Evidence map›Paper›PMID 21219678›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2011

The sensitivity of interferon-gamma release assays is not compromised in tuberculosis patients with diabetes.

M C Walsh, A J Camerlin, R Miles, P Pino, P Martinez, F Mora-Guzmán, J G Crespo-Solis, S P Fisher-Hoch, J B McCormick, B I Restrepo

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 44 citations in OpenAlex.

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  14. Prevalence of dysglycemia and clinical presentation of pulmonary tuberculosis in Western India.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2017
    Article
  15. Glycemic Control and the Prevalence of Tuberculosis Infection: A Population-based Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Observational
  16. Review
  17. Review
  18. Review
  19. Article
  20. Diabetes and Tuberculosis.Microbiology spectrum · 2016
    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

10 authors at 1 institution in 1 country.

M C WalshDivision of Epidemiology, School of Public Health in Brownsville, University of Texas Health Science Center at Houston, Brownsville, Texas, USA.
A J Camerlin
R Miles
P Pino
P Martinez
F Mora-Guzmán
J G Crespo-Solis
S P Fisher-Hoch
J B McCormick
B I Restrepo
Brownsville Public Library · US

Funding

TU SALUD SI CUENTA: A COMMUNITY BASED MEDIA INTERVENTION FOR MEXICAN AMERICANP20MD000170 · NIMHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI RESTREPO, BALANCA · 2003 to 2012
$13.1M
Altered immune-endocrine axis in type 2 diabetes and tuberculosis riskR01AI116039 · NIAID · STELLENBOSCH UNIVERSITY · PI KLEYNHANS, LEANIE, RESTREPO, BLANCA I · 2015 to 2019
$1.7M
Rapid characterization of mycobacteria and drug resistance in paucibacillary TBR21AI064297 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI RESTREPO, BLANCA I · 2006 to 2007
$403k
NCRR NIH HHS 1U54RR023417-01NIAID NIH HHS 1 R21 AI064297-01-A1NIAID NIH HHS R01 AI116039NIAID NIH HHS R21 AI064297NIMHD NIH HHS P20 MD000170
6 · The paper itself

Abstract

SETTING AND

objectivesthe sensitivity of the interferon-gamma release assays (IGRAs) in the detection of Mycobacterium tuberculosis infection or disease may be affected by immune dysregulation in diabetes. As millions of type 2 diabetes patients are at risk for tuberculosis (TB) worldwide, it is important to determine if the sensitivity of IGRAs is compromised in this vulnerable population.

designthe sensitivity of the IGRAs QuantiFERON®-TB Gold (QFT-G) and T-SPOT®.TB was evaluated among specimens from newly diagnosed adults with microbiologically confirmed TB with and without diabetes. We also evaluated the association between QFT-G results and diabetes-associated conditions (dyslipidemia, obesity).

resultsQFT-G sensitivity was 70% among TB patients. Patients with diabetes, chronic hyperglycemia or overweight/obesity were more than twice as likely to have positive test results in multivariate models (P < 0.05). Low high-density lipoprotein cholesterol or high triglycerides were not associated with assay results. In a separate group of TB patients (n = 43), T-SPOT.TB was 93% sensitive, with similar performance in patients with and without diabetes.

conclusionIGRA sensitivity is not compromised by diabetes in TB patients. Accordingly, IGRAs may also be suitable for diagnosing TB infection in diabetes patients, which is required to assess TB risk.

Indexed as

Reagent Kits, DiagnosticAdultBody Mass IndexChi-Square DistributionDiabetes Mellitus, Type 2DyslipidemiasFemaleHumansInterferon-gammaLogistic ModelsLymphocytesMaleMiddle AgedMycobacterium tuberculosisObesityPredictive Value of TestsInterferon-gammaReagent Kits, Diagnostic

Identifiers

PMID21219678
PMCPMC3085021
OpenAlexW1501159206

What OpenQuestion holds

Textmetadata
LicenceTDM
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.