Evidence map›Paper›PMID 23523641›Full record

Trial reportTuberculosis (Edinburgh, Scotland)2013

Increased mortality associated with treated active tuberculosis in HIV-infected adults in Tanzania.

Conrad Kabali, Lillian Mtei, Daniel R Brooks, Richard Waddell, Muhammad Bakari, Mecky Matee, Robert D Arbeit, Kisali Pallangyo, C Fordham von Reyn, C Robert Horsburgh

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Tuberculosis (Edinburgh, Scotland), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Observational
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.

Conrad KabaliDepartment of Medicine, Population Health Research Institute, McMaster University, 237 Barton St. E., Hamilton, ON L8L 2X2, Canada. ckabali@bu.edu
Lillian Mtei
Daniel R Brooks
Richard Waddell
Muhammad Bakari
Mecky Matee
Robert D Arbeit
Kisali Pallangyo
C Fordham von Reyn
C Robert Horsburgh

Funding

Dartmouth/Boston University AITRPD43TW006807 · FIC · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2003 to 2013
$4.6M
DISSEMINATED TUBERCULOSIS IN HIV INFECTIONR01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, C. FORDHAM · 2000 to 2004
$4.6M
Disseminated Tuberculosis in HIV InfectionU01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2005 to 2008
$4.3M
FIC NIH HHS D43 TW006807FIC NIH HHS D43-TW006808NIAID NIH HHS AI45407NIAID NIH HHS R01 AI045407NIAID NIH HHS U01 AI045407
6 · The paper itself

Abstract

Active tuberculosis (TB) among HIV-infected patients, even when successfully treated, may be associated with excess mortality. We conducted a prospective cohort study nested in a randomized TB vaccine trial to compare mortality between HIV-infected patients diagnosed and treated for TB (TB, n = 77) and HIV-infected patients within the same CD4 range, who were not diagnosed with or treated for active TB (non-TB, n = 308) in the period 2001-2008. Only twenty four subjects (6%) were on antiretroviral therapy at the beginning of this study. After accounting for covariate effects including use of antiretroviral therapy, isoniazid preventive therapy, and receipt of vaccine, we found a four-fold increase in mortality in TB patients compared with non-TB patients (adjusted Hazard Ratio 4.61; 95% Confidence Interval (CI): 1.63, 13.05). These findings suggest that treatment for TB alone is not sufficient to avert the excess mortality associated with HIV-related TB and that prevention of TB may provide a mortality benefit.

Indexed as

AdolescentAdultAgedAIDS-Related Opportunistic InfectionsAnti-HIV AgentsAntitubercular AgentsCD4 Lymphocyte CountFemaleHIV InfectionsHumansKaplan-Meier EstimateMaleMiddle AgedProspective StudiesTanzaniaTreatment OutcomeAnti-HIV AgentsAntitubercular AgentsTuberculosis Vaccines

Identifiers

PMID23523641
PMCPMC3681884

What OpenQuestion holds

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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.