Evidence map›Paper›PMID 32745113›Full record

ArticlePLoS neglected tropical diseases2020

Acute Chagas disease in Brazil from 2001 to 2018: A nationwide spatiotemporal analysis.

Emily F Santos, Ângelo A O Silva, Leonardo M Leony, Natália E M Freitas, Ramona T Daltro, Carlos G Regis-Silva, Rodrigo P Del-Rei, Wayner V Souza, Alejandro L Ostermayer, Veruska M Costa and 5 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  14. One Health Approach toTropical medicine and infectious disease · 2025
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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

15 authors.

Emily F SantosGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Ângelo A O SilvaGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0003-1723-6928
Leonardo M LeonyGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Natália E M FreitasGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Ramona T DaltroGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Carlos G Regis-SilvaGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Rodrigo P Del-ReiFaculty of Technology and Sciences of Bahia, Salvador, Bahia, Brazil.
Wayner V SouzaAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil.
Alejandro L OstermayerChagas Disease Study Center, Federal University of Goiás, Goiânia, Goiás, Brazil.
Veruska M CostaGeneral Coordination of Zoonosis and Vector Diseases, Secretariat of Health Surveillance (SVS), Brazilian Ministry of Health, Brasília, Federal District, Brazil.
Rafaella A SilvaGeneral Coordination of Zoonosis and Vector Diseases, Secretariat of Health Surveillance (SVS), Brazilian Ministry of Health, Brasília, Federal District, Brazil.
Alberto N RamosDepartment of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Andrea S SousaFederal University of Rio de Janeiro, School of Medicine, Department of Internal Medicine, Rio de Janeiro, Rio de Janeiro, Brazil.
Yara M GomesAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil.
Fred L N SantosGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0002-3944-0818

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Brazil, acute Chagas disease (ACD) surveillance involves mandatory notification, which allows for population-based epidemiological studies. We conducted a nationwide population-based ecological analysis of the spatiotemporal patterns of ACD notifications in Brazil using secondary surveillance data obtained from the Notifiable Diseases Information System (SINAN) maintained by Brazilian Ministry of Health. METHODOLOGY/PRINCIPAL

findingsIn this nationwide population-based ecological all cases of ACD reported in Brazil between 2001 and 2018 were included. Epidemiological characteristics and time trends were analyzed through joinpoint regression models and spatial distribution using microregions as the unit of analysis. A total of 5,184 cases of ACD were recorded during the period under study. The annual incidence rate in Brazil was 0.16 per 100,000 inhabitants/year. Three statistically significant changes in time trends were identified: a rapid increase prior to 2005 (Period 1), a stable drop from 2005 to 2009 (Period 2), followed by another increasing trend after 2009 (Period 3). Higher frequencies were noted in males and females in the North (all three periods) and in females in Northeast (Periods 1 and 2) macroregions, as well as in individuals aged between 20-64 years in the Northeast, and children, adolescents and the elderly in the North macroregion. Vectorial transmission was the main route reported during Period 1, while oral transmission was found to increase significantly in the North during the other periods. Spatiotemporal distribution was heterogeneous in Brazil over time. Despite regional differences, over time cases of ACD decreased significantly nationwide. An increasing trend was noted in the North (especially after 2007), and significant decreases occurred after 2008 among all microregions other than those in the North, especially those in the Northeast and Central-West macroregions. CONCLUSIONS/SIGNIFICANCE: In light of the newly identified epidemiological profile of CD transmission in Brazil, we emphasize the need for strategically integrated entomological and health surveillance actions.

Indexed as

AdolescentAdultAgedBrazilChagas DiseaseChildChild, PreschoolFemaleHumansMaleMiddle AgedPublic HealthRetrospective StudiesSpatio-Temporal AnalysisYoung Adult

Identifiers

PMID32745113
PMCPMC7425982

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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.