Evidence map›Paper›PMID 33657090›Full record

Trial reportPLoS neglected tropical diseases2021

A multicenter, community-based, mixed methods assessment of the acceptability of a triple drug regimen for elimination of lymphatic filariasis.

Alison Krentel, Nandha Basker, Madsen Beau de Rochars, Joshua Bogus, Daniel Dilliott, Abdel N Direny, Christine Dubray, Peter U Fischer, Adriani Lomi Ga, Charles W Goss and 14 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  11. Observational
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  15. Article
  16. How Does the Proportion of Never Treatment Influence the Success of Mass Drug Administration Programs for the Elimination of Lymphatic Filariasis?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
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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

24 authors at 13 institutions in 7 countries.

Alison KrentelBruyère Research Institute, Ottawa, Canada.ORCID 0000-0001-7213-1577
Nandha BaskerICMR-Vector Control Research Centre, Puducherry, India.
Madsen Beau de RocharsUniversity of Florida, Ottawa, Florida, United States of America.
Joshua BogusWashington University, St. Louis, Missouri, United States of America.ORCID 0000-0001-8053-6603
Daniel DilliottBruyère Research Institute, Ottawa, Canada.ORCID 0000-0002-4597-5915
Abdel N DirenyRTI Envision, Washington D.C., United States of America.ORCID 0000-0002-1841-8080
Christine DubrayCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Peter U FischerWashington University, St. Louis, Missouri, United States of America.ORCID 0000-0003-4558-3417
Adriani Lomi GaGovernment of East Nusa Tenggara, Kupang, Indonesia.
Charles W GossWashington University, St. Louis, Missouri, United States of America.ORCID 0000-0003-2682-7316
Myra HardyMurdoch Children's Research Institute, Melbourne, Australia.ORCID 0000-0003-3482-6348
Cade HowardCase Western Reserve University, Cleveland, Ohio, United States of America.ORCID 0000-0001-9755-6344
Purushothaman JambulingamICMR-Vector Control Research Centre, Puducherry, India.
Christopher L KingCase Western Reserve University, Cleveland, Ohio, United States of America.ORCID 0000-0003-3873-7860
Moses LamanPapua New Guinea Institute of Medical Research, Madang, Papua New Guinea.ORCID 0000-0003-0964-805X
Jean Frantz LemoineMinistère de la Santé Publique et de la Population, Port au Prince, Haiti.
Shruti MallyaBruyère Research Institute, Ottawa, Canada.
Leanne J RobinsonPapua New Guinea Institute of Medical Research, Madang, Papua New Guinea.ORCID 0000-0001-9903-1023
Josaia SamuelaMinistry of Health and Medical Services Fiji, Suva, Fiji.ORCID 0000-0002-1288-5948
Ken B SchechtmanWashington University, St. Louis, Missouri, United States of America.
Andrew C SteerMurdoch Children's Research Institute, Melbourne, Australia.
Taniawati SupaliUniversitas Indonesia, Jakarta, Indonesia.ORCID 0000-0002-1209-402X
Livingstone TavulPapua New Guinea Institute of Medical Research, Madang, Papua New Guinea.
Gary J WeilWashington University, St. Louis, Missouri, United States of America.ORCID 0000-0002-6336-3824
Washington University in St. Louis · USBruyère · CACase Western Reserve University · USMurdoch Children's Research Institute · AUPapua New Guinea Institute of Medical Research · PGVector Control Research Centre · INBurnet Institute · AUCenters for Disease Control and Prevention · USUniversitas Muhammadiyah Kupang · IDUniversity of Fiji · FJUniversity of Florida · USUniversity of Indonesia · IDUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany countries will not reach elimination targets for lymphatic filariasis in 2020 using the two-drug treatment regimen (diethylcarbamazine citrate [DEC] and albendazole [DA]). A cluster-randomized, community-based safety study performed in Fiji, Haiti, India, Indonesia and Papua New Guinea tested the safety and efficacy of a new regimen of ivermectin, DEC and albendazole (IDA). METHODOLOGY/PRINCIPAL

findingsTo assess acceptability of IDA and DA, a mixed methods study was embedded within this community-based safety study. The study objective was to assess the acceptability of IDA versus DA. Community surveys were performed in each country with randomly selected participants (>14 years) from the safety study participant list in both DA and IDA arms. In depth interviews (IDI) and focus group discussions (FGD) assessed acceptability-related themes. In 1919 individuals, distribution of sex, microfilariae (Mf) presence and circulating filarial antigenemia (CFA), adverse events (AE) and age were similar across arms. A composite acceptability score summed the values from nine indicators (range 9-36). The median (22.5) score indicated threshold of acceptability. There was no difference in scores for IDA and DA regimens. Mean acceptability scores across both treatment arms were: Fiji 33.7 (95% CI: 33.1-34.3); Papua New Guinea 32.9 (95% CI: 31.9-33.8); Indonesia 30.6 (95% CI: 29.8-31.3); Haiti 28.6 (95% CI: 27.8-29.4); India 26.8 (95% CI: 25.6-28) (P<0.001). AE, Mf or CFA were not associated with acceptability. Qualitative research (27 FGD; 42 IDI) highlighted professionalism and appreciation for AE support. No major concerns were detected about number of tablets. Increased uptake of LF treatment by individuals who had never complied with MDA was observed. CONCLUSIONS/SIGNIFICANCE: IDA and DA regimens for LF elimination were highly and equally acceptable in individuals participating in the community-based safety study in Fiji, Haiti, India, Indonesia, and Papua New Guinea. Country variation in acceptability was significant. Acceptability of the professionalism of the treatment delivery was highlighted.

Indexed as

Patient Acceptance of Health CareAdolescentAdultAlbendazoleDiethylcarbamazineElephantiasis, FilarialFemaleFilaricidesFocus GroupsHumansIvermectinMaleMass Drug AdministrationMiddle AgedProfessionalismSurveys and QuestionnairesAlbendazoleDiethylcarbamazineFilaricidesIvermectin

Identifiers

PMID33657090
PMCPMC7928496
OpenAlexW3120277694

What OpenQuestion holds

Textmetadata
LicenceCC0
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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.