Evidence map›Paper›PMID 34355162›Full record

ArticleToxicon: X2021

Chronic health effects and cost of snakebite.

Anuradhani Kasturiratne, David G Lalloo, H Janaka de Silva

Open access · goldAbstract read
In one paragraph

Article in Toxicon: X, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Clinical characteristics and long-term disabilities in children followingThe journal of venomous animals and toxins including tropical diseases · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The incidence of snakebite in South Africa and the challenges associated with lack of reporting.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Article
  13. Molecules (Basel, Switzerland) · 2025
    Article
  14. Article
  15. Article
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  18. Review
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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

3 authors at 2 institutions in 2 countries.

Anuradhani KasturiratneFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
David G LallooLiverpool School of Tropical Medicine, UK.
H Janaka de SilvaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
University of Kelaniya · LKLiverpool School of Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The burden of disability among survivors and the socio-economic impact of snakebite have not been adequately researched. We reviewed original research articles, case reports and small case series relating to chronic physical, mental and psycho-social disability and economic burden of snakebite. Both physical and psychological health problems seem common in snakebite survivors and can lead to disability and loss of productivity. Chronic physical health effects, musculoskeletal disability being the commonest, can be largely attributed to limited and delayed access to optimal treatment of acute envenoming. The economic burden is considerable, and includes health system costs, out-of-pocket expenditure and opportunity costs, with regional variations. Health systems should be more responsive to needs and circumstances of bite victims, and a more holistic approach should be developed in the treatment of snakebite which incorporates the management of chronic health effects.

Indexed as

Chronic health effectsCostPhysical disabilityPsychological effectsSnakebiteSocio-economic burden

Identifiers

PMID34355162
PMCPMC8321925
OpenAlexW3183529628

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.