Evidence map›Paper›PMID 39388494›Full record

ArticlePLOS global public health2024

Costs of primary healthcare presentations and hospital admissions for scabies and related skin infections in Fiji, 2018-2019.

Edifofon Akpan, Li Jun Thean, Rabindra Baskota, Jyotishna Mani, Maria Mow, Mike Kama, Meciusela Tuicakau, Joseph Kado, Lucia Romani, John Kaldor and 3 more

Abstract read
In one paragraph

Article in PLOS global public health, 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

13 authors.

Edifofon AkpanSchool of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-6646-206X
Li Jun TheanMurdoch Children's Research Institute, Tropical Diseases Group, Melbourne, Australia.ORCID https://orcid.org/0000-0002-6231-5265
Rabindra BaskotaSchool of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-3589-2921
Jyotishna ManiMurdoch Children's Research Institute, Tropical Diseases Group, Melbourne, Australia.ORCID https://orcid.org/0000-0001-5035-8076
Maria MowMurdoch Children's Research Institute, Tropical Diseases Group, Melbourne, Australia.ORCID https://orcid.org/0000-0001-7301-0160
Mike KamaMinistry of Health and Medical Services, Suva, Fiji.
Meciusela TuicakauMinistry of Health and Medical Services, Suva, Fiji.
Joseph KadoMinistry of Health and Medical Services, Suva, Fiji.ORCID https://orcid.org/0000-0003-3121-4397
Lucia RomaniKirby Institute, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0001-9038-5300
John KaldorKirby Institute, University of New South Wales, Sydney, Australia.
Daniel EngelmanMurdoch Children's Research Institute, Tropical Diseases Group, Melbourne, Australia.
Andrew C SteerMurdoch Children's Research Institute, Tropical Diseases Group, Melbourne, Australia.ORCID https://orcid.org/0000-0001-7346-0196
Natalie CarvalhoSchool of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-5599-2209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scabies and related bacterial skin and soft tissue infections (SSTIs) are highly prevalent in many tropical, low- and middle-income settings. These skin conditions contribute to higher healthcare costs and burdens on healthcare systems. The Big Skin Health Intervention Fiji Trial ("Big SHIFT") carried out surveillance for scabies and SSTIs from July 2018 to June 2019 in the Northern Division of Fiji, an area with high prevalence of scabies, prior to a division-wide ivermectin-based mass drug administration (MDA) campaign. Using data from Big SHIFT, we sought to estimate the annual direct healthcare costs of scabies and related SSTIs for the Northern Division and extrapolate these costs to the national level. We categorized SSTIs as being potentially scabies-related or unlikely scabies-related, based on a previous study. The analysis used a health system perspective, with the main resource use categories of outpatient visits, bed days during admissions, medicines, and diagnostic tests. We extrapolated the total annual number of cases and direct healthcare costs for all divisions in Fiji based upon previous scabies and impetigo prevalence data across all divisions. The average cost per PHC presentation for scabies was US$17.7, and for potentially scabies-related SSTI was $18.3. The average cost per hospital admission for a potentially scabies-related SSTI case was $439. The estimated annual healthcare costs of scabies and related SSTIs in Fiji was US$3.0 million, with cost per capita of $3.3. Scabies and related SSTIs lead to a heavy economic burden in Fiji and prevention would reduce these healthcare costs.

Identifiers

PMID39388494
PMCPMC11466383

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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.