Evidence map›Paper›PMID 23967158›Full record

ArticlePloS one2013

Tuberculosis management practices by private practitioners in Andhra Pradesh, India.

Shanta Achanta, Jyoti Jaju, Ajay M V Kumar, Sharath Burugina Nagaraja, Srinivas Rao Motta Shamrao, Sasidhar Kumar Bandi, Ashok Kumar, Srinath Satyanarayana, Anthony David Harries, Sreenivas Achutan Nair and 1 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Quality of tuberculosis care in India: a systematic review.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015
    Pooled it
  2. Review
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  8. Antibiotic resistance: still a cause of concern?OTA international : the open access journal of orthopaedic trauma · 2021
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  14. Quality of care: measuring a neglected driver of improved health.Bulletin of the World Health Organization · 2017
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  17. Alternative medicine: an ethnographic study of how practitioners of Indian medical systems manage TB in Mumbai.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2016
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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

11 authors.

Shanta AchantaWorld Health Organization (WHO) Country Office in India, New Delhi, India. AchantaS@rntcp.org
Jyoti Jaju
Ajay M V Kumar
Sharath Burugina Nagaraja
Srinivas Rao Motta Shamrao
Sasidhar Kumar Bandi
Ashok Kumar
Srinath Satyanarayana
Anthony David Harries
Sreenivas Achutan Nair
Puneet K Dewan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingPrivate medical practitioners in Visakhapatnam district, Andhra Pradesh, India.

objectivesTo evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC), and factors associated with compliance with ISTC.

designCross- sectional survey using semi-structured interviews.

resultsOf 296 randomly selected private practitioners, 201 (68%) were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6%) followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14%) private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment). Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine.

conclusionFew private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance.

Indexed as

Disease ManagementPrivate PracticeTuberculosisAdultAgedCross-Sectional StudiesFemaleGuideline AdherenceHumansIndiaMaleMiddle AgedPractice Patterns, Physicians'Young Adult

Identifiers

PMID23967158
PMCPMC3742777

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.