Evidence map›Paper›PMID 37992061›Full record

SynthesisPLoS neglected tropical diseases2023

The economic burden of Chagas disease: A systematic review.

Mônica Viegas Andrade, Kenya Valéria Micaela de Souza Noronha, Aline de Souza, André Soares Motta-Santos, Paulo Estevão Franco Braga, Henrique Bracarense, Maria Carolina Corrêa de Miranda, Bruno Ramos Nascimento, Israel Molina, Francisco Rogerlândio Martins-Melo and 5 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.7field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Financial toxicity and the economic burden of Chagas disease: a scoping review.Revista da Sociedade Brasileira de Medicina Tropical · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Frontiers in microbiology · 2024
    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 at 6 institutions in 3 countries.

Mônica Viegas AndradeDepartment of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Kenya Valéria Micaela de Souza NoronhaDepartment of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0002-7174-6710
Aline de SouzaFaculty of Economic Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
André Soares Motta-SantosCenter for Health Technology Assessment, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Paulo Estevão Franco BragaFaculty of Economic Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Henrique BracarenseFaculty of Economic Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Maria Carolina Corrêa de MirandaFaculty of Economic Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Bruno Ramos NascimentoDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Israel MolinaInternational Health Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Francisco Rogerlândio Martins-MeloFederal Institute of Education, Science and Technology of Ceará, Fortaleza, Brazil.
Pablo PerelWorld Heart Federation, Geneva, Switzerland.
Yvonne GeissbühlerNovartis Global Health, Basel, Switzerland.
Monica QuijanoNovartis Global Health, Basel, Switzerland.
Isis Eloah MachadoDepartment of Family Medicine, Mental and Collective Health, Universidade Federal de Ouro Preto, Ouro Preto, Brazil.
Antônio Luiz Pinho RibeiroDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0002-2740-0042
Universidade Federal de Minas Gerais · BRNovartis (Switzerland) · CHInstituto Federal de Educação, Ciência e Tecnologia do Ceará · BRUniversidade Federal de Ouro Preto · BRVall d'Hebron Hospital Universitari · ESWorld Heart Federation · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD) is a neglected disease affecting millions worldwide, yet little is known about its economic burden. This systematic review is part of RAISE project, a broader study that aims to estimate the global prevalence, mortality, and health and economic burden attributable to chronic CD and Chronic Chagas cardiomyopathy. The objective of this study was to assess the main costs associated with the treatment of CD in both endemic and non-endemic countries.

methodsAn electronic search of the Medline, Lilacs, and Embase databases was conducted until 31st, 2022, to identify and select economic studies that evaluated treatment costs of CD. No restrictions on place or language were made. Complete or partial economic analyses were included.

resultsFifteen studies were included, with two-thirds referring to endemic countries. The most commonly investigated cost components were inpatient care, exams, surgeries, consultation, drugs, and pacemakers. However, significant heterogeneity in the estimation methods and presentation of data was observed, highlighting the absence of standardization in the measurement methods and cost components. The most common component analyzed using the same metric was hospitalization. The mean annual hospital cost per patient ranges from $25.47 purchasing power parity US dollars (PPP-USD) to $18,823.74 PPP-USD, and the median value was $324.44 PPP-USD. The lifetime hospital cost per patient varies from $209,44 PPP-USD for general care to $14,351.68 PPP-USD for patients with heart failure. DISCUSSION: Despite the limitations of the included studies, this study is the first systematic review of the costs of CD treatment. The findings underscore the importance of standardizing the measurement methods and cost components for estimating the economic burden of CD and improving the comparability of cost components magnitude and cost composition analysis. Finally, assessing the economic burden is essential for public policies designed to eliminate CD, given the continued neglect of this disease.

Indexed as

Chagas CardiomyopathyChagas DiseaseHeart FailureCost of IllnessFinancial StressHumans

Identifiers

PMID37992061
PMCPMC10699619
OpenAlexW4388894337

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.