Evidence map›Paper›PMID 31436156›Full record

Observational studyThe American journal of tropical medicine and hygiene2019

Effectiveness of Single-Dose Liposomal Amphotericin B in Visceral Leishmaniasis in Bihar.

Shyam Sundar, Anup Singh, Neha Agrawal, Jaya Chakravarty

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The American journal of tropical medicine and hygiene, 2019. 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
1.3field-weighted citation impact, top 18% 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, 24 citations in OpenAlex.

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  16. Liposomal Amphotericin B Treatment and the Leishmaniases.The American journal of tropical medicine and hygiene · 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

4 authors at 2 institutions in 2 countries.

Shyam SundarInstitute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Anup SinghInstitute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Neha AgrawalTemple University, Philadelphia, Pennsylvania.
Jaya ChakravartyInstitute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Institute of Medical Sciences · INTemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liposomal amphotericin B (LAmB) is recommended for treatment of Indian visceral leishmaniasis (VL), with a cure rate of more than 95% in the Indian subcontinent. A prospective observational study of 1,143 subjects was performed with a longer follow-up than prior studies (12 months) to evaluate the long-term effectiveness and safety of LAmB for the treatment of VL. Patients received a single dose of 10 mg/kg LAmB and were evaluated for initial cure at day 30 and final cure at 6 and 12 months to see the response to the therapy. Furthermore, predictors of relapse were also calculated. At day 30, the initial cure rate was 100%; however, at 6 months and 12 months, cure rates were 97.0% and 94.2% by per-protocol analysis and 96.9% and 93.9% by intension-to-treat analysis, respectively. Fever was the most common adverse event (AE). There were no deaths and serious AEs. Male gender, weight less than 30 kg, and spleen size more than 4 cm at the start of the treatment were significant risk factors of relapse. Liposomal amphotericin B was found to be very effective and safe in the treatment of VL. A longer follow-up period of 12 months is recommended to pick up late relapses.

Indexed as

AdolescentAdultAmphotericin BAntiprotozoal AgentsChildFemaleFeverFollow-Up StudiesHumansIndiaLeishmaniasis, VisceralMaleProspective StudiesRecurrenceRisk FactorsTreatment OutcomeAmphotericin BAntiprotozoal Agentsliposomal amphotericin B

Identifiers

PMID31436156
PMCPMC6779195
OpenAlexW2969814089

What OpenQuestion holds

Textmetadata
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.