Evidence map›Paper›PMID 35304764›Full record

ReviewJournal of clinical pharmacy and therapeutics2022

Treatment and economic burden of mucormycosis in China: Case report review and burden estimation.

Yifei Jian, Minggui Wang, Yue Yu, Yongjia Zhuo, Dunming Xiao, Sisi Lin, Jianwei Xuan

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Journal of clinical pharmacy and therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. A case of pulmonary mucormycosis presented with cardiac arrest.World journal of emergency medicine · 2023
    Article
  7. Article
  8. 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

7 authors at 3 institutions in 1 country.

Yifei JianHealth Economics Institute, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-0250-0637
Minggui WangInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China.
Yue YuHealth Economics Institute, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Yongjia ZhuoHealth Economics Institute, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Dunming XiaoSchool of Public Health, Fudan University, Shanghai, China.
Sisi LinOffice of Clinical Trial of Drug, Guangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Jianwei XuanHealth Economics Institute, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen University · CNFudan University · CNThird Affiliated Hospital of Southern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

WHAT IS KNOWN AND

objectiveMucormycosis is an opportunistic fungal infection associated with low incidence but high mortality. Few studies have shown the treatment and disease burden of mucormycosis in China. This study aims at collecting all the reported cases to describe the characteristics and treatment patterns and to assess the economic burden of mucormycosis in China.

methodsWe conducted a literature review of mucormycosis case reports in Chinese patients to summarize the characteristics and treatment patterns of the disease in China. An economic model was built to evaluate the total cost of mucormycosis per person, including direct medical cost, direct non-medical cost and indirect cost. RESULTS AND DISCUSSION: A total of 676 case reports showed that the most common type of mucormycosis was pulmonary mucormycosis (299/676, 44.2%), and rhinocerebral mucormycosis had the highest case fatality rate (122/185, 68.5%). Among those who used empiric therapies, 48.8% (231/473) did not include anti-mucor drugs; 79.8% (336/421) of the therapies include amphotericin B (AMB) or AMB-lipo after detection of mucormycetes; 98.6% (69/70) of the reported adverse events were associated with AMB and AMB-lipo. The duration of treatment ranged from 90 to 180 days; the length of stay ranged from 22 to 95 days. The average total cost per patient was 166 thousand Chinese Yuan (CNY), of which 93.1% was the direct medical cost (155 thousand CNY). WHAT IS NEW AND

conclusionThere are a limited number of antifungal treatment options for mucormycosis in China. This study highlights the critical need to introduce innovative and broader spectrum antifungal drugs with improved safety, better clinical efficacy, easier administration and reduced economic burden to Chinese mucormycosis patients.

Indexed as

MucormycosisAmphotericin BAntifungal AgentsChinaFinancial StressHumansAmphotericin BAntifungal Agentsclinical burdenclinical pharmacyeconomic burdenmucormycosistreatment patternzygomycosis

Identifiers

PMID35304764
PMCPMC9541602
OpenAlexW4221059280

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.