Evidence map›Paper›PMID 29284182›Full record

ArticleMycoses2018

Cryptococcosis and cryptococcal meningitis: New predictors and clinical outcomes at a United States academic medical centre.

Bahar H Kashef Hamadani, Carlos Franco-Paredes, Bruce McCollister, Leland Shapiro, J David Beckham, Andrés F Henao-Martínez

Open access · greenAbstract read
In one paragraph

Article in Mycoses, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

26 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  6. Review
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  8. Article
  9. Clinical Manifestations of Human Exposure to Fungi.Journal of fungi (Basel, Switzerland) · 2023
    Review
  10. Article
  11. Article
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  13. Article
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  16. A case series of post COVID-19 mucormycosis-a neurological prospective.The Egyptian journal of neurology, psychiatry and neurosurgery · 2021
    Article
  17. Article
  18. Article
  19. Hyponatremia in Infectious Diseases-A Literature Review.International journal of environmental research and public health · 2020
    Review
  20. 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

6 authors at 4 institutions in 2 countries.

Bahar H Kashef HamadaniColorado School of Public health, Aurora, CO, USA.
Carlos Franco-ParedesDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Bruce McCollisterDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Leland ShapiroDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
J David BeckhamDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Andrés F Henao-MartínezDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-7363-8652
University of Colorado Denver · USVeterans Health Administration · USColorado School of Public Health · USHospital Infantil de México Federico Gómez · MX

Funding

Targeting Innate Immunity as A Therapeutic Intervention for Parkinsons DiseaseI01BX003863 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI BECKHAM, JOHN DAVID · 2017 to 2023
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BLRD VA I01 BX003863
6 · The paper itself

Abstract

As the diagnosis of cryptococcosis is challenging in low-prevalence settings, uncovering predictive factors can improve early diagnosis and timely treatment. The aim of the study was to relate clinical outcomes to predictive variables for the presence of cryptococcosis. A retrospective case-control study matched by collection date, age and gender at a 1:2 ratio (55 cases and 112 controls) was performed in case patients diagnosed with Cryptococcus infection at the University of Colorado Hospital between 2000 and 2017 (n = 167). A bivariate and a forward, stepwise multivariable logistic regression model were performed to identify predictors of cryptococcosis infection. In an adjusted multivariable model, cryptococcal infection was significantly associated with the presence of respiratory symptoms, hyponatremia, lung disease or corticosteroids. Additionally, cryptococcal meningitis was associated with headaches, corticosteroids or increased CSF protein. Conversely, a reduced risk of cryptococcosis was associated with hypertension or peripheral monocytosis. Cryptococcal meningitis leads to subsequent hearing impairment (16% vs 4% (control), P = .013), muscle weakness (40% vs 20%, P = .021), cognitive deficits (33% vs 6%, P = .0001) or any adverse outcome (84% vs 29%, P = .0001). We uncovered novel clinical predictors for the presence of cryptococcal infection or cryptococcal meningitis. This study in patients at a low-prevalence US medical centre underscores the importance of early diagnosis in this population.

Indexed as

Academic Medical CentersAdrenal Cortex HormonesAdultAgedCase-Control StudiesCryptococcosisFemaleHearing LossHumansHypertensionHyponatremiaLogistic ModelsLung DiseasesMaleMeningitis, CryptococcalMiddle AgedAdrenal Cortex Hormonescryptococcal meningitiscryptococcosisCryptococcus neoformansfungaemiarisk factors

Identifiers

PMID29284182
PMCPMC5916048
OpenAlexW2780916705

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.