Evidence map›Paper›PMID 20395560›Full record

ArticleAmerican journal of respiratory and critical care medicine2010

Revisiting rates of reactivation tuberculosis: a population-based approach.

C Robert Horsburgh, Max O'Donnell, Sandra Chamblee, Janet L Moreland, Johnny Johnson, Bryan J Marsh, Masahiro Narita, Linda Scoles Johnson, C Fordham von Reyn

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
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

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Inconsistent standard of care for tuberculosis screening and preventive therapy before initiating systemic psoriasis treatment.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Cost-effectiveness of TB diagnostic technologies in Ethiopia: a modelling study.Cost effectiveness and resource allocation : C/E · 2024
    Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Pathogens (Basel, Switzerland) · 2022
    Review
  18. Demographic Control Measure Implications of Tuberculosis Infection for Migrant Workers across Taiwan Regions.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Interferon gamma release assays for detection of latent Mycobacterium tuberculosis in older Hispanic people.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article

21 more citing papers are in PubMed but not listed here.

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

9 authors at 6 institutions in 2 countries.

C Robert HorsburghDepartment of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA. rhorsbu@bu.edu
Max O'Donnell
Sandra Chamblee
Janet L Moreland
Johnny Johnson
Bryan J Marsh
Masahiro Narita
Linda Scoles Johnson
C Fordham von Reyn
Boston University · USDartmouth College · USEverglades University · USFlorida Department of Health · USPublic Health – Seattle & King County · USScience Applications International Corporation (United States) · US

Funding

BU Clinical HIV/AIDS Research Training Program (BU-CHART)T32AI052074 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Benjamin P. Linas · 2003 to 2026
$6.7M
NIAID NIH HHS T32 AI52074PHS HHS U64 CCU118611
6 · The paper itself

Abstract

rationaleReactivation tuberculosis (TB) occurs as a result of reactivation of latent TB infection (LTBI), and was reported to occur in the United States at a rate of 0.10 to 0.16 cases per 100 person-years in the 1950s; it has not been measured since.

objectivesTo calculate the rate of reactivation TB in a U.S. community.

methodsA population-based tuberculin skin test survey for LTBI was performed in western Palm Beach County, Florida, from 1998 to 2000 along with a cluster analysis of TB case isolates in the same area from 1997 to 2001. Reactivation (unclustered) TB was presumed to have arisen from the population with LTBI. MEASUREMENTS AND MAIN

resultsThe rate of reactivation TB among persons with LTBI without HIV infection was 0.040 cases per 100 person-years (95% confidence interval [CI], 0.024-0.067) using the n method and 0.058 cases per 100 person-years (95% CI, 0.038-0.089) using the n-1 method. HIV infection was the strongest risk factor for reactivation (rate ratio [RR], 57; 95% CI, 27-120; P < 0.001). Among persons without HIV infection, reactivation was increased among those older than 50 years (RR, 3.8; 95% CI, 1.3-11) and among those born in the United States (RR, 3.2; 95% CI, 1.1-9.3).

conclusionsRates of reactivation TB in this area have declined substantially since the 1950s. The greatest part of this decline may be attributed to the disappearance of old, healed TB in the population. If similar declines are seen in other areas of the United States, the cost-effectiveness of screening and treatment of LTBI may be substantially less than previously estimated.

Indexed as

Age FactorsAIDS-Related Opportunistic InfectionsCluster AnalysisFemaleFloridaHIV InfectionsHumansMaleMiddle AgedPopulation SurveillanceRecurrenceResidence CharacteristicsRisk FactorsRural PopulationTuberculin TestTuberculosis

Identifiers

PMID20395560
PMCPMC2921602
OpenAlexW1977900381

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.