Evidence map›Paper›PMID 27051604›Full record

ArticlePublic health action2016

Collaborative activities and treatment outcomes in patients with HIV-associated tuberculosis in Viet Nam.

T T T Huyen, N V Nhung, H D Shewade, N B Hoa, A D Harries

Abstract read
In one paragraph

Article in Public health action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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

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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 synthesis or guideline pooled it.

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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

5 authors.

T T T HuyenViet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, Viet Nam.
N V NhungViet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, Viet Nam.
H D ShewadeInternational Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
N B HoaViet Nam National Tuberculosis Control Programme/National Lung Hospital, Hanoi, Viet Nam ; The Union, Paris, France.
A D HarriesThe Union, Paris, France ; London School of Hygiene & Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingThe National Tuberculosis (TB) Programme in Viet Nam and Ho Chi Minh City (HCMC).

objectivesTo determine 1) at national level between 2011 and 2013, the relationship between human immunodeficiency virus (HIV) testing, uptake of TB-HIV interventions and adverse treatment outcomes among TB-HIV patients; and 2) in HCMC in 2013, patient characteristics associated with adverse outcomes.

designAn ecological study reviewing aggregate nationwide data and a retrospective cohort review in HCMC.

resultsNationwide, from 2011 to 2013, HIV testing increased in TB patients from 58% to 68% and antiretroviral therapy (ART) increased in TB-HIV patients from 54% to 63%. Adverse treatment outcomes in TB-HIV patients increased from 24% to 27%, largely due to transfer out (5-9% increase) and death. The Northern and Highland regions showed poor uptake of TB-HIV interventions. In HCMC, 303 (27%) of 1110 TB-HIV patients had adverse outcomes, with higher risks observed in those with previously treated TB, those diagnosed as HIV-positive before TB onset and those never placed on cotrimoxazole or ART.

conclusionDespite improving HIV testing rates and TB-HIV interventions, adverse outcomes in TB-HIV patients remain at about 26%. Characteristics predicting higher risk of adverse outcomes must be addressed if Viet Nam wishes to end the TB epidemic by 2030.

Indexed as

adverse treatment outcomesantiretroviral therapycotrimoxazole preventive therapyoperational researchSORT IT

Identifiers

PMID27051604
PMCPMC4809731

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