Evidence map›Paper›PMID 33849463›Full record

SynthesisBMC infectious diseases2021

Leprosy detection rate in patients under immunosuppression for the treatment of dermatological, rheumatological, and gastroenterological diseases: a systematic review of the literature and meta-analysis.

Daniel Holanda Barroso, Jurema Guerrieri Brandão, Elaine Silva Nascimento Andrade, Ana Clara Banhatto Correia, Danielle Costa Aquino, Ana Carolina Rios Chen, Sebastian Vernal, Wildo Navegantes de Araújo, Lícia Maria Henrique da Mota, Raimunda Nonata Ribeiro Sampaio and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

12 authors at 4 institutions in 3 countries.

Daniel Holanda BarrosoPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil. danielhbarroso@unb.br.ORCID http://orcid.org/0000-0003-4128-1593
Jurema Guerrieri BrandãoDepartamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis - DCCI, Coordenação Geral de Vigilância das Doenças em Eliminação - CGDE, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brazil.
Elaine Silva Nascimento AndradeDepartamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis - DCCI, Coordenação Geral de Vigilância das Doenças em Eliminação - CGDE, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brazil.
Ana Clara Banhatto CorreiaFaculdade de Medicina de Petrópolis, Petrópolis, Brazil.
Danielle Costa AquinoPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil.
Ana Carolina Rios ChenFaculdade de Medicina, Universidade de Brasília - UnB, Brasília, Brazil.
Sebastian VernalDepartamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Wildo Navegantes de AraújoPrograma de Pós-Graduação em Saúde Coletiva, Faculdade de Medicina, Universidade de Brasília - UnB, Brasília, Brazil.
Lícia Maria Henrique da MotaPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil.
Raimunda Nonata Ribeiro SampaioPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil.
Patrícia Shu KurizkyPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil.
Ciro Martins GomesPrograma de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília - UnB, Campus Universitário Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil. cirogomes@unb.br.
Universidade de Brasília · BRFaculdade de Medicina de Petrópolis · BRMinistério da Saúde · BRUniversidade de Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently developed immunosuppressive drugs, especially TNF antagonists, may enhance the risk of granulomatous infections, including leprosy. We aimed to evaluate the leprosy detection rate in patients under immunosuppression due to rheumatological, dermatological and gastroenterological diseases.

methodsWe performed a systematic review of the literature by searching the PubMed, EMBASE, LILACS, Web of Science and Scielo databases through 2018. No date or language restrictions were applied. We included all articles that reported the occurrence of leprosy in patients under medication-induced immunosuppression.

resultsThe search strategy resulted in 15,103 articles; finally, 20 articles were included, with 4 reporting longitudinal designs. The detection rate of leprosy ranged from 0.13 to 116.18 per 100,000 patients/year in the USA and Brazil, respectively. In the meta-analysis, the detection rate of cases of leprosy per 100,000 immunosuppressed patients with rheumatic diseases was 84 (detection rate = 0.00084; 95% CI = 0.0000-0.00266; I

conclusionOur analysis showed that leprosy was relatively frequently detected in medication-induced immunosuppressed patients suffering from rheumatological diseases, and further studies are needed. The lack of an active search for leprosy in the included articles precluded more precise conclusions.

trial registrationThis review is registered in PROSPERO with the registry number CRD42018116275 .

Indexed as

Gastrointestinal DiseasesHumansImmunosuppressive AgentsLeprosyLongitudinal StudiesRheumatic DiseasesSkin DiseasesTumor Necrosis Factor-alphaImmunosuppressive AgentsTumor Necrosis Factor-alphaBiological therapyImmunosuppressorsLeprosyTumour necrosis factor inhibitors

Identifiers

PMID33849463
PMCPMC8045377
OpenAlexW3154134415

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.