Evidence map›Paper›PMID 30005618›Full record

SynthesisBMC gastroenterology2018

Incidence of acute diarrheal illness in Chinese communities: a meta-analysis.

Pengwei Cui, Jingxin Li, Na Liu, Zhao-Jun Duan

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

4 authors.

Pengwei CuiSuzhou Center for Disease Control and Prevention, Jiangsu Province, Suzhou, China.
Jingxin LiDepartment of Viral Diarrhea, National Institute for Viral Disease Control and Prevention, Chinese Centers for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijng, 102206, China.
Na LiuDepartment of Viral Diarrhea, National Institute for Viral Disease Control and Prevention, Chinese Centers for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijng, 102206, China. unali@163.com.
Zhao-Jun DuanDepartment of Viral Diarrhea, National Institute for Viral Disease Control and Prevention, Chinese Centers for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijng, 102206, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute diarrheal illness (ADI) is an important public health problem worldwide. We estimated the morbidity, distribution, and burden of self-reported ADI in China over the last three decades.

methodsWe used the keywords "diarrhea and morbidity" to identify studies published in Chinese by searching CNKI, WANFANG, Chongqing VIP, and SinoMed. Studies published in English were identified using the keywords "diarrhea, morbidity, and China" to search Pubmed/Medline, Embase, and Cochrane Library Data. All articles published before Dec 31, 2014 were included in the search. Data were extracted and the pooled 2-week incidence rate of ADI was calculated using the fixed-effects or random-effects model according to statistical testing for homogeneity. The incidences of each subgroup (organized by age, location, study period) were also calculated. Publication bias was examined using Begg's test. Data manipulation and statistical analyses were undertaken using R-2.15.1 software.

resultsWe estimated that the pooled 2-week prevalence of ADI in China was 2.04% (95% CI: 1.48-2.79) and that the corresponding incidence rate was 0.53 (95% CI: 0.38-0.73) episodes per person-year. The ADI rate was highest among children aged < 5 years (1.43 episodes per person-year), and it was slightly higher in males than in females (0.58 vs 0.52 episodes per person-year). From 1980 to 2012, there was a significant decrease in the incidence of ADI, from 0.82 to 0.48 episodes per person-year, but the ADI incidence was consistent over the last two decades. Additionally, the incidence of ADI was higher in rural areas and in west China and peaked in the summer months.

conclusionsThe current study indicates that ADI caused a substantial disease burden in China in the last 30 years, especially in rural areas and west China, where sanitation conditions were relatively poor. These findings highlight the importance of further investigation of the specific causes of and effective preventive measures for ADI.

Indexed as

AdolescentAge DistributionChildChild, PreschoolChinaCost of IllnessDiarrheaFemaleHumansIncidenceMalePrevalenceRural PopulationSeasonsSelf ReportSex DistributionAcute diarrhea illnessChinaDisease burdenIncidence

Identifiers

PMID30005618
PMCPMC6045875

What OpenQuestion holds

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LicenceCC BY
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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.