Evidence map›Paper›PMID 37764131›Full record

ArticleMicroorganisms2023

Clinical Predictors of Monkeypox Diagnosis: A Case-Control Study in a Nonendemic Region during the 2022 Outbreak.

Alberto Kousuke De la Herrán-Arita, Cuitláhuac González-Galindo, Gerardo Kenny Inzunza-Leyva, Marco Antonio Valdez-Flores, Claudia Desiree Norzagaray-Valenzuela, Alejandro Camacho-Zamora, José Candelario Batiz-Beltrán, Francisco Javier Urrea-Ramírez, Alejandra Romero-Utrilla, Carla Angulo-Rojo and 5 more

Abstract read
In one paragraph

Article in Microorganisms, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Mpox Epidemiology and Risk Factors, Nigeria, 2022.Emerging infectious diseases · 2024
    Article
  4. Review
  5. 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

15 authors.

Alberto Kousuke De la Herrán-AritaFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.ORCID 0000-0002-2307-0648
Cuitláhuac González-GalindoSecretaría de Salud de Sinaloa, Culiacán Rosales 80020, Sinaloa, Mexico.
Gerardo Kenny Inzunza-LeyvaDirección de Prevención y Promoción de la Salud, Secretaría de Salud de Sinaloa, Culiacán Rosales 80020, Sinaloa, Mexico.
Marco Antonio Valdez-FloresFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Claudia Desiree Norzagaray-ValenzuelaUnidad de Investigación, Facultad de Biología, Universidad Autónoma de Sinaloa, Culiacán Rosales 80040, Sinaloa, Mexico.
Alejandro Camacho-ZamoraFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
José Candelario Batiz-BeltránFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Francisco Javier Urrea-RamírezFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Alejandra Romero-UtrillaDepartamento de Anatomía Patológica, Instituto Mexicano del Seguro Social, Culiacán Rosales 80230, Sinaloa, Mexico.
Carla Angulo-RojoFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Alma Marlene Guadrón-LlanosFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Verónica Judith Picos-CárdenasFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Josué Camberos-BarrazaFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Ángel Radamés Rábago-MonzónFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.
Juan Fidel Osuna-RamosFacultad de Medicina, Universidad Autónoma de Sinaloa, Culiacán Rosales 80019, Sinaloa, Mexico.ORCID 0000-0001-8280-9812

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monkeypox (Mpox) is an emerging zoonotic disease with the potential for severe complications. Early identification and diagnosis are essential to prompt treatment, control its spread, and reduce the risk of human-to-human transmission. This study aimed to develop a clinical diagnostic tool and describe the clinical and sociodemographic features of 19 PCR-confirmed Mpox cases during an outbreak in a nonendemic region of northwestern Mexico. The median age of patients was 35 years, and most were male. Mpox-positive patients commonly reported symptoms such as fever, lumbago, and asthenia, in addition to experiencing painful ulcers and a high frequency of HIV infection among people living with HIV (PLWH). Two diagnostic models using logistic regression were devised, with the best model exhibiting a prediction accuracy of 0.92 (95% CI: 0.8-1), a sensitivity of 0.86, and a specificity of 0.93. The high predictive values and accuracy of the top-performing model highlight its potential to significantly improve early Mpox diagnosis and treatment in clinical settings, aiding in the control of future outbreaks.

Indexed as

case–control studyclinical diagnosisclinical predictorslogistic regressionmonkeypox (Mpox)Mpox epidemiologynonendemic regionoutbreakROC curves

Identifiers

PMID37764131
PMCPMC10535336

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.