Evidence map›Paper›PMID 38626207›Full record

ArticlePLoS computational biology2024

Spatio-temporal spread of artemisinin resistance in Southeast Asia.

Jennifer A Flegg, Sevvandi Kandanaarachchi, Philippe J Guerin, Arjen M Dondorp, Francois H Nosten, Sabina Dahlström Otienoburu, Nick Golding

Open access · goldAbstract read
In one paragraph

Article in PLoS computational biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Mapping residual malaria transmission in Vietnam.The Lancet regional health. Western Pacific · 2025
    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

7 authors at 6 institutions in 4 countries.

Jennifer A FleggSchool of Mathematics and Statistics, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-8809-726X
Sevvandi KandanaarachchiCSIRO's Data 61, Melbourne, Australia.
Philippe J GuerinWorldWide Antimalarial Resistance Network (WWARN), Oxford, United Kingdom.
Arjen M DondorpCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Francois H NostenCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-7951-0745
Sabina Dahlström OtienoburuWorldWide Antimalarial Resistance Network (WWARN), Oxford, United Kingdom.
Nick GoldingTelethon Kids Institute and Curtin University, Perth, Australia.
Mahidol University · THCommonwealth Scientific and Industrial Research Organisation · AUJohnson C. Smith University · USThe Kids Research Institute Australia · AUThe University of Melbourne · AUUniversity of Oxford · GB

Funding

Australian Research CouncilNational Health and Medical Research Council
6 · The paper itself

Abstract

Current malaria elimination targets must withstand a colossal challenge-resistance to the current gold standard antimalarial drug, namely artemisinin derivatives. If artemisinin resistance significantly expands to Africa or India, cases and malaria-related deaths are set to increase substantially. Spatial information on the changing levels of artemisinin resistance in Southeast Asia is therefore critical for health organisations to prioritise malaria control measures, but available data on artemisinin resistance are sparse. We use a comprehensive database from the WorldWide Antimalarial Resistance Network on the prevalence of non-synonymous mutations in the Kelch 13 (K13) gene, which are known to be associated with artemisinin resistance, and a Bayesian geostatistical model to produce spatio-temporal predictions of artemisinin resistance. Our maps of estimated prevalence show an expansion of the K13 mutation across the Greater Mekong Subregion from 2000 to 2022. Moreover, the period between 2010 and 2015 demonstrated the most spatial change across the region. Our model and maps provide important insights into the spatial and temporal trends of artemisinin resistance in a way that is not possible using data alone, thereby enabling improved spatial decision support systems on an unprecedented fine-scale spatial resolution. By predicting for the first time spatio-temporal patterns and extents of artemisinin resistance at the subcontinent level, this study provides critical information for supporting malaria elimination goals in Southeast Asia.

Indexed as

AntimalarialsArtemisininsBayes TheoremDrug ResistanceAsia, SoutheasternComputational BiologyHumansMalariaMalaria, FalciparumMutationPlasmodium falciparumSpatio-Temporal AnalysisAntimalarialsartemisininArtemisinins

Identifiers

PMID38626207
PMCPMC11051648
OpenAlexW4394841115

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.