Evidence map›Paper›PMID 36637429›Full record

ArticleJournal of travel medicine2023

Healthcare seeking during travel: an analysis by the GeoSentinel surveillance network of travel medicine providers.

Watcharapong Piyaphanee, Rhett J Stoney, Hilmir Asgeirsson, Grace D Appiah, Marta Díaz-Menéndez, Elizabeth D Barnett, Philippe Gautret, Michael Libman, Patricia Schlagenhauf, Karin Leder and 6 more

Erratum issuedOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of travel medicine, 2023. 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.8field-weighted citation impact, top 4% 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, 20 citations in OpenAlex.

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  9. Chikungunya: risks for travellers.Journal of travel medicine · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 10 countries.

Watcharapong PiyaphaneeDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-2905-1034
Rhett J StoneyDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-4538-1463
Hilmir AsgeirssonDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden; Unit of Infectious Diseases, Department of Medicine Huddinge, Stockholm Sweden.ORCID 0000-0003-3869-8021
Grace D AppiahDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Marta Díaz-MenéndezTropical and Travel Medicine Unit, RICET, Hospital La Paz-Carlos III, Madrid, Spain.ORCID 0000-0002-9427-5237
Elizabeth D BarnettSection of Pediatric Infectious Diseases, Boston Medical Center; Department of Pediatrics, Boston University School of Medicine, Boston, MA, USA.
Philippe GautretAix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille; IHU-Méditerranée Infection, Marseille, France.
Michael LibmanJ.D. MacLean Centre for Tropical Diseases, McGill University, Montreal, Canada.ORCID 0000-0003-3416-6482
Patricia SchlagenhaufUniversity of Zürich Centre for Travel Medicine, WHO Collaborating Centre for Travellers' Health, Zürich, Switzerland.
Karin LederSchool of Public Health and Preventive Medicine, Monash University; Victorian Infectious Disease Service, Royal Melbourne Hospital at the Doherty Institute for Infection and Immunity, Melbourne, Australia.
Katherine PlewesDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Martin P GrobuschCenter of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Ralph HuitsDepartment of Infectious Tropical diseases and Microbiology, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Verona, Italy.
Kunjana MavundaInternational Travel Clinic, Miami, FL, USA.
Davidson H HamerDepartment of Global Health, Boston University School of Public Health; Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine; Center for Emerging Infectious Diseases Research and Policy, Boston University, Boston, MA, USA.
Lin H ChenDivision of Infectious Diseases and Travel Medicine, Mount Auburn Hospital, Cambridge; Harvard Medical School, Boston, MA, USA.
Boston University · USCenters for Disease Control and Prevention · USAmsterdam University Medical Centers · NLHospital Universitario La Paz · ESKarolinska University Hospital · SEMahidol University · THMcGill University · CAMéditerranée Infection Foundation · FRMount Auburn Hospital · USOspedale Sacro Cuore Don Calabria · ITThe Royal Melbourne Hospital · AUUniversity of British Columbia · CAUniversity of Zurich · CH

Funding

CDC HHS U50CK00189NCEZID CDC HHS U01 CK000632NCEZID CDC HHS U50 CK000189
6 · The paper itself

Abstract

backgroundInternational travellers may seek care abroad to address health problems that arise during their trip or plan healthcare outside their country of residence as medical tourists.

methodsData were collected on travellers evaluated at GeoSentinel Network sites who reported healthcare during travel. Both unplanned and planned healthcare were analysed, including the reason and nature of healthcare sought, characteristics of the treatment provided and outcomes. Travellers that presented for rabies post-exposure prophylaxis were described elsewhere and were excluded from detailed analysis.

resultsFrom May 2017 through June 2020, after excluding travellers obtaining rabies post-exposure prophylaxis (n= 415), 1093 travellers reported care for a medical or dental issue that was an unanticipated part of the travellers' planned itinerary (unplanned healthcare). Travellers who sought unplanned healthcare abroad had frequent diagnoses of acute diarrhoea, dengue, falciparum malaria and unspecified viral syndrome, and obtained care in 131 countries. Thirty-four (3%) reported subsequent deterioration and 230 (21%) reported no change in condition; a third (n = 405; 37%) had a pre-travel health encounter. Forty-one travellers had sufficient data on planned healthcare abroad for analysis. The most common destinations were the US, France, Dominican Republic, Belgium and Mexico. The top reasons for their planned healthcare abroad were unavailability of procedure at home (n = 9; 19%), expertise abroad (n = 9; 19%), lower cost (n = 8; 17%) and convenience (n = 7; 15%); a third (n = 13; 32%) reported cosmetic or surgical procedures. Early and late complications occurred in 14 (33%) and 4 (10%) travellers, respectively. Four travellers (10%) had a pre-travel health encounter.

conclusionsInternational travellers encounter health problems during travel that often could be prevented by pre-travel consultation. Travellers obtaining planned healthcare abroad can experience negative health consequences associated with treatments abroad, for which pre-travel consultations could provide advice and potentially help to prevent complications.

Indexed as

RabiesDelivery of Health CareDiarrheaHumansTravelTravel MedicineillnessinternationalMedical tourismoutcomeproceduretravellerstreatment

Identifiers

PMID36637429
PMCPMC10979637
OpenAlexW4315928083

What OpenQuestion holds

Textmetadata
LicenceTDM
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.