Evidence map›Paper›PMID 33284688›Full record

ArticleHealth affairs (Project Hope)2020

Management Of Chronic Noncommunicable Diseases After Natural Disasters In The Caribbean: A Scoping Review.

Saria Hassan, Mytien Nguyen, Morgan Buchanan, Alyssa Grimshaw, Oswald P Adams, Trevor Hassell, LaVerne Ragster, Marcella Nunez-Smith

Abstract readScoping Review
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Impact of Climate Change on Rheumatology Care: A Global Perspective.Rheumatic diseases clinics of North America · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Development of an agenda for research and action on climate change and health in the Caribbean.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Updating a Rural Clinic in Tiburón, Haiti.HCA healthcare journal of medicine · 2025
    Article
  15. The Impact of Climate Change on Respiratory Care: A Scoping Review.The journal of climate change and health · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Saria HassanSaria Hassan (saria.hassan@emory.edu) is an assistant professor at the Emory School of Medicine and Rollins School of Public Health, Emory University, in Atlanta, Georgia. At the time of manuscript submission, she was an instructor of internal medicine at the Yale School of Medicine, Yale University, in New Haven, Connecticut.
Mytien NguyenMytien Nguyen is a student in the MD/PhD program at the Yale School of Medicine.
Morgan BuchananMorgan Buchanan is a student in the Department of Social and Behavioral Sciences at the Yale School of Public Health, Yale University.
Alyssa GrimshawAlyssa Grimshaw is a clinical research and education librarian in Clinical Information Services at Yale University.
Oswald P AdamsOswald P. Adams is the dean of the Faculty of Medical Sciences at the University of the West Indies, Cave Hill, in Bridgetown, Barbados.
Trevor HassellTrevor Hassell is the president of the Healthy Caribbean Coalition, in Bridgetown, Barbados.
LaVerne RagsterLaVerne Ragster is a retired professor and president emerita at the University of the Virgin Islands, in St. Thomas, US Virgin Islands.
Marcella Nunez-SmithMarcella Nunez-Smith is an associate professor of medicine in the Department of Internal Medicine and director of the Equity Research and Innovation Center, both at the Yale School of Medicine.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Medical Scientist Training ProgramT32GM136651 · NIGMS · YALE UNIVERSITY · PI BARBARA I KAZMIERCZAK · 2020 to 2026
$16.5M
Yale Transdisciplinary Collaborative Center for Health Disparities Research (YALE-TCC)U54MD010711 · NIMHD · YALE UNIVERSITY · PI ADAMS, OSWALD PETER, MAHARAJ, ROHAN GAUTAMA · 2016 to 2021
$14.4M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Pediatric ECHORN Cohort Study: intergenerational factors that contribute to cardiovascular risk in the Eastern CaribbeanR01HL143785 · NHLBI · YALE UNIVERSITY · PI ADAMS, OSWALD PETER, MAHARAJ, ROHAN GAUTAMA · 2018 to 2022
$3.6M
Yale Scholars in Implementation Science (YSIS)K12HL138037 · NHLBI · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2017 to 2021
$3.0M
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K12 HL138037NHLBI NIH HHS R01 HL143785NIGMS NIH HHS T32 GM136651NIMHD NIH HHS U54 MD010711
6 · The paper itself

Abstract

Extreme weather events in the Caribbean region are becoming increasingly severe because of climate change. The region also has high rates of poorly controlled chronic noncommunicable diseases (NCDs), which were responsible for at least 30 percent of deaths after two recent hurricanes. We conducted a scoping review of literature published between 1974 and 2020 to understand the burden and management of chronic NCDs in the Caribbean after natural disasters. Of the twenty-nine articles included in this review, most described experiences related to Hurricanes Dorian (2019) and Irma and Maria (2017) and the Haiti earthquake (2010). Challenges included access to medication, acute care services, and appropriate food, as well as communication difficulties and reliance on ad hoc volunteers and outside aid. Mitigating these challenges requires different approaches, including makeshift points of medication dispensing, disease surveillance systems, and chronic disease self-management education programs. Evidence is needed to inform policies to build resilient health systems and integrate NCD management into regional and national disaster preparedness and response plans.

Indexed as

Natural DisastersNoncommunicable DiseasesCaribbean RegionChronic DiseaseHaitiHumans

Identifiers

PMID33284688
PMCPMC8142319

What OpenQuestion holds

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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.