Evidence map›Paper›PMID 42703925›Full record

SynthesisMicrobiologyOpen2026

Frequency of Human Brucellosis Complications in West Asia: A Systematic Review and Meta-Analysis.

Aliasghar Fakhri-Demeshghieh, Elnaz Rostamzaman, Fatemeh Sayareh, Amir Nikoukar, Faranak Farahani, Farniya Bakhtiary Nia, Helia Sepahvand, Maryam Khaleghi, Mohammadsaeed Azamian, Mohammad Reza Shirzadi and 2 more

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in MicrobiologyOpen, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Aliasghar Fakhri-DemeshghiehUniversity of Tehran, Tehran, Iran.ORCID https://orcid.org/0000-0003-1693-533X
Elnaz RostamzamanDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh SayarehDepartment of Microbiology and Clinical Immunology, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID https://orcid.org/0009-0001-5895-542X
Amir NikoukarDepartment of Avian Diseases, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0009-0008-7997-1868
Faranak FarahaniFaculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
Farniya Bakhtiary NiaFaculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0009-0006-0598-3650
Helia SepahvandFaculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0000-0001-7925-924X
Maryam KhaleghiFaculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
Mohammadsaeed AzamianDepartment of Food Hygiene and Quality Control, Division of Epidemiology & Zoonoses, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0009-0005-7178-8602
Mohammad Reza ShirzadiCenter for Communicable Diseases Management, Ministry of Health and Medical Education, Tehran, Iran.ORCID https://orcid.org/0000-0002-7993-8362
Hesameddin AkbareinDepartment of Food Hygiene and Quality Control, Division of Epidemiology & Zoonoses, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.ORCID https://orcid.org/0000-0003-3276-4649
Vahid RahmanianDepartment of Public Health, Torbat Jam University of Medical Sciences, Torbat Jam, Iran.ORCID https://orcid.org/0000-0003-3460-7495

Funding

Torbat Jam University of Medical Sciences
6 · The paper itself

Abstract

backgroundBrucellosis is a multi-systemic zoonotic infection. The West Asia/Middle East region is an important global hotspot for brucellosis. This systematic review and meta-analysis aimed to aggregate and synthesize all the available evidence regarding the complications of brucellosis in West Asia/Middle East region.

methodsPubMed, Embase, Scopus, Web of Science, Google Scholar, and Proquest were searched. Selection of studies, data extraction, and the risk of bias assessment were performed in duplicate. Data extraction was performed for 254 complications. Meta-analysis was performed using a random-effects model with Freeman-Tukey double arcsine transformation. Where applicable small-study effects was assessed using funnel plots and Egger's test. Separate by-country, by-age, and by-publication-decade subgroup analyses were performed if feasible.

resultsOut of 9518 results, 240 studies (260 references) were included. The majority of the included studies were conducted in Turkey (n = 177). The reported complications varied and different complication categorization systems were detected. The highest pooled estimate was observed for musculoskeletal involvement (50%, 95%CI: 39%-61%, I

conclusionsSome complications such as the complications of the eye were not reported in all the countries. Therefore, it's recommended to determine the relative frequency of those complications in regions without such reports. The pooled estimates of different complications of brucellosis were different. There's a need for the standardization of the reporting of the complications of brucellosis to achieve comparability between studies and across different regions.

Indexed as

BrucellosisAnimalsAsia, WesternHumansMiddle EastZoonosesbrucellosismeta‐analysisMiddle Eastsystematic reviewWest Asia

Identifiers

PMID42703925
PMCPMC13548425

What OpenQuestion holds

Textmetadata
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.