Evidence map›Paper›PMID 34968402›Full record

ReviewPLoS neglected tropical diseases2021

Roadblocks in Chagas disease care in endemic and nonendemic countries: Argentina, Colombia, Spain, and the United States. The NET-Heart project.

Andrés F Miranda-Arboleda, Ezequiel José Zaidel, Rachel Marcus, María Jesús Pinazo, Luis Eduardo Echeverría, Clara Saldarriaga, Álvaro Sosa Liprandi, Adrián Baranchuk, Neglected Tropical Diseases and other Infectious Diseases affecting the Heart (NET-Heart) project

Open access · goldAbstract readReview
In one paragraph

Review in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. The epidemiology of Chagas disease in the Americas.Lancet regional health. Americas · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Evaluation of the Chagas VirCliaPathogens (Basel, Switzerland) · 2022
    Article
  13. Review
  14. Article
  15. Direct economic impact of Chagas disease treatment.Therapeutic advances in infectious disease
    Article
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

9 authors at 6 institutions in 5 countries.

Andrés F Miranda-ArboledaCardiology Department, Pablo Tobón Uribe Hospital, Medellín, Colombia.ORCID 0000-0002-0551-5279
Ezequiel José ZaidelCardiology Department, Sanatorio Güemes, and School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0001-8349-7507
Rachel MarcusLASOCHA, Washington, DC, United States of America.
María Jesús PinazoISGlobal, Hospital Clinic, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-4237-1075
Luis Eduardo EcheverríaCardiology Department, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.ORCID 0000-0001-5784-3859
Clara SaldarriagaCardiology Service, Clínica CardioVID, Universidad de Antioquia, Medellín, Colombia.
Álvaro Sosa LiprandiCardiology Department, Sanatorio Güemes, and School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
Adrián BaranchukDivision of Cardiology, Kingston Health Science Centre, Queen's University, Kingston, Ontario, Canada.
Neglected Tropical Diseases and other Infectious Diseases affecting the Heart (NET-Heart) project
Queen's University · CAUniversidad de Buenos Aires · ARBarcelona Institute for Global Health · ESFundación Cardiovascular de Colombia · COMedStar Union Memorial Hospital · USUniversidad de Antioquia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD) is endemic in Latin America; however, its spread to nontropical areas has raised global interest in this condition. Barriers in access to early diagnosis and treatment of both acute and chronic infection and their complications have led to an increasing disease burden outside of Latin America. Our goal was to identify those barriers and to perform an additional analysis of them based on the Inter American Society of Cardiology (SIAC) and the World Heart Federation (WHF) Chagas Roadmap, at a country level in Argentina, Colombia, Spain, and the United States, which serve as representatives of endemic and nonendemic countries. METHODOLOGY AND PRINCIPAL

findingsThis is a nonsystematic review of articles published in indexed journals from 1955 to 2021 and of gray literature (local health organizations guidelines, local policies, blogs, and media). We classified barriers to access care as (i) existing difficulties limiting healthcare access; (ii) lack of awareness about CD and its complications; (iii) poor transmission control (vectorial and nonvectorial); (iv) scarce availability of antitrypanosomal drugs; and (v) cultural beliefs and stigma. Region-specific barriers may limit the implementation of roadmaps and require the application of tailored strategies to improve access to appropriate care.

conclusionsMultiple barriers negatively impact the prognosis of CD. Identification of these roadblocks both nationally and globally is important to guide development of appropriate policies and public health programs to reduce the global burden of this disease.

Indexed as

Antiprotozoal AgentsArgentinaAwarenessChagas DiseaseColombiaHealth Services AccessibilityHumansSocial StigmaSpainUnited StatesAntiprotozoal Agents

Identifiers

PMID34968402
PMCPMC8717966
OpenAlexW4200007066

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.