Evidence map›Paper›PMID 33597620›Full record

ArticleScientific reports2021

A single-centre, retrospective study of the incidence of invasive fungal infections during 85 years of autopsy service in Brazil.

Kátia Cristina Dantas, Thais Mauad, Carmen D Saldiva de André, Ana Luiza Bierrenbach, Paulo Hilário Nascimento Saldiva

Open access · goldAbstract readHistorical Article
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Alginate-Based 3D A549 Cell Culture Model to StudyJournal of fungi (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The era of histoplasmosis in Brazilian endemic mycoses.Lancet regional health. Americas · 2021
    Review
  18. Review
  19. Characteristics of Invasive Pulmonary Fungal Diseases Diagnosed by Pathological Examination.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    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

5 authors at 2 institutions in 1 country.

Kátia Cristina DantasDepartment of Pathology, University of São Paulo-School of Medicine (FMUSP), São Paulo, Brazil. katia.dantas@fm.usp.br.ORCID http://orcid.org/0000-0003-1346-9003
Thais MauadDepartment of Pathology, University of São Paulo-School of Medicine (FMUSP), São Paulo, Brazil.
Carmen D Saldiva de AndréUniversity of São Paulo-Institute of Mathematics and Statistics, São Paulo, Brazil.
Ana Luiza BierrenbachResearch and Education Institute (IEP), Hospital Sírio-Libanês, São Paulo, Brazil.
Paulo Hilário Nascimento SaldivaDepartment of Pathology, University of São Paulo-School of Medicine (FMUSP), São Paulo, Brazil.
Universidade de São Paulo · BRHospital Sírio-Libanês · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autopsy continues to play an essential role in monitoring opportunistic fungal infections. However, few studies have analysed the historical trends of fungal infections in autopsies. Here, we analyse available data on fungal infections obtained from autopsy reports during 85 years of autopsies performed by the largest autopsy service in Brazil. All invasive fungal infections presented in autopsy reports between 1930 and 2015 were included. Of the 158,404 autopsy reports analysed, 1096 involved invasive fungal infections. In general, paracoccidioidomycosis (24%) was the most frequent infection, followed by candidiasis (18%), pneumocystosis (11.7%), cryptococcosis (11%), aspergillosis (11%) and histoplasmosis (3.8%). Paracoccidioidomycosis decreased after the 1950s, whereas opportunistic fungal infections increased steadily after the 1980s during the peak of the AIDS pandemic. The lung was the most frequently affected organ (73%). Disseminated infection was present in 64.5% of cases. In 26% of the 513 cases for which clinical charts were available for review, the diagnosis of opportunistic fungal infections was performed only at autopsy. Our unique 85-year history of autopsies showed a transition from endemic to opportunistic fungal infections in São Paulo, Brazil, reflecting increased urbanization, the appearance of novel diseases, such as AIDS in the 1980s, and advances in medical care over time.

Indexed as

AutopsyBrazilHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceInvasive Fungal InfectionsMycosesOpportunistic InfectionsRetrospective Studies

Identifiers

PMID33597620
PMCPMC7889920
OpenAlexW3130190651

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.