Evidence map›Paper›PMID 31996183›Full record

ArticleBMC public health2020

Leprosy in urban space, areas of risk for disability and worsening of this health condition in Foz Do Iguaçu, the border region between Brazil, Paraguay and Argentina.

Ivaneliza Simionato de Assis, Thais Zamboni Berra, Luana Seles Alves, Antônio Carlos Viera Ramos, Luiz Henrique Arroyo, Danielle Talita Dos Santos, Marcos Augusto Moraes Arcoverde, Josilene Dália Alves, Juliane de Almeida Crispim, Flávia Meneguetti Pieri and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. 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

14 authors at 6 institutions in 2 countries.

Ivaneliza Simionato de AssisNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. ivaneliza.assis@hotmail.com.ORCID http://orcid.org/0000-0003-1166-6644
Thais Zamboni BerraNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Luana Seles AlvesNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Antônio Carlos Viera RamosNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Luiz Henrique ArroyoNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Danielle Talita Dos SantosState University of West Paraná-UNIOESTE, Foz do Iguaçu, Paraná, Brazil.
Marcos Augusto Moraes ArcoverdeState University of West Paraná-UNIOESTE, Foz do Iguaçu, Paraná, Brazil.
Josilene Dália AlvesFederal Institute of Mato Grosso, Barra do Garças, Mato Grosso, Brazil.
Juliane de Almeida CrispimNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Flávia Meneguetti PieriState University of Londrina, Londrina, Paraná, Brazil.
Marco Andrey Cipriani FradeMedical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Ione Carvalho PintoNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Carla NunesEscola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal.
Ricardo Alexandre ArcêncioNursing College of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Universidade de Ribeirão Preto · BRUniversidade Estadual do Oeste do Paraná · BRInstituto Federal de Educação, Ciência e Tecnologia de Mato Grosso · BRUniversidade de São Paulo · BRUniversidade Estadual de Londrina · BRUniversidade Nova de Lisboa · PT

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 305236/2015-6Fundação de Amparo à Pesquisa do Estado de São Paulo 2015/17586-3
6 · The paper itself

Abstract

backgroundLeprosy is a public health problem and a challenge for endemic countries, especially in their border regions where there are intense migration flows. The study aimed to analyse the dynamics of leprosy, in order to identify areas of risk for the occurrence of the disease and disability and places where this health condition is worsening.

methodThis ecological study considered the new cases of leprosy reported in the municipality of Foz do Iguaçu from 2003 to 2015. Spatial and spatial-temporal scan statistics were used to identify the risk areas for the occurrence of leprosy, as well as the Getis-Ord Gi and Getis-Ord Gi* methods. Areas of risk for disabilities were identified by the scan statistic and kernel density estimation.

resultsA total of 840 cases were reported, of which 179 (21.3%) presented Grade 1 or 2 disabilities at the time of diagnosis. Leprosy risk areas were concentrated in the Southern, Eastern and Northeastern Health Districts of the municipality. The cases of Grade 2 disability were observed with higher intensity in regions characterized by high population density and poverty.

conclusionThe results of the study have revealed changes in the pattern of areas at risk of leprosy according to the investigated periods. In addition, it was possible to verify disabilities as a condition present in the investigated cases, or that may be related to the late diagnosis of the disease. In the areas of risk identified, patients have reported worse physical disability after diagnostic confirmation, or indicate inadequate clinical examination, reinforcing the need for structuring leprosy control services in a qualified manner.

Indexed as

Disease ProgressionAdultArgentinaBrazilCitiesFemaleHumansLeprosyMaleMiddle AgedParaguayPersons with DisabilitiesRisk AssessmentSpatial AnalysisBorder regionLeprosySpatial analysis

Identifiers

PMID31996183
PMCPMC6988226
OpenAlexW3007355565

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.