Evidence map›Paper›PMID 32614406›Full record

ArticleThe Journal of infectious diseases2021

Attribution of Pediatric Acute Gastroenteritis Episodes and Emergency Department Visits to Norovirus Genogroups I and II.

Gillian A M Tarr, Xiao-Li Pang, Ran Zhuo, Bonita E Lee, Linda Chui, Samina Ali, Otto G Vanderkooi, Christine Michaels-Igbokwe, Phillip I Tarr, Shannon E MacDonald and 4 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Epidemiology of norovirus and viral gastroenteritis in Ontario, Canada, 2009-2014.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021
    Article
  9. Review
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.

Gillian A M TarrDivision of Environmental Health Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
Xiao-Li PangDepartment of Laboratory Medicine and Pathology, University of Alberta and Alberta Precision Laboratories-ProvLab, Edmonton, Alberta, Canada.
Ran ZhuoDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
Bonita E LeeDepartment of Pediatrics, Women and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
Linda ChuiDepartment of Laboratory Medicine and Pathology, University of Alberta and Alberta Precision Laboratories-ProvLab, Edmonton, Alberta, Canada.
Samina AliDepartments of Pediatrics and Emergency Medicine, Women and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
Otto G VanderkooiDepartments of Pediatrics, Microbiology, Immunology and Infectious Diseases, Pathology and Laboratory Medicine, and Community Health Sciences, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Christine Michaels-IgbokweDepartments of Pediatrics and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Phillip I TarrDivision of Gastroenterology, Hepatology, & Nutrition, Washington University School of Medicine, St Louis, Missouri, USA.
Shannon E MacDonaldFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Gillian CurrieDepartments of Pediatrics and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Judy MacDonaldDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kelly KimDepartment of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Stephen B FreedmanSections of Pediatric Emergency Medicine and Gastroenterology, Department of Pediatrics, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNorovirus is a leading cause of acute gastroenteritis. With vaccines in development, population-based estimates of norovirus burden are needed to identify target populations, quantify potential benefits, and understand disease dynamics.

methodsWe estimated the attributable fraction (AF) for norovirus infections in children, defined as the proportion of children testing positive for norovirus whose gastroenteritis was attributable to norovirus. We calculated the standardized incidence and emergency department (ED) visit rates attributable to norovirus using provincial gastroenteritis visit administrative data.

resultsFrom 3731 gastroenteritis case patients and 2135 controls we determined that the AFs were 67.0% (95% confidence interval [CI], 31.5%-100%) and 91.6% (88.8%-94.4%) for norovirus genogroups I (GI) and II (GII), respectively. Norovirus GII AF varied by season but not age. We attributed 116 episodes (95% CI, 103-129) and 59 (51-67) ED visits per 10 000 child-years to norovirus GII across all ages, accounting for 20% and 18% of all medically attended gastroenteritis episodes and ED visits, respectively.

conclusionsIn children, a large proportion of norovirus GII detections reflect causation, demonstrating significant potential for norovirus GII vaccines. Seasonal variation in the norovirus GII AF may have implications for understanding the role asymptomatic carriage plays in disease dynamics.

Indexed as

Emergency Service, HospitalNorovirusAdolescentAdultAgedAged, 80 and overAlbertaCaliciviridae InfectionsCase-Control StudiesChildFecesFemaleGastroenteritisGenotypeHumansIncidenceepidemiologygastroenteritisnoroviruspediatric emergency medicine

Identifiers

PMID32614406
PMCPMC7881326

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.