Evidence map›Paper›PMID 31356603›Full record

ArticlePLoS neglected tropical diseases2019

Mortality by cryptococcosis in Brazil from 2000 to 2012: A descriptive epidemiological study.

Emmanuel Alves Soares, Márcia Dos Santos Lazera, Bodo Wanke, Marcela de Faria Ferreira, Raquel Vasconcellos Carvalhaes de Oliveira, Adeno Gonçalves Oliveira, Ziadir Francisco Coutinho

Open access · goldAbstract readHistorical Article
In one paragraph

Article in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  15. Searching for new antifungals for the treatment of cryptococcosis.Revista da Sociedade Brasileira de Medicina Tropical · 2023
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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 2 institutions in 1 country.

Emmanuel Alves SoaresNatan Portela Institute of Tropical Diseases, State Secretary of Health of Piauí, Departament of infectious disease, Teresina-PI, Brasil.
Márcia Dos Santos LazeraNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Department of Mycology, Rio de Janeiro-RJ, Brazil.
Bodo WankeNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Department of Mycology, Rio de Janeiro-RJ, Brazil.
Marcela de Faria FerreiraNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Department of Mycology, Rio de Janeiro-RJ, Brazil.ORCID 0000-0002-7595-7363
Raquel Vasconcellos Carvalhaes de OliveiraNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Department of Mycology, Rio de Janeiro-RJ, Brazil.
Adeno Gonçalves OliveiraNatan Portela Institute of Tropical Diseases, State Secretary of Health of Piauí, Departament of infectious disease, Teresina-PI, Brasil.
Ziadir Francisco CoutinhoHealth Center Germano Sinval Farias, National School of Public Health/Oswaldo Cruz Foundation, Department of Public Health, Rio de Janeiro-RJ, Brazil.
Fundação Oswaldo Cruz · BREscola Nacional de Saúde Pública · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryptococcosis is a neglected and predominantly opportunistic mycosis that, in Brazil, poses an important public health problem, due to its late diagnosis and high lethality.

methodsThe present study analysed cryptococcosis mortality in Brazil from January 2000 to December 2012, based on secondary data (Mortality Information System/SIM-DATASUS and IBGE).

resultsOut of 5,755 recorded deaths in which cryptococcosis was mentioned as one of the morbid states that contributed to death, two distinct groups emerged: 1,121 (19.5%) registered cryptococcosis as the basic cause of death, and 4,634 (80.5%) registered cryptococcosis associated with risk factors, mainly AIDS (75%), followed by other host risks (5.5%). The mortality rate by cryptococcosis as the basic cause was 6.19/million inhabitants, whereas the mortality rate by cryptococcosis as an associated cause was 25.19/million inhabitants. Meningitis was the predominant clinical form (80%), males were the more affected (69%), and 39.5 years old was the mean age. The highest mortality rate due to cryptococcosis as basic cause occurred in the state of Mato Grosso (10.96/million inhabitants). Mortality rates due to cryptococcosis as associated cause were highest in the states of Santa Catarina (70.41/million inhabitants) and Rio Grande do Sul (64.40/million inhabitants), both in the South Region. Southeast, Northeast and South showed significant time trends in mortality rates.

conclusionsThis study is relevant because it shows the magnitude of cryptococcosis mortality linked to AIDS and removes the invisibility of a particular non-AIDS-related disease, accounting for almost 20% of all cryptococcosis deaths. It can also contribute to control and surveillance programs, beyond highlighting the urgent prioritization of early diagnosis and proper treatment to reduce the unacceptable mortality rate of this neglected mycosis in Brazil.

Indexed as

AdolescentAdultBrazilChildCryptococcosisEpidemiologic StudiesFemaleHistory, 21st CenturyHumansMaleMiddle AgedRisk FactorsYoung Adult

Identifiers

PMID31356603
PMCPMC6687200
OpenAlexW2966740153

What OpenQuestion holds

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LicenceCC BY
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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.