ArticleBMC medical ethics2004
Critical reflections on evidence, ethics and effectiveness in the management of tuberculosis: public health and global perspectives.
Article in BMC medical ethics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- User-experience and patient satisfaction with quality of tuberculosis care in India: A mixed-methods literature review.Journal of clinical tuberculosis and other mycobacterial diseases · 2019Review
- Ugandan Study Participants Experience Electronic Monitoring of Antiretroviral Therapy Adherence as Welcomed Pressure to Adhere.AIDS and behavior · 2018Observational
- Surveillance or support: The experience of direct observation during tuberculosis treatment.Global public health · 2018Article
- Who are the patients that default tuberculosis treatment? - space matters!Epidemiology and infection · 2017Article
- Ethical aspects of directly observed treatment for tuberculosis: a cross-cultural comparison.BMC medical ethics · 2013Article
- Participants' responsibilities in clinical research.Journal of medical ethics · 2012Article
- Contact investigation in households of patients with tuberculosis in Hanoi, Vietnam: a prospective cohort study.PloS one · 2012Article
- Adherence to self-administered tuberculosis treatment in a high HIV-prevalence setting: a cross-sectional survey in Homa Bay, Kenya.PloS one · 2012Article
- Pandethics.Public health · 2009Article
- XDR-TB in South Africa: no time for denial or complacency.PLoS medicine · 2007Article
- Improving the use of research evidence in guideline development: 6. Determining which outcomes are important.Health research policy and systems · 2006Article
- Bioaerosol mass spectrometry for rapid detection of individual airborne Mycobacterium tuberculosis H37Ra particles.Applied and environmental microbiology · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTuberculosis is a major cause of morbidity and mortality globally. Recent scholarly attention to public health ethics provides an opportunity to analyze several ethical issues raised by the global tuberculosis pandemic. DISCUSSION: Recently articulated frameworks for public health ethics emphasize the importance of effectiveness in the justification of public health action. This paper critically reviews the relationship between these frameworks and the published evidence of effectiveness of tuberculosis interventions, with a specific focus on the controversies engendered by the endorsement of programs of service delivery that emphasize direct observation of therapy. The role of global economic inequities in perpetuating the tuberculosis pandemic is also discussed. SUMMARY: Tuberculosis is a complex but well understood disease that raises important ethical challenges for emerging frameworks in public health ethics. The exact role of effectiveness as a criterion for judging the ethics of interventions needs greater discussion and analysis. Emerging frameworks are silent about the economic conditions contributing to the global burden of illness associated with tuberculosis and this requires remediation.
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Registered trials
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.