Evidence map›Paper›PMID 34022771›Full record

SynthesisInternational health2022

Global epidemiology of Giardia duodenalis infection in cancer patients: a systematic review and meta-analysis.

Farzad Mahdavi, Alireza Sadrebazzaz, Amir Modarresi Chahardehi, Roya Badali, Mostafa Omidian, Soheil Hassanipour, Ali Asghari

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  6. Article
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  8. Occurrence and Multi-Locus Genotyping ofVeterinary sciences · 2025
    Article
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  11. Red Fox (Pathogens (Basel, Switzerland) · 2025
    Article
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  13. Review
  14. Assessing the public health and zoonotic impacts ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Article
  15. Article
  16. Article
  17. Molecular epidemiology and multilocus genotyping ofParasite epidemiology and control · 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

7 authors at 5 institutions in 2 countries.

Farzad MahdaviDepartment of Medical Parasitology and Mycology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Alireza SadrebazzazRazi Vaccine and Serum Research Institute, Agricultural Research, Education and Extension Organization, Mashhad, Iran.
Amir Modarresi ChahardehiIntegrative Medicine Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, Kepala Batas, 13200, Penang, Malaysia.
Roya BadaliDepartment of Microbiology, Faculty of Basic Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
Mostafa OmidianDepartment of Medical Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Soheil HassanipourGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Ali AsghariDepartment of Medical Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-4005-2687
Guilan University of Medical Sciences · IRShiraz University of Medical Sciences · IRAgricultural Research & Education Organization · IRIslamic Azad University Ardabil · IRUniversiti Sains Malaysia · MY

Funding

Orange County Community College
6 · The paper itself

Abstract

backgroundApplication of chemotherapeutics in cancer patients may provide an immunosuppressive milieu, favourable for parasitic infections. Giardia duodenalis is an important zoonotic intestinal parasite responsible for diarrhoea in humans worldwide.

methodsThe present systematic review and meta-analysis was conducted to estimate the prevalence of G. duodenalis and respective odds ratios (ORs) in cancer patients around the globe. Four online databases-PubMed, Scopus, Web of Science and Google Scholar-were carefully explored for relevant literature without time limitation until 28 November 2020. Meta-analysis was done based on a random effects model to pool the estimations and define 95% confidence intervals (CIs).

resultsThe overall weighted prevalence of G. duodenalis infection in cancer patients was calculated to be 6.9% (95% CI 0.5 to 9.3) globally, based on data from 32 studies. Although not statistically significant, eight case-control studies revealed that cancer patients were 1.24 times (95% CI 0.66 to 2.31; p=0.501) more exposed to G. duodenalis infection than healthy controls. Moreover, the prevalence of infection was not significantly associated with quantitative variables, including publication year (regression coefficient -0.0135, p=0.578), sample size (regression coefficient -0.0007, p=0.074) and human development index (regression coefficient -1.6263, p=0.419). Also, subgroup analysis of the pooled G. duodenalis infection was performed for publication year, World Health Organization regions, countries, continents, cancer types and country income.

conclusionsAltogether, the epidemiology of G. duodenalis infection and its associated risk factors in immunocompromised individuals, especially cancer patients, is still open to question and deserves comprehensive investigations.

Indexed as

Giardia lambliaGiardiasisNeoplasmsFecesHumansPrevalencecancer patientsGiardia duodenalisGiardia intestinalisGiardia lambliameta-analysisodds ratios (ORs)prevalencesystematic review

Identifiers

PMID34022771
PMCPMC8769951
OpenAlexW3164436267

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.