Evidence map›Paper›PMID 34791259›Full record

ArticleInternational journal of epidemiology2022

Model-based geostatistics enables more precise estimates of neglected tropical-disease prevalence in elimination settings: mapping trachoma prevalence in Ethiopia.

Benjamin Amoah, Claudio Fronterre, Olatunji Johnson, Michael Dejene, Fikre Seife, Nebiyu Negussu, Ana Bakhtiari, Emma M Harding-Esch, Emanuele Giorgi, Anthony W Solomon and 1 more

Erratum issuedAbstract read
In one paragraph

Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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  11. District-Level Forecast of Achieving Trachoma Elimination as a Public Health Problem By 2030: An Ensemble Modelling Approach.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  12. Article
  13. Article
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  15. Trachoma: The Last Decade?Ophthalmic epidemiology · 2023
    Article
  16. Article
  17. Article
  18. Monitoring transmission intensity of trachoma with serology.medRxiv : the preprint server for health sciences · 2023
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Benjamin AmoahCentre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Bailrigg, Lancaster, UK.ORCID 0000-0002-9650-2704
Claudio FronterreCentre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Bailrigg, Lancaster, UK.ORCID 0000-0001-6723-9727
Olatunji JohnsonCentre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Bailrigg, Lancaster, UK.
Michael DejeneMichael Dejene Public Health Consultancy Services, Addis Ababa, Ethiopia.
Fikre SeifeDisease Prevention and Control Directorate, Federal Ministry of Health, Addis Ababa, Ethiopia.
Nebiyu NegussuChildren's Investment Fund Foundation, London, UK.
Ana BakhtiariInternational Trachoma Initiative, Task Force for Global Health, Decatur, GA, USA.
Emma M Harding-EschDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Emanuele GiorgiCentre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Bailrigg, Lancaster, UK.ORCID 0000-0003-0640-181X
Anthony W SolomonDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Peter J DiggleCentre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Bailrigg, Lancaster, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundAs the prevalences of neglected tropical diseases reduce to low levels in some countries, policymakers require precise disease estimates to decide whether the set public health targets have been met. At low prevalence levels, traditional statistical methods produce imprecise estimates. More modern geospatial statistical methods can deliver the required level of precision for accurate decision-making.

methodsUsing spatially referenced data from 3567 cluster locations in Ethiopia in the years 2017, 2018 and 2019, we developed a geostatistical model to estimate the prevalence of trachomatous trichiasis and to calculate the probability that the trachomatous trichiasis component of the elimination of trachoma as a public health problem has already been achieved for each of 482 evaluation units. We also compared the precision of traditional and geostatistical approaches by the ratios of the lengths of their 95% predictive intervals.

resultsThe elimination threshold of trachomatous trichiasis (prevalence ≤ 0.2% in individuals aged ≥15 years) is met with a probability of 0.9 or more in 8 out of the 482 evaluation units assessed, and with a probability of ≤0.1 in 469 evaluation units. For the remaining five evaluation units, the probability of elimination is between 0.45 and 0.65. Prevalence estimates were, on average, 10 times more precise than estimates obtained using the traditional approach.

conclusionsBy accounting for and exploiting spatial correlation in the prevalence data, we achieved remarkably improved precision of prevalence estimates compared with the traditional approach. The geostatistical approach also delivers predictions for unsampled evaluation units that are geographically close to sampled evaluation units.

Indexed as

TrachomaTrichiasisEthiopiaHumansInfantPrevalencePublic Healtheliminationexceedance probabilitiesgeostatisticsNeglected tropical diseasesprecisiontrachoma prevalence

Identifiers

PMID34791259
PMCPMC9082807

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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.