Evidence map›Paper›PMID 39159280›Full record

ArticlePLoS neglected tropical diseases2024

Reported healthcare-seeking of loiasis patients and estimation of the associated monetary burden in Gabon: Data from a cross-sectional survey.

Luzia Veletzky, Veronika Schlicker, Jennifer Hergeth, Daniel R Stelzl, Rella Zoleko Manego, Ghyslain Mombo-Ngoma, Kirsten Alexandra Eberhardt, Matthew B B McCall, Ayôla A Adegnika, Bertrand Lell and 4 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 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
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4 · The record

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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

14 authors.

Luzia VeletzkyDepartment of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-6136-8170
Veronika SchlickerDepartment of Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine & I. Dep. of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jennifer HergethCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Daniel R StelzlCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Rella Zoleko ManegoCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Ghyslain Mombo-NgomaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Kirsten Alexandra EberhardtDepartment of Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine & I. Dep. of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Matthew B B McCallRadboud University Medical Center, Department of Medical Microbiology, Nijmegen, The Netherlands.
Ayôla A AdegnikaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Bertrand LellDepartment of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Benjamin MordmüllerRadboud University Medical Center, Department of Medical Microbiology, Nijmegen, The Netherlands.
Scherif AdegnikaCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Michael RamharterCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon.
Christine BudkeDepartment of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, United States of America.

Funding

European Union A12/B-2
6 · The paper itself

Abstract

backgroundLoiasis is a disease of relevance in endemic populations and there has been advocacy for its inclusion on the World Health Organization's neglected tropical diseases list. As loiasis-related healthcare-seeking behaviors and related costs are unknown, we aimed to evaluate these aspects in a population residing in an endemic region in Gabon.

methodsData were collected during a community-based, cross-sectional study assessing the disease burden due to loiasis. Diagnostics for microfilaremia were performed and a history of eyeworm was obtained. In addition, a standardized questionnaire about type of healthcare resources and frequency of use, as well as respective associated costs was administered to each participant. Loiasis related healthcare-seeking behaviors were evaluated, and the associated monetary burden was estimated as a secondary outcome of the study.

findingsIndividuals diagnosed with loiasis more frequently reported any healthcare-seeking (OR 1.52 (95%CI: 1.21-1.91)), self-medicating (OR 1.62 (1.26-2.08)), inability to work (OR 1.86 (1.47-2.35)), and consulting with traditional healers (logOdds 1.03 (0.52-1.53)), compared to loiasis negative individuals. The most frequently reported treatment for the eyeworm was traditional herbs. The estimated healthcare associated costs, per positive individual, was US-$ 58 (95% CI: 21-101) per year, which would correspond to 3.5% of the reported mean household income. Extrapolation to the rural population of Gabon (n = 204,000), resulted in an annual monetary burden estimate of US-$ 3,206,000 (1,150,000-5,577,000).

interpretationLoiasis patients have demonstrated healthcare needs, often consulted traditional healers, and used traditional treatments for disease specific symptoms. Further, loiasis seems to be associated with substantial direct and indirect costs for individuals and thus may cause a relevant economic burden for endemic populations and economies of affected countries.

Indexed as

Cost of IllnessLoiasisPatient Acceptance of Health CareAdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesFemaleGabonHealth Care CostsHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID39159280
PMCPMC11361742

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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.