Evidence map›Paper›PMID 29673385›Full record

ArticleParasites & vectors2018

Risk-based inspection as a cost-effective strategy to reduce human exposure to cysticerci of Taenia saginata in low-prevalence settings.

Bhagyalakshmi Chengat Prakashbabu, Laura Rebecca Marshall, Matteo Crotta, William Gilbert, Jade Cherry Johnson, Lis Alban, Javier Guitian

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.3field-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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

7 authors at 3 institutions in 2 countries.

Bhagyalakshmi Chengat PrakashbabuRoyal Veterinary College, Hatfield, AL9 7TA, UK. bchengat2@rvc.ac.uk.ORCID 0000-0002-9756-0084
Laura Rebecca MarshallRoyal Society of Biology, Charles Darwin House, 12 Roger Street, WC1N 2JU, London, UK.
Matteo CrottaRoyal Veterinary College, Hatfield, AL9 7TA, UK.
William GilbertRoyal Veterinary College, Hatfield, AL9 7TA, UK.
Jade Cherry JohnsonRoyal Veterinary College, Hatfield, AL9 7TA, UK.
Lis AlbanDanish Agriculture & Food Council, Axelborg, Axeltorv 3, DK-1609, København V, Copenhagen, Denmark.
Javier GuitianRoyal Veterinary College, Hatfield, AL9 7TA, UK.
Royal Veterinary College · GBDanish Agriculture and Food Council · DKRoyal Society · GB

Funding

Food Standards Agency FS517002
6 · The paper itself

Abstract

backgroundTaenia saginata cysticercus is the larval stage of the zoonotic parasite Taenia saginata, with a life-cycle involving both cattle and humans. The public health impact is considered low. The current surveillance system, based on post-mortem inspection of carcasses has low sensitivity and leads to considerable economic burden. Therefore, in the interests of public health and food production efficiency, this study aims to explore the potential of risk-based and cost-effective meat inspection activities for the detection and control of T. saginata cysticercus in low prevalence settings.

methodsBuilding on the findings of a study on risk factors for T. saginata cysticercus infection in cattle in Great Britain, we simulated scenarios using a stochastic scenario tree model, where animals are allocated to different risk categories based on their age, sex and movement history. These animals underwent different types of meat inspection (alternative or current) depending on their risk category. Expert elicitation was conducted to assess feasibility of scenarios and provide data for economic analysis. The cost-effectiveness of these scenarios was calculated as an incremental cost-effectiveness ratio, using the number of infected carcasses detected as the technical outcome.

resultsTargeting the high-risk population with more incisions into the heart while abandoning incisions into the masseter muscles was found to reduce the total number of inspections and cost, while simultaneously increasing the number of infected carcasses found.

conclusionsThe results suggest that, under reasonable assumptions regarding potential improvements to current inspection methods, a more efficient and sensitive meat inspection system could be used on animals categorised according to their risk of harbouring T. saginata cysticercus at slaughter. Such a system could reduce associated cost to the beef industry and lower microbial contamination of beef products, improving public health outcomes.

Indexed as

Cost-Benefit AnalysisAnimalsCattleCommunicable Disease ControlDisease Transmission, InfectiousFood MicrobiologyFood SafetyHumansTaenia saginataTaeniasisUnited KingdomCattleCost-effectivenessICERsMeat inspectionRisk-based inspectionTaenia saginataTaenia saginata cysticercus

Identifiers

PMID29673385
PMCPMC5907745
OpenAlexW2804361320

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.