Evidence map›Paper›PMID 29879524›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2018

Course of serological tests in treated subjects with chronic Trypanosoma cruzi infection: A systematic review and meta-analysis of individual participant data.

Yanina Sguassero, Karen N Roberts, Guillermina B Harvey, Daniel Comandé, Agustín Ciapponi, Cristina B Cuesta, Camila Aguiar, Ana M de Castro, Emmaría Danesi, Ana L de Andrade and 25 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 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.

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, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Chagas disease in immunocompromised patients.Clinical microbiology reviews · 2024
    Review
  15. Chagas Disease.Annals of internal medicine · 2023
    Review
  16. Article
  17. Article
  18. Clinical use of molecular methods forFrontiers in parasitology · 2023
    Article
  19. Article
  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

35 authors.

Yanina SguasseroCentro Rosarino de Estudios Perinatales, Rosario, Argentina; Instituto Nacional de Parasitología, Fatala Chaben-ANLIS, Buenos Aires, Argentina. Electronic address: ysguassero@crep.org.ar.
Karen N RobertsFacultad de Ciencias Económicas y Estadística, Universidad Nacional de Rosario, Argentina.
Guillermina B HarveyFacultad de Ciencias Económicas y Estadística, Universidad Nacional de Rosario, Argentina.
Daniel ComandéInstituto de Efectividad Clínica y Sanitaria. CONICET, Buenos Aires, Argentina.
Agustín CiapponiInstituto de Efectividad Clínica y Sanitaria. CONICET, Buenos Aires, Argentina.
Cristina B CuestaFacultad de Ciencias Económicas y Estadística, Universidad Nacional de Rosario, Argentina.
Camila AguiarFaculdade de Ciências Médicas, Universidade Estadual de Campinas, Brazil.
Ana M de CastroInstituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
Emmaría DanesiCentro Nacional de Investigación y Diagnóstico en Endemoepidemias (CeNDIE-ANLIS), Buenos Aires, Argentina.
Ana L de AndradeDepartamento de Saúde Coletiva, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
Marta de LanaDepartamento de Análise Clínica, Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
Josep M EscribàMedical Department, Médecins sans Frontières, Barcelona, Spain.
Diana L FabbroCentro de Investigaciones sobre Endemias Nacionales (CIEN), Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina.
Cloé D FernandesInstituto de Pesquisa Biológica, Laboratório Central, Fundação Estadual de Produção e Pesquisa em Saúde, Porto Alegre, RS, Brazil.
María Flores-ChávezUnidad de Leishmaniasis, Servicio de Parasitología, Instituto de Salud Carlos III, Madrid, España.
Alejandro M Hasslocher-MorenoInstituto Nacional de Infectologia Evandro Chagas, Fiocruz, Brazil.
Yves JacksonDivision of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland; Institute of Global Health, University of Geneva, Geneva, Switzerland.
Carlos D LacunzaDirección de Primer Nivel de Atención, Área Operativa N° LV, Salta, Argentina.
Girley F Machado-de-AssisDepartamento de Ciências Básicas da Vida, Universidade Federal de Juiz de Fora, Campus Governador Valadares, Brazil.
Marisel MaldonadoDepartamento de Medicina Tropical, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, Paraguay.
Wendell S F MeiraDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal do Triangulo Mineiro, Brazil.
Israel MolinaInfectious Diseases Department, Hospital Universitario Vall d'Hebron, Barcelona, Spain; International Health Program of the Catalan Institute of Health (PROSICS), Barcelona, Spain.
María M Monje-RumiLaboratorio de Patología Experimental, Universidad Nacional de Salta, Salta, Argentina.
Catalina Muñoz-San MartínLaboratorio de Ecología, Facultad de Ciencias Veterinarias y Pecuarias, Universidad de Chile, Santiago, Chile; Laboratorio de Parasitología Básico-Clínico Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Laura MurciaUnidad Regional de Medicina Tropical, Servicio de Microbiología, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España; Departamento de Genética y Microbiología, Universidad de Murcia, Espinardo, Murcia, España.
Cleudson Nery de CastroEscola de Saúde e Medicina, Universidade Católica de Brasília, Brazil; Núcleo de Medicina Tropical, Faculdade de Medicina, Universidade de Brasília, Brazil.
Olga Sánchez NegretteCátedra de Inmunología, Facultad de Ciencias Agrarias y Veterinarias, Universidad Católica de Salta, Argentina; Cátedra de Química Biológica, Facultad de Ciencias Exactas, Universidad Nacional de Salta, Argentina.
Manuel SegoviaUnidad Regional de Medicina Tropical, Servicio de Microbiología, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España; Departamento de Genética y Microbiología, Universidad de Murcia, Espinardo, Murcia, España.
Celeste A N SilveiraNúcleo de Medicina Tropical, Faculdade de Medicina, Universidade de Brasília, Brazil.
Aldo SolariPrograma de Biología Celular y Molecular, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Mário SteindelDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de Santa Catarina, Brazil.
Mirtha L StreigerCentro de Investigaciones sobre Endemias Nacionales (CIEN), Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina.
Ninfa Vera de BilbaoDepartamento de Medicina Tropical, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, Paraguay.
Inés ZulantayLaboratorio de Parasitología Básico-Clínico Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Sergio Sosa-EstaniInstituto Nacional de Parasitología, Fatala Chaben-ANLIS, Buenos Aires, Argentina; Instituto de Efectividad Clínica y Sanitaria. CONICET, Buenos Aires, Argentina. Electronic address: ssosaestani@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the course of serological tests in subjects with chronic Trypanosoma cruzi infection treated with anti-trypanosomal drugs.

methodsA systematic review and meta-analysis was conducted using individual participant data. Survival analysis and the Cox proportional hazards regression model with random effects to adjust for covariates were applied. The protocol was registered in the PROSPERO database (http://www.crd.york.ac.uk/PROSPERO; CRD42012002162).

resultsA total of 27 studies (1296 subjects) conducted in eight countries were included. The risk of bias was low for all domains in 17 studies (63.0%). Nine hundred and thirteen subjects were assessed (149 seroreversion events, 83.7% censored data) for enzyme-linked immunosorbent assay (ELISA), 670 subjects (134 events, 80.0% censored) for indirect immunofluorescence assay (IIF), and 548 subjects (99 events, 82.0% censored) for indirect hemagglutination assay (IHA). A higher probability of seroreversion was observed within a shorter time span in subjects aged 1-19 years compared to adults. The chance of seroreversion also varied according to the country where the infection might have been acquired. For instance, the pooled adjusted hazard ratio between children/adolescents and adults for the IIF test was 1.54 (95% confidence interval 0.64-3.71) for certain countries of South America (Argentina, Bolivia, Chile, and Paraguay) and 9.37 (95% confidence interval 3.44-25.50) for Brazil.

conclusionsThe disappearance of anti-T. cruzi antibodies was demonstrated along the course of follow-up. An interaction between age at treatment and country setting was found.

Indexed as

AdolescentAdultAntibodies, ProtozoanChagas DiseaseChildChild, PreschoolChronic DiseaseEnzyme-Linked Immunosorbent AssayFemaleFluorescent Antibody Technique, IndirectHemagglutination TestsHumansInfantMaleSerologic TestsYoung AdultAntibodies, ProtozoananalysisChronic diseaseFollow-up studiesIndividual participant dataMeta-Serologic testsTrypanosoma cruzi

Identifiers

PMID29879524
PMCPMC6069672

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LicenceCC BY-NC-ND
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Registered trials

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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.