Evidence map›Paper›PMID 36108075›Full record

ArticlePLoS neglected tropical diseases2022

Community-level prevalence of epilepsy and of neurocysticercosis among people with epilepsy in the Balaka district of Malawi: A cross-sectional study.

Luise Keller, Dominik Stelzle, Veronika Schmidt, Hélène Carabin, Ann-Kristin Reinhold, Claudius Keller, Tamara M Welte, Vivien Richter, Action Amos, Lindsay Boeckman and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 14 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

12 authors at 9 institutions in 5 countries.

Luise KellerDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.
Dominik StelzleDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.ORCID 0000-0001-6743-2818
Veronika SchmidtDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.
Hélène CarabinDépartement de Pathologie et Microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada.
Ann-Kristin ReinholdDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.
Claudius KellerDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.
Tamara M WelteDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.
Vivien RichterDepartment of Radiology, University Hospital Tuebingen, Tuebingen, Germany.
Action AmosNational Epilepsy Association Malawi, International Bureau of Epilepsy, School of Health Social Sciences University of Edinburgh, Edinburgh, United Kingdom.
Lindsay BoeckmanThe University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
Wendy HarrisonDepartment of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
Andrea S WinklerDepartment of Neurology, Center for Global Health, School of Medicine, Technical University of Munich, Munich, Germany.ORCID 0000-0003-3131-6983
Technical University of Munich · DEUniversity of Oslo · NOCentre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal · CAEpilepsy Action · GBImperial College London · GBUniversitätsklinikum Erlangen · DEUniversitätsklinikum Würzburg · DEUniversity of Oklahoma Health Sciences Center · USUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpilepsy and neurocysticercosis (NCC) prevalence estimates in sub-Saharan Africa are still scarce but show important variation due to the population studied and different screening and diagnosis strategies used. The aims of this study were to estimate the prevalence of epileptic seizures and epilepsy in the sampled population, and the proportion of NCC among people with epilepsy (PWE) in a large cross-sectional study in a rural district of southern Malawi.

methodsWe conducted a community-based door-to-door screening study for epileptic seizures in Balaka, Malawi between October and December 2012. Past epileptic seizures were reported through a 15-item questionnaire answered by at least one person per household generating five major criteria. People who screened positive were further examined by a neurologist to establish diagnosis. Patients diagnosed with epilepsy were examined and offered Taenia solium cyst antigen and antibody serological tests, and a CT scan for the diagnosis of NCC.

resultsIn total, screening information on 69,595 individuals was obtained for lifetime occurrence of epileptic seizures. 3,100 (4.5%) participants screened positive, of whom 1,913 (62%) could be followed-up and underwent further assessment. Lifetime prevalence was 3.0% (95% Bayesian credible interval [CI] 2.8 to 3.1%) and 1.2% (95%BCI 0.9 to 1.6%) for epileptic seizures and epilepsy, respectively. NCC prevalence among PWE was estimated to be 4.4% (95%BCI 0.8 to 8.5%). A diagnosis of epilepsy was ultimately reached for 455 participants.

conclusionThe results of this large community-based study contribute to the evaluation and understanding of the burden of epilepsy in the population and of NCC among PWE in sub-Saharan Africa.

Indexed as

EpilepsyNeurocysticercosisBayes TheoremCross-Sectional StudiesHumansMalawiPrevalenceSeizures

Identifiers

PMID36108075
PMCPMC9477368
OpenAlexW4296039669

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.