Evidence map›Paper›PMID 22848231›Full record

ArticleComputational and mathematical methods in medicine2012

The relationship between tuberculosis and influenza death during the influenza (H1N1) pandemic from 1918-19.

Welling Oei, Hiroshi Nishiura

Open access · hybridAbstract read
In one paragraph

Article in Computational and mathematical methods in medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 13% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Influenza and tuberculosis co-infection: A systematic review.Influenza and other respiratory viruses · 2020
    Pooled it
  2. Pooled it
  3. Review
  4. Body Size and Risk of Death During the 1918 Influenza Pandemic in Alaska.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Pathogenesis of SARS-CoV-2 andFrontiers in immunology · 2022
    Review
  11. Age-Period-Cohort Analysis of Trends in Infectious Disease Mortality in South Korea from 1983 to 2017.International journal of environmental research and public health · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. Tuberculosis as a Risk Factor for 1918 Influenza Pandemic Outcomes.Tropical medicine and infectious disease · 2019
    Article
  16. Article
  17. Sex differences in tuberculosis.Seminars in immunopathology · 2019
    Review
  18. Article
  19. Review
  20. 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

2 authors at 1 institution in 4 countries.

Welling OeiJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 358GA Utrecht, The Netherlands.
Hiroshi Nishiura
Utrecht University · NL

Funding

Understanding and controlling antibiotic resistanceU54GM088558 · NIGMS · HARVARD SCHOOL OF PUBLIC HEALTH · PI LIPSITCH, MARC · 2009 to 2018
$26.4M
NIGMS NIH HHS U54 GM088558
6 · The paper itself

Abstract

The epidemiological mechanisms behind the W-shaped age-specific influenza mortality during the Spanish influenza (H1N1) pandemic 1918-19 have yet to be fully clarified. The present study aimed to develop a formal hypothesis: tuberculosis (TB) was associated with the W-shaped influenza mortality from 1918-19. Three pieces of epidemiological information were assessed: (i) the epidemic records containing the age-specific numbers of cases and deaths of influenza from 1918-19, (ii) an outbreak record of influenza in a Swiss TB sanatorium during the pandemic, and (iii) the age-dependent TB mortality over time in the early 20th century. Analyzing the data (i), we found that the W-shaped pattern was not only seen in mortality but also in the age-specific case fatality ratio, suggesting the presence of underlying age-specific risk factor(s) of influenza death among young adults. From the data (ii), TB was shown to be associated with influenza death (P = 0.09), and there was no influenza death among non-TB controls. The data (iii) were analyzed by employing the age-period-cohort model, revealing harvesting effect in the period function of TB mortality shortly after the 1918-19 pandemic. These findings suggest that it is worthwhile to further explore the role of TB in characterizing the age-specific risk of influenza death.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesCytokinesFemaleHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMiddle AgedModels, StatisticalModels, TheoreticalCytokines

Identifiers

PMID22848231
PMCPMC3405656
OpenAlexW1990336764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.