Evidence map›Paper›PMID 42912044›Full record

ArticleMemorias do Instituto Oswaldo Cruz2026

Analysis of the therapeutic gap for Trypanosoma cruzi infection in Colombia (2012 - 2022).

Rafael Herazo, Ricardo Andrés Caicedo Díaz, Mauricio Javier Vera Soto, Andrea Liliana Sarmiento Ospina, Diogo Galvão, Andrea Marchiol, Maria-Jesus Pinazo

Abstract read
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Article in Memorias do Instituto Oswaldo Cruz, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Rafael HerazoDrugs for Neglected Diseases initiative, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0009-0007-2900-9024
Ricardo Andrés Caicedo DíazDrugs for Neglected Diseases initiative, Rio de Janeiro, RJ, Brasil.
Mauricio Javier Vera SotoMinisterio de Salud y Protección Social, Dirección de Promoción y Prevención, Subdirección de Enfermedades Transmisibles, Grupo Gestión Integrada de Enfermedades Endemo Epidémicas, Colombia.
Andrea Liliana Sarmiento OspinaMinisterio de Salud y Protección Social, Dirección de Promoción y Prevención, Subdirección de Enfermedades Transmisibles, Grupo Gestión Integrada de Enfermedades Endemo Epidémicas, Colombia.
Diogo GalvãoDrugs for Neglected Diseases initiative, Rio de Janeiro, RJ, Brasil.
Andrea MarchiolDrugs for Neglected Diseases initiative, Rio de Janeiro, RJ, Brasil.
Maria-Jesus PinazoDrugs for Neglected Diseases initiative, Rio de Janeiro, RJ, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2017, an estimated 1.2% of the population at risk for Chagas disease (CD) in Colombia was screened, and only 0.4% were treated. The recent implementation of CD-related Care roadmap has improved access to diagnosis and treatment. However, a therapeutic gap (TG) persists.

objectivesIn this work, we aim to analyse the TG for Trypanosoma cruzi/CD infection in Colombia over the last years.

methodsThis is a descriptive study estimating the TG for T. cruzi/CD infection between 2012 and 2022. TG is defined as the number of people with a confirmed infection who have the indication of treatment but do not receive it. Two scenarios were considered in the TG analysis: (A) antiparasitic treatment is indicated in 70% of people with confirmed infection; (B) antiparasitic treatment indication in 85%. Data sources were official National and Departmental databases.

findingsIn scenario A, the TG was 77.5% in 2012, and by 2022, decreased to 48.1%. Two phases in the TG dynamics were observed: between 2012 and 2014, there was an increase of 4.5%; from 2014 onwards, there was a reduction of 40.7%. The most important reduction of TG was observed in 2018 and 2019. Linear projections from 2014-2022 indicate a potential reduction to 13.7% by 2030. Nevertheless, there are differences in terms of the reduction observed in different departments. MAIN

conclusionTG calculation allows monitoring of treatment coverage, and its analysis facilitates target interventions to improve it, by reducing TG. Implementing interventions aimed at reducing the TG allows countries like Colombia to take a step forward in CD control.

Indexed as

Chagas DiseaseTrypanocidal AgentsColombiaHumansTrypanosoma cruziUndertreatmentTrypanocidal Agents

Identifiers

PMID42912044
PMCPMC13673982

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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.