Evidence map›Paper›PMID 26393097›Full record

ArticlePublic health action2014

Risk factors associated with loss to follow-up among multidrug-resistant tuberculosis patients in Georgia.

G Kuchukhidze, A M V Kumar, P de Colombani, M Khogali, U Nanava, H M Blumberg, R R Kempker

Abstract read
In one paragraph

Article in Public health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Low BMI increases all-cause mortality rates in patients with drug-resistant TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  7. Observational
  8. Article
  9. Article
  10. Factors associated with loss to follow-up among people with tuberculosis in the country of Georgia: a cohort study.Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace · 2021
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Predictors of tuberculosis treatment outcomes among a retrospective cohort in rural, Central India.Journal of clinical tuberculosis and other mycobacterial diseases · 2018
    Article
  17. Article
  18. Article
  19. 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

7 authors.

G KuchukhidzeNational Centre for Disease Control and Public Health, Tbilisi, Georgia.
A M V KumarInternational Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
P de ColombaniWorld Health Organization Regional Office for Europe, Copenhagen, Denmark.
M KhogaliDepartment of Epidemiology, Operational Center of Brussels, Médecins Sans Frontières (MSF), MSF-Belgium, Addis Ababa, Ethiopia.
U NanavaDepartment of Epidemiology, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
H M BlumbergEmory University School of Medicine, Atlanta, Georgia, USA.
R R KempkerEmory University School of Medicine, Atlanta, Georgia, USA.

Funding

Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
Intra Cavitary Pharmacokinetics and Drug Resistance in Pulmonary TuberculosisK23AI103044 · NIAID · EMORY UNIVERSITY · PI KEMPKER, RUSSELL RYAN · 2013 to 2017
$910k
FIC NIH HHS D43 TW007124NIAID NIH HHS K23 AI103044World Health Organization 001
6 · The paper itself

Abstract

settingGeorgia, a country with a high-burden of multi-drug-resistant tuberculosis (MDR-TB).

objectiveTo determine the proportion of loss to follow-up (LFU) among MDR-TB patients treated nationwide from 2009 to 2011, and associated risk factors.

designRetrospective cohort study involving a review of the National Tuberculosis Programme electronic surveillance database. A Cox proportional hazards model was used to assess risk factors for time to LFU.

resultsAmong 1593 patients, 458 (29%) were lost to follow-up. A total of 1240 MDR-TB patients were included in the final analysis (845 treatment success, 395 LFU). Over 40% of LFU occurred during the first 8 months of MDR-TB treatment; 40% of patients had not achieved culture conversion at the time of LFU. In multivariate analysis, the factors associated with LFU included male sex, illicit drug use, tobacco use, history of previous anti-tuberculosis treatment, site of TB disease, and place and year of initiating treatment.

conclusionLFU was high among MDR-TB patients in Georgia and posed a significant public health risk, as many were culture-positive at the time of LFU. A multi-pronged approach is needed to address the various patient- and treatment-related characteristics associated with LFU.

Indexed as

Eastern Europeloss to follow-upMDR-TBoperational researchSORT IT

Identifiers

PMID26393097
PMCPMC4547510

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.