Evidence map›Paper›PMID 33509140›Full record

ArticleBMC public health2021

Spatial variation in lymphatic filariasis risk factors of hotspot zones in Ghana.

Efiba Vidda Senkyire Kwarteng, Samuel Ato Andam-Akorful, Alexander Kwarteng, Da-Costa Boakye Asare, Jonathan Arthur Quaye-Ballard, Frank Badu Osei, Alfred Allan Duker

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Geospatial analysis ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Article
  8. Article
  9. Ghana's path towards eliminating lymphatic filariasis.Tropical medicine and health · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Artificial intelligence and lymphedema: State of the art.Journal of clinical and translational research · 2022
    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

7 authors at 2 institutions in 2 countries.

Efiba Vidda Senkyire KwartengDepartment of Geomatic Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. lynnvid@yahoo.com.ORCID 0000-0001-7562-9063
Samuel Ato Andam-AkorfulDepartment of Geomatic Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Alexander KwartengDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Da-Costa Boakye AsareDepartment of Geomatic Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Jonathan Arthur Quaye-BallardDepartment of Geomatic Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Frank Badu OseiDepartment of Earth Observation Science, University of Twente, Enschede, Netherlands.
Alfred Allan DukerDepartment of Geomatic Engineering, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kwame Nkrumah University of Science and Technology · GHUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphatic Filariasis (LF), a parasitic nematode infection, poses a huge economic burden to affected countries. LF endemicity is localized and its prevalence is spatially heterogeneous. In Ghana, there exists differences in LF prevalence and multiplicity of symptoms in the country's northern and southern parts. Species distribution models (SDMs) have been utilized to explore the suite of risk factors that influence the transmission of LF in these geographically distinct regions.

methodsPresence-absence records of microfilaria (mf) cases were stratified into northern and southern zones and used to run SDMs, while climate, socioeconomic, and land cover variables provided explanatory information. Generalized Linear Model (GLM), Generalized Boosted Model (GBM), Artificial Neural Network (ANN), Surface Range Envelope (SRE), Multivariate Adaptive Regression Splines (MARS), and Random Forests (RF) algorithms were run for both study zones and also for the entire country for comparison.

resultsBest model quality was obtained with RF and GBM algorithms with the highest Area under the Curve (AUC) of 0.98 and 0.95, respectively. The models predicted high suitable environments for LF transmission in the short grass savanna (northern) and coastal (southern) areas of Ghana. Mainly, land cover and socioeconomic variables such as proximity to inland water bodies and population density uniquely influenced LF transmission in the south. At the same time, poor housing was a distinctive risk factor in the north. Precipitation, temperature, slope, and poverty were common risk factors but with subtle variations in response values, which were confirmed by the countrywide model.

conclusionsThis study has demonstrated that different variable combinations influence the occurrence of lymphatic filariasis in northern and southern Ghana. Thus, an understanding of the geographic distinctness in risk factors is required to inform on the development of area-specific transmission control systems towards LF elimination in Ghana and internationally.

Indexed as

Elephantiasis, FilarialAlgorithmsGhanaHumansPopulation DensityPrevalenceRisk FactorsEcological niche modellingEnsemble modellingGeneralised boosted model (GBM)Lymphatic filariasisMachine learningRandom forest (RF)

Identifiers

PMID33509140
PMCPMC7841995
OpenAlexW3123049194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.