Evidence map›Paper›PMID 38744878›Full record

ArticleNature communications2024

Severe outcomes of malaria in children under time-varying exposure.

Pablo M De Salazar, Alice Kamau, Aurelien Cavelan, Samuel Akech, Arthur Mpimbaza, Robert W Snow, Melissa A Penny

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Pablo M De SalazarDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland. pablo.martinezdesalazar@swisstph.ch.ORCID http://orcid.org/0000-0002-8096-2001
Alice KamauKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Nairobi, Kenya.
Aurelien CavelanDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
Samuel AkechKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Nairobi, Kenya.
Arthur MpimbazaChild Health and Development Centre, College of Health Sciences, Makerere University, Kampala, Uganda.
Robert W Snow *Kenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Nairobi, Kenya.ORCID http://orcid.org/0000-0003-3725-6088
Melissa A Penny *Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland. melissa.penny@uwa.edu.au.

Funding

Bill and Melinda Gates Foundation (Bill & Melinda Gates Foundation) INV- 025569Wellcome TrustWellcome Trust (Wellcome) 212176/Z/18/Z
6 · The paper itself

Abstract

In malaria epidemiology, interpolation frameworks based on available observations are critical for policy decisions and interpreting disease burden. Updating our understanding of the empirical evidence across different populations, settings, and timeframes is crucial to improving inference for supporting public health. Here, via individual-based modeling, we evaluate a large, multicountry, contemporary Plasmodium falciparum severe malaria dataset to better understand the relationship between prevalence and incidence of malaria pediatric hospitalizations - a proxy of malaria severe outcomes- in East-Africa. We find that life-long exposure dynamics, and subsequent protection patterns in children, substantially determine the likelihood of malaria hospitalizations relative to ongoing prevalence at the population level. Unsteady transmission patterns over a lifetime in children -increasing or decreasing- lead to an exponential relationship of hospitalization rates versus prevalence rather than the asymptotic pattern observed under steady transmission. Addressing this increase in the complexity of malaria epidemiology is crucial to update burden assessments via inference models that guide current and future policy decisions.

Indexed as

HospitalizationMalaria, FalciparumAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantMalePlasmodium falciparumPrevalence

Identifiers

PMID38744878
PMCPMC11094066

What OpenQuestion holds

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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.