Evidence map›Paper›PMID 40126328›Full record

ReviewInfectious disease reports2025

Clinical, Functional, and Hemodynamic Profile of Schistosomiasis-Associated Pulmonary Arterial Hypertension Patients in Brazil: Systematic Review and Meta-Analysis.

Camila M C Loureiro, André L Scheibler Filho, Vitor M A S Menezes, Ricardo A Correa, Rudolf K F Oliveira, Claudia Mickael, Joan F Hilton, Brian B Graham

Abstract readReview
In one paragraph

Review in Infectious disease reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

8 authors.

Camila M C LoureiroPulmonary Medicine, Santa Casa da Bahia, Salvador 40050-001, BA, Brazil.ORCID 0009-0004-6231-5662
André L Scheibler FilhoIntensive Care Unit, Hospital Universitário Professor Edgard Santos, Salvador 40110-060, BA, Brazil.ORCID 0009-0007-8878-2383
Vitor M A S MenezesPulmonary Medicine, Santa Casa da Bahia, Salvador 40050-001, BA, Brazil.
Ricardo A CorreaDepartment of Internal Medicine/Pulmonary Division, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil.ORCID 0000-0003-1779-0443
Rudolf K F OliveiraDivision of Respiratory Diseases, Department of Medicine, Federal University of Sao Paulo, Sao Paulo 04021-001, SP, Brazil.ORCID 0000-0002-2252-8119
Claudia MickaelDepartment of Medicine, University of Colorado, Aurora, CO 80045, USA.ORCID 0000-0002-1064-311X
Joan F HiltonDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA 94158, USA.ORCID 0000-0003-2452-4274
Brian B GrahamDepartment of Medicine, University of California San Francisco, San Francisco, CA 94143, USA.ORCID 0000-0001-7541-2585

Funding

Role of Complement-Driven Pulmonary Vascular Inflammation in PHP01HL152961 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TUDER, RUBIN M. · 2020 to 2024
$14.1M
Investigating paclitaxel treatment in a pre-clinical model of Schistosoma-pulmonary hypertensionR01HL135872 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Brian Barkley Graham · 2017 to 2026
$5.1M
Novel Role of Classical Dendritic Cells in the pathogenesis of Hypoxia-Induced Pulmonary HypertensionK01HL161024 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Claudia Silva Mickael · 2022 to 2026
$661k
Screening for schistosomiasis-associated pulmonary arterial hypertensionR21AI171968 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRAHAM, BRIAN BARKLEY, HILTON, JOAN F · 2023 to 2024
$465k
NHLBI NIH HHS K01 HL161024NHLBI NIH HHS P01 HL152961NHLBI NIH HHS R01 HL135872NIAID NIH HHS R21 AI171968
6 · The paper itself

Abstract

backgroundSchistosoma-associated pulmonary arterial hypertension (Sch-PAH), a complication of hepatosplenic schistosomiasis, is still underdiagnosed and undertreated. Sch-PAH is the third-most common cause of pulmonary arterial hypertension (PAH) in Brazil, and it is estimated that there are around 60,000 afflicted individuals. However, there is a lack of data on these patients, especially in endemic areas. Therefore, this study aimed to describe baseline demographic data, hemodynamic severity of disease, and functional impairment of Sch-PAH patients at diagnosis.

methodsFor this systematic review, five databases (Embase, PubMed, SciELO, LILACS, and Cochrane) were searched to identify candidate publications reporting clinical, hemodynamic, and functional data at diagnosis of Sch-PAH patients referred to a PAH reference center in Brazil. Studies were excluded if they enrolled patients under the age of 18, the diagnosis was not confirmed by right heart catheterization (RHC), consisted of case reports, or did not report original data. Risk of bias was assessed using the Newcastle-Ottawa Scale and an adapted version for cross-sectional studies. Single-arm meta-analysis with a random-effect model was performed for each variable.

resultsFrom 459 studies identified through systematic database searching, five studies were selected for this meta-analysis. The majority of the included patients were women (67%), New York Heart Association (NYHA) functional class III/IV (57%), mean age 49 years (95% confidence interval [95% CI], 46-52), 6 min walk distance 392 m (95% CI, 291-493), mean pulmonary arterial pressure (mPAP) 59 mmHg (95% CI, 56-61), pulmonary vascular resistance (PVR) 12 WU (95% CI, 11-13) and cardiac index (CI) 2.57 L/min/m

conclusionsIn summary, Sch-PAH has clinical characteristics similar to other forms of PAH, including connective tissue disease and idiopathic PAH. Additional studies or a unified registry would be essential for a better understanding of this relevant disease in Brazil.

Indexed as

meta-analysispulmonary arterial hypertensionschistosomiasis

Identifiers

PMID40126328
PMCPMC11932222

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.