Evidence map›Paper›PMID 32372746›Full record

ArticleThe American journal of tropical medicine and hygiene2020

Facing Africa: Describing Noma in Ethiopia.

Alexander J Rickart, Will Rodgers, Kelvin Mizen, Graham Merrick, Paul Wilson, Hiroshi Nishikawa, David J Dunaway

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. Review
  5. 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

7 authors at 6 institutions in 1 country.

Alexander J Rickart1Department of Oral and Maxillofacial Surgery, Great Ormond Street NHS Foundation Trust, London, United Kingdom.
Will Rodgers2Department of Oral and Maxillofacial Surgery, Barts Health NHS Trust, London, United Kingdom.
Kelvin Mizen3Department of Oral and Maxillofacial Surgery, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Graham Merrick4Department of Oral and Maxillofacial Surgery, Taunton and Somerset NHS Foundation Trust, Taunton, United Kingdom.
Paul Wilson5Department of Plastic Surgery, North Bristol NHS Trust, Bristol, United Kingdom.
Hiroshi Nishikawa6Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
David J Dunaway7Department of Plastic Surgery, Great Ormond Street NHS Foundation Trust, London, United Kingdom.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBBarts Health NHS Trust · GBNorth Bristol NHS Trust · GBSomerset NHS Foundation TrustUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Hull · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Noma affects the most marginalized communities in the world, beginning as oral ulceration and rapidly progressing to orofacial gangrene. With a mortality rate estimated to be as high as 90% and with very few able to access treatment in its active phase, very little is understood about the disease. This retrospective review of patients treated by Facing Africa for deformity and functional impairment secondary to noma between May 2015 and 2019 highlights some of the difficulties encountered by those afflicted. Eighty new patients with historical noma defects were identified and were seen over the course of nine surgical missions, with notes providing valuable geographical, socioeconomic, and psychosocial information. The mean self-reported age of onset was 5 years and 8 months, with a median time of 18 years from onset to accessing treatment. Before intervention, 65% covered their face in public, 59% reported difficulty eating, 81% were unhappy with their appearance, and 71% experienced bullying. We aimed at emphasizing the significant burden, both psychologically and physically of noma, demonstrating the disparity between recent decades of progress in the well-being of Ethiopians in general and the access to health care and mental health support for some of those most in need.

Indexed as

CommunicationDrinking WaterEatingHealth Services AccessibilityPlastic Surgery ProceduresAdolescentAdultAge of OnsetBody DissatisfactionBullyingChildChild, PreschoolEthiopiaFemaleHumansMaleDrinking Water

Identifiers

PMID32372746
PMCPMC7410419
OpenAlexW3021409157

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.