Evidence map›Paper›PMID 33618005›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Risk factors for vertical transmission of Chagas disease: A systematic review and meta-analysis.

Melissa D Klein, Alvaro Proaño, Sassan Noazin, Michael Sciaudone, Robert H Gilman, Natalie M Bowman

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% 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, 27 citations in OpenAlex.

  1. Phenotypic Analysis of the Anti-Molecules (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. The epidemiology of Chagas disease in the Americas.Lancet regional health. Americas · 2024
    Review
  8. New insights intoFrontiers in immunology · 2024
    Review
  9. Article
  10. Chagas Disease in Europe.Tropical medicine and infectious disease · 2023
    Review
  11. Article
  12. Article
  13. Chagas Disease.Annals of internal medicine · 2023
    Review
  14. Article
  15. Article
  16. Congenital Chagas disease in Santa Cruz Department, Bolivia, is dominated by Trypanosoma cruzi lineage V.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2022
    Article
  17. Article
  18. Article
  19. Assessment of Plasma Exovesicles and Prothrombotic Biomarkers Suggest Prethrombotic Conditions in Chagas Cardiomyopathy in Colombia.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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 at 3 institutions in 1 country.

Melissa D KleinDepartment of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. Electronic address: melissa_klein@med.unc.edu.
Alvaro ProañoDepartment of Pediatrics, Tulane University School of Medicine, New Orleans, LA, USA.
Sassan NoazinDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Michael SciaudoneDepartment of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Robert H GilmanDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Natalie M BowmanDepartment of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. Electronic address: natalie_bowman@med.unc.edu.
University of North Carolina at Chapel Hill · USJohns Hopkins University · USTulane University · US

Funding

Predictors of cardiomyopathy progression in a Chagas disease cohort in BoliviaR01AI107028 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2014 to 2023
$6.6M
Infectious Diseases Training program in Bolivia: South-South Training with PeruD43TW010074 · FIC · JOHNS HOPKINS UNIVERSITY · PI ROBERT H GILMAN, Jeffrey Tornheim · 2015 to 2026
$3.5M
The pathogenesis of T. cruzi in HIV-infected persons in BoliviaK23AI113197 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOWMAN, NATALIE MCCARTER · 2014 to 2018
$878k
FIC NIH HHS D43 TW010074NIAID NIH HHS K23 AI113197NIAID NIH HHS R01 AI107028
6 · The paper itself

Abstract

backgroundVertical transmission of Trypanosoma cruzi infection from mother to infant accounts for a growing proportion of new Chagas disease cases. However, no systematic reviews of risk factors for T. cruzi vertical transmission have been performed.

methodsWe performed a systematic review of the literature in PubMed, LILACS, and Embase databases, following PRISMA guidelines. Studies were not excluded based on language, country of origin, or publication date.

resultsOur literature review yielded 27 relevant studies examining a wide variety of risk factors, including maternal age, parasitic load, immunologic factors and vector exposure. Several studies suggested that mothers with higher parasitic loads may have a greater risk of vertical transmission. A meta-analysis of 2 studies found a significantly higher parasitic load among transmitting than non-transmitting mothers with T. cruzi infection. A second meta-analysis of 10 studies demonstrated that maternal age was not significantly associated with vertical transmission risk.

conclusionsThe literature suggests that high maternal parasitic load may be a risk factor for congenital Chagas disease among infants of T. cruzi seropositive mothers. Given the considerable heterogeneity and risk of bias among current literature, additional studies are warranted to assess potential risk factors for vertical transmission of T. cruzi infection.

Indexed as

Infectious Disease Transmission, VerticalPregnancy Complications, ParasiticAdultChagas DiseaseFemaleHumansInfantInfant, NewbornParasite LoadPregnancyRisk FactorsChagas diseaseMeta-analysisNeonatal diseasesSystematic reviewVertical infection transmission

Identifiers

PMID33618005
PMCPMC8370023
OpenAlexW3133176207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.