Evidence map›Paper›PMID 27368160›Full record

Observational studyMalaria journal2016

Impact of using artemisinin-based combination therapy (ACT) in the treatment of uncomplicated malaria from Plasmodium falciparum in a non-endemic zone.

Joaquín Pousibet-Puerto, Joaquín Salas-Coronas, Alicia Sánchez-Crespo, M Angustias Molina-Arrebola, Manuel J Soriano-Pérez, M José Giménez-López, José Vázquez-Villegas, M Teresa Cabezas-Fernández

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.0field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Ototoxicity of Artemisinin-Based Combination Therapy: A Case Presentation.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  11. Catalytic Properties of Caseinolytic Protease Subunit ofMolecules (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Decoding the Role of Glycans in Malaria.Frontiers in microbiology · 2017
    Review
  19. Antimalarial Properties of Aqueous Crude Extracts ofJournal of tropical medicine · 2016
    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

8 authors at 1 institution in 1 country.

Joaquín Pousibet-PuertoTropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain.
Joaquín Salas-CoronasTropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain. joaquinsalascoronas@yahoo.es.
Alicia Sánchez-CrespoHaematology Unit, Hospital de Poniente, El Ejido, Almería, Spain.
M Angustias Molina-ArrebolaTropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain.
Manuel J Soriano-PérezTropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain.
M José Giménez-LópezHaematology Unit, Hospital de Poniente, El Ejido, Almería, Spain.
José Vázquez-VillegasTropical Medicine Unit, Distrito Poniente, Almería, Spain.
M Teresa Cabezas-FernándezTropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain.
Hospital de Poniente · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtemisinin-based combination therapy (ACT) has been adopted by the World Health Organization as a first-line treatment for uncomplicated Plasmodium falciparum malaria. In endemic regions, it has proven more effective in treating the disease, and even in reducing its transmission. Nonetheless, there is a scarcity of studies carried out in non-endemic areas on imported uncomplicated malaria.

methodsThis is a retrospective, observational study performed on patients diagnosed and admitted with uncomplicated P. falciparum malaria between 2004 and 2015. The objective was to compare the parasite clearance period and the average hospital length of stay for patients treated with ACT vs those receiving other treatment regimens.

resultsEighty-five patients were included in the study. Fifty-one received ACT treatment (dihydroartemisinin-piperaquine) and thirty-four patients were treated with quinine sulfate+doxycycline or atovaquone/proguanil. The parasite clearance period was shorter in the group of patients treated with ACT compared to those receiving other treatment types: 24 h (IQR 24) vs 48 h (IQR 48), p < 0.01. The average hospital stay was also shorter in the ACT group with respect to the second group: 2.67 days (IQR 1.08) vs 3.96 days (IQR 2.87), p < 0.001. A mild case of hepatitis was registered in the group treated with ACT.

conclusionsACT treatment of admitted hospital patients with imported uncomplicated malaria from P. falciparum reduced the days spent hospitalized as well as producing a more rapid parasite clearance compared to classic treatment. In spite of being treated with safe medications, one has to be alert to possible adverse effects such as hepatitis and delayed haemolytic anaemia.

Indexed as

AdolescentAdultAgedAged, 80 and overAntimalarialsArtemisininsDrug Therapy, CombinationFemaleHumansLength of StayMalaria, FalciparumMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAntimalarialsartemisininArtemisininsArtemisininArtemisinin-based combination therapyDihydroartemisinin–piperaquineMalariaPlasmodium falciparumUncomplicated malaria

Identifiers

PMID27368160
PMCPMC4930579
OpenAlexW2463476193

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.