Evidence map›Paper›PMID 33539393›Full record

Observational studyPLoS neglected tropical diseases2021

Assessing the reporting of Dengue, Chikungunya and Zika to the National Surveillance System in Colombia from 2014-2017: A Capture-recapture analysis accounting for misclassification of arboviral diagnostics.

Mabel Carabali, Gloria I Jaramillo-Ramirez, Vivian A Rivera, Neila-Julieth Mina Possu, Berta N Restrepo, Kate Zinszer

Abstract readObservational Study
In one paragraph

Observational study in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. The Epidemiological Impact of Dengue in Colombia: A Systematic Review.The American journal of tropical medicine and hygiene · 2025
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  16. The Burden of Arboviral Infections in the Military Health System 2012-2019.The American journal of tropical medicine and hygiene · 2023
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  19. A Chikungunya Outbreak in a Dengue-endemic Region in Rural Northern Coastal Ecuador.The American journal of tropical medicine and hygiene · 2022
    Article
  20. Arbovirus Antibody Seroprevalence in the Human Population from Cauca, Colombia.The American journal of tropical medicine and hygiene · 2022
    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

6 authors.

Mabel CarabaliDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-9171-0483
Gloria I Jaramillo-RamirezFaculty of Medicine, Universidad Cooperativa de Colombia, Villavicencio, Colombia.ORCID 0000-0002-7597-3873
Vivian A RiveraSchool of Public Health, Universidad del Valle, Cali, Colombia.ORCID 0000-0003-0465-9382
Neila-Julieth Mina PossuClinton Health Access Initiative, Tegucigalpa, Honduras.ORCID 0000-0001-7037-7733
Berta N RestrepoInstituto Colombiano de Medicina Tropical- Universidad CES, Medellín, Colombia.ORCID 0000-0001-7960-4162
Kate ZinszerSchool of Public Health, University of Montreal, Montreal, Quebec, Canada.ORCID 0000-0003-1388-1145

Funding

CIHR
6 · The paper itself

Abstract

backgroundChikungunya, dengue, and Zika are three different arboviruses which have similar symptoms and are a major public health issue in Colombia. Despite the mandatory reporting of these arboviruses to the National Surveillance System in Colombia (SIVIGILA), it has been reported that the system captures less than 10% of diagnosed cases in some cities. METHODOLOGY/PRINCIPAL

findingsTo assess the scope and degree of arboviruses reporting in Colombia between 2014-2017, we conducted an observational study of surveillance data using the capture-recapture approach in three Colombian cities. Using healthcare facility registries (capture data) and surveillance-notified cases (recapture data), we estimated the degree of reporting by clinical diagnosis. We fit robust Poisson regressions to identify predictors of reporting and estimated the predicted probability of reporting by disease and year. To account for the potential misclassification of the clinical diagnosis, we used the simulation extrapolation for misclassification (MC-SIMEX) method. A total of 266,549 registries were examined. Overall arboviruses' reporting ranged from 5.3% to 14.7% and varied in magnitude according to age and year of diagnosis. Dengue was the most notified disease (21-70%) followed by Zika (6-45%). The highest reporting rate was seen in 2016, an epidemic year. The MC-SIMEX corrected rates indicated underestimation of the reporting due to the potential misclassification bias.

conclusionsThese findings reflect challenges on arboviruses' reporting, and therefore, potential challenges on the estimation of arboviral burden in Colombia and other endemic settings with similar surveillance systems.

Indexed as

AdolescentAdultArbovirusesChikungunya FeverChildChild, PreschoolCitiesColombiaDengueFemaleHumansMaleMiddle AgedPopulation SurveillanceRegression AnalysisYoung Adult

Identifiers

PMID33539393
PMCPMC7888590

What OpenQuestion holds

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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.