Evidence map›Paper›PMID 41536500›Full record

ArticleLancet regional health. Americas2026

Economic burden of Chagas disease in Latin American countries: a population-based cost-of-illness analysis from the RAISE study.

Mônica Viegas Andrade, Kenya Valeria Micaela de Souza Noronha, Aline de Souza, Nayara Abreu Julião, André Soares Motta-Santos, Paulo Estevão Franco Braga, Henrique Bracarense, André Batista Alves do Santos, Bruno Ramos Nascimento, Ísis Eloah Machado and 12 more

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Mônica Viegas AndradeCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Kenya Valeria Micaela de Souza NoronhaCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Aline de SouzaCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Nayara Abreu JuliãoCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
André Soares Motta-SantosCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Paulo Estevão Franco BragaCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Henrique BracarenseCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
André Batista Alves do SantosCenter for Development and Regional Planning, Economics Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Bruno Ramos NascimentoDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Ísis Eloah MachadoDepartment of Family Medicine, Mental and Collective Health, Universidade Federal de Ouro Preto, Ouro Preto, Brazil.
Francisco Rogerlândio Martins-MeloFederal Institute of Education, Science and Technology of Ceará, Fortaleza, Brazil.
Israel MolinaInternational Health Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, Spain.
Pablo PerelWorld Heart Federation, Geneva, Switzerland.
Yvonne GeissbühlerGlobal Medical Affairs, Novartis Pharma AG, Switzerland.
Caroline DemacqGlobal Medical Affairs, Novartis Pharma AG, Switzerland.
Hector Eduardo Castro JaramilloHarvard School of Public Health, Boston, United States.
Luis Eduardo EcheverríaFundación Cardiovascular de Colombia, Bucaramanga, Colombia.
Mario Bruno PrincipatoHospital General de Agudos J. M. Ramos Mejía, Ciudad de Buenos Aires, Argentina.
Luisa Fernanda Aguilera MoraSalvando Latidos A.C., Guadalajara, Mexico.
Marisa Liliana FernandezInstituto Nacional de Parasitología Fatala Chaben, Ciudad de Buenos Aires, Argentina.
Jhonatan Jhimmy Nina CalisayaHospital Base II Essalud Moquegua, Moquegua, Peru.
Antonio Luiz Pinho RibeiroDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chagas disease (ChD) remains a public health concern in Latin America. Despite a decline in overall prevalence, the chronic symptomatic forms still impose a substantial epidemiological and economic burden. This study undertakes a comprehensive, population-based cost analysis of chronic Chagas disease (CCD) from a societal perspective in seven endemic Latin American countries for 2010 and 2023. Methods: A Markov model with one-year cycles and six states was employed. Direct medical and indirect costs, converted to 2024 purchasing power parity US dollars, were estimated using prevalence data from the Global Burden of Disease Study 2023. Based on a previous Brazilian Markov model, parameters were adjusted using healthcare coverage and per capita health expenditure ratios for each country, further validated by national experts. Findings: In 2010, Brazil (US$252 billion) and Argentina (US$164 billion) had the highest lifetime burdens. As a percentage of annual Gross Domestic Product, Bolivia (0·9%) and Argentina (0·8%) were most affected. CCD accounted for 6% of total health expenditures in both countries. Between 2010 and 2023, most countries experienced a decline in economic burden due to decreased CCD prevalence, despite an increased proportion of patients with cardiac conditions, reflecting population aging and disease progression. Interpretation: CCD imposes substantial economic burden across Latin American countries. Epidemiological shift to older populations with severe cardiac forms signals increased healthcare demands. Findings inform policymakers for resource allocation and tailored interventions. Funding: Funding was provided by Novartis Pharma AG as part of a research collaboration with the World Heart Federation (project number CLCZ696D2010R).

Indexed as

AbsenteeismChronic chagas diseaseDirect medical costsEconomic burdenIndirect costsLatin American countriesMarkov modelSocietal perspective

Identifiers

PMID41536500
PMCPMC12795698

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.