals of pharmacotherapy · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Effectiveness of Bio-K+ for the prevention ofInfection control and hospital epidemiology · 2024
    Trial
  8. Thirty-Day Readmissions in Hospitalized Patients Who Received Bezlotoxumab With Antibacterial Drug Treatment for Clostridium difficile Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  9. Review
  10. Reliable delineation ofMicrobiology spectrum · 2026
    Article
  11. Review
  12. Article
  13. Unique growth and morphology properties of Clade 5bioRxiv : the preprint server for biology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Multi-drug resistantFrontiers in cellular and infection microbiology · 2025
    Article
  18. Article
  19. Incidence, healthcare and out-of-pocket costs, and mortality ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  20. Article

21 more citing papers are in PubMed but not listed here.

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

6 authors.

Kamal DesaiEvidera Inc., London, UK.
Swati B GuptaMerck & Co., Inc., Kenilworth, NJ, USA. swati.gupta5@merck.com.
Erik R DubberkeWashington University School of Medicine, St. Louis, MO, USA.
Vimalanand S PrabhuMerck & Co., Inc., Kenilworth, NJ, USA.
Chantelle BrowneEvidera Inc., London, UK.
T Christopher MastMerck & Co., Inc., Kenilworth, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a large increase in Clostridium difficile infection (CDI) severity, morbidity and mortality in the US since the early 2000s, CDI burden estimates have had limited generalizability and comparability due to widely varying clinical settings, populations, or study designs.

methodsA decision-analytic model incorporating key input parameters important in CDI epidemiology was developed to estimate the annual number of initial and recurrent CDI cases, attributable and all-cause deaths, economic burden in the general population, and specific number of high-risk patients in different healthcare settings and the community in the US. Economic burden was calculated adopting a societal perspective using a bottom-up approach that identified healthcare resources consumed in the management of CDI.

resultsAnnually, a total of 606,058 (439,237 initial and 166,821 recurrent) episodes of CDI were predicted in 2014: 34.3 % arose from community exposure. Over 44,500 CDI-attributable deaths in 2014 were estimated to occur. High-risk susceptible individuals representing 5 % of the total hospital population accounted for 23 % of hospitalized CDI patients. The economic cost of CDI was $5.4 billion ($4.7 billion (86.7 %) in healthcare settings; $725 million (13.3 %) in the community), mostly due to hospitalization.

conclusionsA modeling framework provides more comprehensive and detailed national-level estimates of CDI cases, recurrences, deaths and cost in different patient groups than currently available from separate individual studies. As new treatments for CDI are developed, this model can provide reliable estimates to better focus healthcare resources to those specific age-groups, risk-groups, and care settings in the US where they are most needed. (Trial Identifier ClinicaTrials.gov: NCT01241552).

Indexed as

Clostridioides difficileHealth Care CostsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolClostridium InfectionsDecision Support TechniquesEnterocolitis, PseudomembranousFemaleHospitalizationHumansInfantMaleCommunityCostHospitalLong-term careNAP1

Identifiers

PMID27316794
PMCPMC4912810

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Registered trials

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.