Evidence map›Paper›PMID 38482151›Full record

ArticleThe Lancet regional health. Southeast Asia2024

Estimating the proportion of relapse following treatment of Visceral Leishmaniasis: meta-analysis using Infectious Diseases Data Observatory (IDDO) systematic review.

Rutuja Chhajed, Prabin Dahal, Sauman Singh-Phulgenda, Matthew Brack, Caitlin Naylor, Shyam Sundar, Fabiana Alves, Kasia Stepniewska, Philippe J Guerin

Abstract read
In one paragraph

Article in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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

9 authors.

Rutuja ChhajedInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Prabin DahalInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Sauman Singh-PhulgendaInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Matthew BrackInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Caitlin NaylorInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Shyam SundarInfectious Disease Research Laboratory, Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Fabiana AlvesDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Kasia StepniewskaInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.
Philippe J GuerinInfectious Diseases Data Observatory (IDDO), University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Occurrences of relapse after 6-months post-treatment has been reported in recent Visceral Leishmaniasis (VL) efficacy studies. A meta-analysis was carried out to quantify the proportion of relapses observed at and beyond 6-months using the Infectious Diseases Data Observatory (IDDO) systematic review (SR) database. Methods: Studies in the IDDO SR database (1983-2021; 160 studies) were eligible for inclusion if follow-up was at least 6-months, relapse was clearly reported, and patients with HIV coinfections were excluded. Meta-analysis of single proportion was undertaken and the estimates were reported with 95% confidence intervals (CI). Findings: Overall, 131 studies enrolling 27,687 patients were included; 1193 patients relapsed. In the Indian sub-continent (ISC), relapse estimates at 6-months was 4.5% [95% CI: 2.6%-7.5%; Interpretation: The estimated relapse proportion ranged from 0.5% to 4.5% in ISC and 3.8%-13.0% in EA with the currently recommended drugs. Over one-quarter of relapses would be missed with 6-months follow-up suggesting a longer follow-up may be warranted. Funding: Wellcome Trust (ref: 208378/Z/17/Z).

Indexed as

Amphotericin BKala-azarMeta-analysisMiltefosineParomomycinPentavalent antimonyRelapseSystematic reviewVisceral Leishmaniasis

Identifiers

PMID38482151
PMCPMC10934318

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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.