Evidence map›Paper›PMID 34408874›Full record

ReviewTherapeutic advances in infectious disease

A systematic review of historical and current trends in Chagas disease.

Diego-Abelardo Álvarez-Hernández, Rodolfo García-Rodríguez-Arana, Alejandro Ortiz-Hernández, Mariana Álvarez-Sánchez, Meng Wu, Rojelio Mejia, Luis-Alberto Martínez-Juárez, Alejandra Montoya, Héctor Gallardo-Rincon, Rosalino Vázquez-López and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 31 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

11 authors at 4 institutions in 3 countries.

Diego-Abelardo Álvarez-HernándezFaculty of Health Sciences, Anahuac University Mexico - North Campus, Huixquilucan, Mexico State 52786, Mexico.ORCID https://orcid.org/0000-0003-2340-6639
Rodolfo García-Rodríguez-AranaFaculty of Health Sciences, Anahuac University Mexico - North Campus, Huixquilucan, Mexico State, Mexico.
Alejandro Ortiz-HernándezFaculty of Health Sciences, Autonomous University of San Luis Potosi, Centro, San Luis Potosi, Mexico.ORCID https://orcid.org/0000-0002-1714-9560
Mariana Álvarez-SánchezFaculty of Health Sciences, Anahuac University Mexico - North Campus, Huixquilucan, Mexico State, Mexico.
Meng WuDepartment of Infectious Diseases, Rheumatology & Infectious Diseases PLLC, Houston, TX, USA.
Rojelio MejiaLaboratory of Human Parasitology, National School of Tropical Medicine, Baylor College of Medicine, Houston, TX, USA.
Luis-Alberto Martínez-JuárezFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0001-7550-7867
Alejandra MontoyaDepartment of Digital Health, Carlos Slim Foundation, Miguel Hidalgo, Mexico City, Mexico.
Héctor Gallardo-RinconDirection of Operational Solutions, Carlos Slim Foundation, Miguel Hidalgo, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-0811-4606
Rosalino Vázquez-LópezFaculty of Health Sciences, Anahuac University Mexico - North Campus, Huixquilucan, Mexico State, Mexico.ORCID https://orcid.org/0000-0002-1982-7329
Ana-María Fernández-PresasFaculty of Health Sciences, Anahuac University Mexico - North Campus, Huixquilucan, Mexico State, Mexico.
Universidad Anáhuac · MXLondon School of Hygiene & Tropical Medicine · GBAutonomous University of San Luis Potosí · MXBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChagas disease (CD) is caused by MATERIALS AND

methodsWe performed a systematic review following the PRISMA guidance. PubMed database was explored using the terms 'American trypanosomiasis' or 'Chagas disease'. Results were limited to human case reports written in English or Spanish. A total of 258 reports (322 patients) were included in the analysis. Metadata was obtained from each article. Following this, it was analyzed to obtain descriptive measures.

resultsFrom the sample, 56.2% were males and 43.8% were females. Most cases were from endemic countries (85.4%). The most common clinical manifestations were fever during the acute stage (70.0%), dyspnea during the chronic stage in its cardiac form (53.7%), and constipation during the chronic stage in its digestive form (73.7%). Most patients were diagnosed in the chronic stage (72.0%). Treatment was administered in 56.2% of cases. The mortality rate for the acute stage cases was 24.4%, while for the chronic stage this was 28.4%. DISCUSSION: CD is a parasitic disease endemic to Latin America, with increasing importance due to human and vector migration. In this review, we report reasons for delays in diagnosis and treatment, and trends in medical practices. Community awareness must be increased to improve CD's diagnoses; health professionals should be appropriately trained to detect and treat infected individuals. Furthermore, public health policies are needed to increase the availability of screening and diagnostic tools, trypanocidal drugs, and, eventually, vaccines.

Indexed as

American trypanosomiasisChagas diseasemyocardiopathyneglected tropical diseasesTrypanosoma cruzi

Identifiers

PMID34408874
PMCPMC8365018
OpenAlexW3191566738

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.