Evidence map›Paper›PMID 37903149›Full record

ArticlePLoS neglected tropical diseases2023

Health-related quality of life of adults with cutaneous leishmaniasis at ALERT Hospital, Addis Ababa, Ethiopia.

Shimelis Doni, Kidist Yeneneh, Yohannes Hailemichael, Mikyas Gebremichael, Sophie Skarbek, Samuel Ayele, Abay Woday Tadesse, Saba Lambert, Stephen L Walker, Endalamaw Gadisa

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Leishmaniasis.Nature reviews. Disease primers · 2025
    Review
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Quality of Life in Pediatric Cutaneous Leishmaniasis: The Role of Lesion Type, Location, and Treatment.Inquiry : a journal of medical care organization, provision and financing
    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

10 authors at 5 institutions in 2 countries.

Shimelis DoniALERT Hospital, Addis Ababa, Ethiopia.ORCID 0000-0003-0455-2518
Kidist YenenehAddis Ababa University, Addis Ababa, Ethiopia.
Yohannes HailemichaelArmauer Hansen Research Institute, NTD and Malaria Research Directorate, Addis Ababa, Ethiopia.
Mikyas GebremichaelArmauer Hansen Research Institute, NTD and Malaria Research Directorate, Addis Ababa, Ethiopia.
Sophie SkarbekLeeds Teaching Hospitals NHS Foundation Trust, Leeds, United Kingdom.
Samuel AyeleArmauer Hansen Research Institute, NTD and Malaria Research Directorate, Addis Ababa, Ethiopia.
Abay Woday TadesseArmauer Hansen Research Institute, NTD and Malaria Research Directorate, Addis Ababa, Ethiopia.
Saba LambertALERT Hospital, Addis Ababa, Ethiopia.
Stephen L WalkerFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Endalamaw GadisaArmauer Hansen Research Institute, NTD and Malaria Research Directorate, Addis Ababa, Ethiopia.ORCID 0000-0002-5179-6278
Armauer Hansen Research Institute · ETAll Africa Leprosy Tuberculosis and Rehabilitation Training Centre · ETAddis Ababa University · ETLeeds Teaching Hospitals NHS Trust · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCutaneous leishmaniasis (CL) is a growing public health threat in Ethiopia. Leishmania aethiopica is the predominant causative organism. Affected individuals develop chronic skin lesions on exposed parts of the body, mostly on the face, which are disfiguring and cause scarring. The effects of CL on the health-related quality of life (HRQoL) of affected individuals has not been assessed in Ethiopia.

objectiveTo assess HRQoL in adults with active CL at ALERT Hospital, Addis Ababa, Ethiopia.

methodsA cross-sectional study was done using the Amharic version of the Dermatology Life Quality Index (DLQI). Trained health staff administered the DLQI.

resultsThree hundred and two adults with active CL participated and all of them exhibited a reduced HRQoL. The median DLQI score was 10 (IQR 8). Almost half of the participants reported very poor HRQoL, 36.4% and 11.3% fell within the very large and extremely large effect categories respectively. DLQI scores were higher (median 18) in patients diagnosed with diffuse cutaneous leishmaniasis (DCL) compared to those with localized cutaneous leishmaniasis (LCL). The DLQI domain of 'work and school' was the most affected, scoring 73.3% and 66.6% of total possible score for female and male respectively, followed by that of 'symptom and feeling' (at 50.0% and 56.6% for female and male respectively). Men were more affected than women in the domains of 'leisure' (P = 0.002) and 'personal relationships' (P = 0.001). In the multivariate ordinal logistic regression site of lesion, clinical phenotype and age of participant remained associated with significantly poor HRQoL.

conclusionThe HRQoL impairment associated with CL is significant. Thus, patient-reported outcome measure should be used to assess the efficacy of treatments along with clinical outcome measures.

Indexed as

LeishmaniaLeishmaniasis, CutaneousAdultCross-Sectional StudiesEthiopiaFemaleHumansMaleQuality of Life

Identifiers

PMID37903149
PMCPMC10645367
OpenAlexW4388033722

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Registered trials

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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.