Evidence map›Paper›PMID 26393069›Full record

ArticlePublic health action2013

Screening tuberculosis patients for diabetes in a tribal area in South India.

S Achanta, R R Tekumalla, J Jaju, C Purad, R Chepuri, R Samyukta, S Malhotra, S B Nagaraja, A M V Kumar, A D Harries

Open access · diamondAbstract read
In one paragraph

Article in Public health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 20% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  20. Predictors for Concurrent Diabetes in Tuberculosis Patients. Perspectives from Two Mining Districts of Eastern Tribal State Jharkhand, in India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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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

10 authors at 5 institutions in 3 countries.

S AchantaWorld Health Organization Country Office in India, New Delhi, India.
R R TekumallaDistrict TB Centre, Ministry of Health and Family Welfare, Government of Andhra Pradesh, Visakhapatnam, India.
J JajuWorld Health Organization Country Office in India, New Delhi, India.
C PuradWorld Health Organization Country Office in India, New Delhi, India.
R ChepuriWorld Health Organization Country Office in India, New Delhi, India.
R SamyuktaState TB Cell, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of Andhra Pradesh, Hyderabad, India.
S MalhotraAll India Institute of Medical Sciences, New Delhi, India.
S B NagarajaWorld Health Organization Country Office in India, New Delhi, India ; Department of Community Medicine, Employees State Insurance Corporation (ESIC) Medical College, Bangalore, India.
A M V KumarInternational Union Against Tuberculosis and Lung Disease (The Union), South-East Asia Office, New Delhi, India.
A D HarriesThe Union, Paris, France ; London School of Hygiene & Tropical Medicine, London, UK.
World Health Organization - India · INMinistry of Health and Family Welfare · INAll India Institute of Medical Sciences · INEmployees State Insurance Post Graduate Institute of Medical Sciences and Research · INLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingTen peripheral health institutions of a tribal tuberculosis unit, Saluru, Vizianagaram District, South India.

objectiveTo assess among tuberculosis (TB) patients: 1) the feasibility of screening for diabetes mellitus (DM), 2) the prevalence of DM, 3) the demographic and clinical features associated with DM, and 4) the number needed to screen (NNS) to find one new case of DM.

designCross-sectional study: all TB patients registered from January to September 2012 were screened for DM using a screening questionnaire and random blood glucose, followed by fasting blood glucose (FBG) measurements using a glucometer. DM was diagnosed if FBG was ≥126 mg/dl.

resultsOf 381 patients, 374 (98%) were assessed for DM, suggesting feasibility of screening, and 19 (5%) were found to have DM (12 were newly diagnosed and 7 had a previous diagnosis of DM). The only characteristic associated with DM was age ≥40 years. The NNS to detect a new case of DM among all TB patients was 31; among those aged ≥40 years, the NNS was 20, and among current smokers it was 21.

conclusionScreening of TB patients for DM was feasible and effective, and this should inform national scale-up. Other key considerations include the continued provision of free TB-DM screening, with co-location and integration of services.

Indexed as

bidirectional screeningDMIndiaNNSTB

Identifiers

PMID26393069
PMCPMC4463145
OpenAlexW2057759199

What OpenQuestion holds

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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.