Evidence map›Paper›PMID 29380723›Full record

ArticleThe American journal of tropical medicine and hygiene2018

"It's Like a Phantom Disease": Patient Perspectives on Access to Treatment for Chagas Disease in the United States.

Colin J Forsyth, Salvador Hernandez, Carmen A Flores, Mario F Roman, J Maribel Nieto, Grecia Marquez, Juan Sequeira, Harry Sequeira, Sheba K Meymandi

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Screening forEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Chagas Disease in the New York City Metropolitan Area.Open forum infectious diseases · 2020
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. A four-step process for building sustainable access to diagnosis and treatment of Chagas disease.Revista panamericana de salud publica = Pan American journal of public health · 2019
    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

9 authors at 1 institution in 1 country.

Colin J ForsythCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Salvador HernandezCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Carmen A FloresCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Mario F RomanCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
J Maribel NietoCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Grecia MarquezCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Juan SequeiraCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Harry SequeiraCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Sheba K MeymandiCenter of Excellence for Chagas Disease at Olive View-UCLA Medical Center, Sylmar, California.
Olive View-UCLA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chagas disease (CD) affects > 6 million people globally, including > 300,000 in the United States. Although early detection and etiological treatment prevents chronic complications from CD, < 1% of U.S. cases have been diagnosed and treated. This study explores access to etiological treatment from the perspective of patients with CD. In semi-structured interviews with 50 Latin American-born patients of the Center of Excellence for Chagas Disease at the Olive View-UCLA Medical Center, we collected demographic information and asked patients about their experiences managing the disease and accessing treatment. Patients were highly marginalized, with 63.4% living below the U.S. poverty line, 60% lacking a high school education, and only 12% with private insurance coverage. The main barriers to accessing health care for CD were lack of providers, precarious insurance coverage, low provider awareness, transportation difficulties, and limited time off. Increasing access to diagnosis and treatment will not only require a dramatic increase in provider and public education, but also development of programs which are financially, linguistically, politically, and geographically accessible to patients.

Indexed as

Health Services AccessibilityChagas DiseaseFemaleHumansInsurance, HealthLanguageMalePovertyTransportationUnited States

Identifiers

PMID29380723
PMCPMC5930901
OpenAlexW2791726319

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.