Evidence map›Paper›PMID 36121897›Full record

Observational studyPLoS neglected tropical diseases2022

Hospitalizations due to gastrointestinal Chagas disease: National registry.

Ana Luiza Bierrenbach, Nayara Dornela Quintino, Carlos Henrique Valente Moreira, Renata Fiúza Damasceno, Maria do Carmo Pereira Nunes, Nayara Ragi Baldoni, Lea Campos de Oliveira da Silva, Ariela Mota Ferreira, Clareci Silva Cardoso, Desirée Sant'Ana Haikal and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Gastrointestinal Manifestations of Chagas Disease: A Systematic Review with Meta-Analysis.The American journal of tropical medicine and hygiene · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

13 authors at 5 institutions in 1 country.

Ana Luiza BierrenbachHospital Sírio-Libanês, São Paulo, São Paulo, Brazil.ORCID 0000-0002-6837-0636
Nayara Dornela QuintinoUniversidade Federal de São João del-Rei, Divinópolis, Minas Gerais, Brazil.
Carlos Henrique Valente MoreiraUniversidade de São Paulo, São Paulo, São Paulo, Brazil.
Renata Fiúza DamascenoUniversidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil.
Maria do Carmo Pereira NunesUniversidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Nayara Ragi BaldoniUniversidade Federal de São João del-Rei, Divinópolis, Minas Gerais, Brazil.
Lea Campos de Oliveira da SilvaUniversidade de São Paulo, São Paulo, São Paulo, Brazil.
Ariela Mota FerreiraUniversidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil.
Clareci Silva CardosoUniversidade Federal de São João del-Rei, Divinópolis, Minas Gerais, Brazil.
Desirée Sant'Ana HaikalUniversidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil.
Ester Cerdeira SabinoUniversidade de São Paulo, São Paulo, São Paulo, Brazil.
Antonio Luiz Pinho RibeiroUniversidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Claudia Di Lorenzo OliveiraUniversidade Federal de São João del-Rei, Divinópolis, Minas Gerais, Brazil.
Federal University of São João del-Rei · BRUniversidade de São Paulo · BRUniversidade Estadual de Montes Claros · BRUniversidade Federal de Minas Gerais · BRHospital Sírio-Libanês · BR

Funding

Sao Paulo-Minas Gerais Tropical Medicine Research Center for Chagas Disease Biomarker DiscoveryU19AI098461 · NIAID · FUNDACAO FACULDADE DE MEDICINA · PI SABINO, ESTER CERDEIRA · 2017 to 2021
$2.1M
"Sao Paulo-Minas Gerais Center for Chagas Disease Treatment (SaMiTrop)"U01AI168383 · NIAID · FUNDACAO FACULDADE DE MEDICINA · PI Ester Cerdeira Sabino · 2022 to 2026
$1.9M
NIAID NIH HHS U01 AI168383NIAID NIH HHS U19 AI098461
6 · The paper itself

Abstract

objectivesAnalyze the hospitalizations of patients admitted for Chagas disease with gastro-intestinal involvement (CD-GI) in the Brazilian Unified Health System, describe the epidemiological profile, mortality and costs.

methodsThis is an observational study that uses secondary data from the National Hospital Information System (SIH-SUS) for the years 2017-2019. CD-GI admissions were defined by specific ICD-10 codes that identify the main diagnosis.

resultsFrom 2017 to 2019, there were 4,407 hospitalizations for CD-GI in Brazil, considering only public hospitals and those associated with the SUS. This corresponds to an average of 1,470 hospitalizations per year, or 0.6 per 100,000 inhabitants, with significant regional variation. Hospitalizations increased with age and were slightly higher in men. More than 60% were emergencies and in 50% the procedure performed was surgical. The most used code was the one for megaesophagus followed by megacolon. In-hospital mortality was 5.8% and 17.2% went to intensive care units. The median cost was USD$ 553.15 per hospitalization, and an overall cost of USD$ 812,579.98 per year to the SUS budget.

conclusionThe numbers, rates and costs presented here are possibly underestimated but they give us an idea of the overall profile of hospitalizations due to CD-GI, which are not rare and are related to significant in-hospital mortality. CD-GI is a neglected manifestation of a neglected disease.

Indexed as

Chagas DiseaseGastrointestinal DiseasesBrazilHospitalizationHospital MortalityHospitals, PublicHumansMaleRegistries

Identifiers

PMID36121897
PMCPMC9522308
OpenAlexW4296327618

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.