Evidence map›Paper›PMID 37247828›Full record

SynthesisJornal de pediatria

Economic burden of respiratory syncytial and parainfluenza viruses in children of upper-middle-income countries: a systematic review.

César Ramos Rocha-Filho, Gabriel Sodré Ramalho, Johnny Wallef Leite Martins, Rosa Camila Lucchetta, Ana Carolina Pereira Nunes Pinto, Aline Pereira da Rocha, Giulia Fernandes Moça Trevisani, Felipe Sebastião de Assis Reis, Laura Jantsch Ferla, Patrícia de Carvalho Mastroianni and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Respiratory syncytial virus infection in adult and paediatric patients admitted to intensive care in Australia: A nation-wide comparison with COVID-19.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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 7 institutions in 1 country.

César Ramos Rocha-FilhoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Programa de Pós-Graduação em Saúde Baseada em Evidências, São Paulo, SP, Brazil.
Gabriel Sodré RamalhoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Graduação em Medicina, São Paulo, SP, Brazil.
Johnny Wallef Leite MartinsUniversidade Estadual de São Paulo, Escola de Ciências Farmacêuticas, Programa de Pós-Graduação em Ciências Farmacêuticas, Araraquara, SP, Brazil.
Rosa Camila LucchettaUniversidade Estadual de São Paulo, Escola de Ciências Farmacêuticas, Departamento de Fármacos e Medicamentos, Araraquara, SP, Brazil; Hospital Alemão Oswaldo Cruz, Departamento de Sustentabilidade e Responsabilidade Social, São Paulo, SP, Brazil.
Ana Carolina Pereira Nunes PintoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Programa de Pós-Graduação em Saúde Baseada em Evidências, São Paulo, SP, Brazil; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau, Barcelona, Spain; Universidade Federal do Amapá, Departamento de Ciências Biológicas e da Saúde, Macapá, AP, Brazil.
Aline Pereira da RochaUniversidade Federal de São Paulo, Escola Paulista de Medicina, Programa de Pós-Graduação em Saúde Baseada em Evidências, São Paulo, SP, Brazil.
Giulia Fernandes Moça TrevisaniUniversidade de Santo Amaro, Faculdade de Medicina, São Paulo, SP, Brazil.
Felipe Sebastião de Assis ReisBeneficência Portuguesa de São Paulo, Departamento de Práticas Médicas, São Paulo, SP, Brazil.
Laura Jantsch FerlaUniversidade Federal de São Paulo, Escola Paulista de Medicina, Graduação em Medicina, São Paulo, SP, Brazil.
Patrícia de Carvalho MastroianniUniversidade Estadual de São Paulo, Escola de Ciências Farmacêuticas, Programa de Pós-Graduação em Ciências Farmacêuticas, Araraquara, SP, Brazil; Universidade Estadual de São Paulo, Escola de Ciências Farmacêuticas, Departamento de Fármacos e Medicamentos, Araraquara, SP, Brazil.
Luci CorreaUniversidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Infectologia, São Paulo, SP, Brazil.
Humberto SaconatoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Emergência e Medicina Baseada em Evidências, São Paulo, SP, Brazil. Electronic address: hsaconato@unifesp.br.
Virgínia Fernandes Moça TrevisaniUniversidade Federal de São Paulo, Escola Paulista de Medicina, Programa de Pós-Graduação em Saúde Baseada em Evidências, São Paulo, SP, Brazil; Universidade de Santo Amaro, Faculdade de Medicina, São Paulo, SP, Brazil; Universidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Emergência e Medicina Baseada em Evidências, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BRAssociação Paulista de Medicina · BRInstituto de Ciências Farmacêuticas · BRUniversidade de Santo Amaro · BRBeneficência Portuguesa de São Paulo · BRHospital Alemão Oswaldo Cruz · BRUniversidade Federal do Amapá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify and assess the current evidence available about the costs of managing hospitalized pediatric patients diagnosed with Respiratory Syncytial Virus (RSV) and Parainfluenza Virus Type 3 (PIV3) in upper-middle-income countries.

methodsThe authors conducted a systematic review across seven key databases from database inception to July 2022. Costs extracted were converted into 2022 International Dollars using the Purchasing Power Parity-adjusted. PROSPERO identifier: CRD42020225757.

resultsNo eligible study for PIV3 was recovered. For RSV, cost analysis and COI studies were performed for populations in Colombia, China, Malaysia, and Mexico. Comparing the total economic impact, the lowest cost per patient at the pediatric ward was observed in Malaysia ($ 347.60), while the highest was in Colombia ($ 709.66). On the other hand, at pediatric ICU, the lowest cost was observed in China ($ 1068.26), while the highest was in Mexico ($ 3815.56). Although there is no consensus on the major cost driver, all included studies described that the medications (treatment) consumed over 30% of the total cost. A high rate of inappropriate prescription drugs was observed.

conclusionThe present study highlighted how RSV infection represents a substantial economic burden to health care systems and to society. The findings of the included studies suggest a possible association between baseline risk status and expenditures. Moreover, it was observed that an important amount of the cost is destinated to treatments that have no evidence or support in most clinical practice guidelines.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsChildDeveloping CountriesFinancial StressHospitalizationHumansInfantParainfluenza Virus 3, HumanCosts and cost analysisRespiratory syncytial virusesSystematic review

Identifiers

PMID37247828
PMCPMC10594008
OpenAlexW4378472904

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.