Evidence map›Paper›PMID 27223622›Full record

ReviewPloS one2016

Programmatic Management of Drug-Resistant Tuberculosis: An Updated Research Agenda.

Carole D Mitnick, Carly A Rodriguez, Marita L Hatton, Grania Brigden, Frank Cobelens, Martin P Grobusch, Robert Horsburgh, Christoph Lange, Christian Lienhardt, Eyal Oren and 7 more

Abstract readReview
In one paragraph

Review in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Preventing the spread of multidrug-resistant tuberculosis and protecting contacts of infectious cases.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2017
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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

17 authors.

Carole D MitnickDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States of America.
Carly A RodriguezDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States of America.ORCID 0000-0003-0023-2111
Marita L HattonBoston University School of Public Health, Boston, MA, United States of America.
Grania BrigdenAccess Campaign, Médecins Sans Frontières, Geneva, Switzerland.
Frank CobelensKNCV Tuberculosis Foundation, The Hague, Netherlands.
Martin P GrobuschAmsterdam Institute for Global Health and Development, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Robert HorsburghBoston University School of Public Health, Boston, MA, United States of America.
Christoph LangeDivision of Clinical Infectious Diseases and German Center for Infection Research Tuberculosis Unit, Research Center Borstel, Borstel, Germany.
Christian LienhardtGlobal Tuberculosis Program, World Health Organization, Geneva, Switzerland.
Eyal OrenDepartment of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, United States of America.
Laura J PodewilsDivision of Global HIV/AIDS and Tuberculosis, US Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Barbara SeaworthHeartland National TB Center, Texas Center for Infectious Diseases, San Antonio, TX, United States of America.
Susan van den HofCentral Office, KNCV Tuberculosis Foundation, The Hague, Netherlands.
Charles L DaleyDepartment of Medicine, National Jewish Health and the University of Colorado Denver, Denver, CO, United States of America.
Agnes C GebhardTechnical Division, KNCV Tuberculosis Foundation, The Hague, The Netherlands.
Fraser WaresGlobal Tuberculosis Program, World Health Organization, Geneva, Switzerland.
RESIST-TB (Research Excellence to Stop TB Resistance) and GDI (Global Drug Resistant TB Initiative)

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionThere are numerous challenges in delivering appropriate treatment for multidrug-resistant tuberculosis (MDR-TB) and the evidence base to guide those practices remains limited. We present the third updated Research Agenda for the programmatic management of drug-resistant TB (PMDT), assembled through a literature review and survey.

methodsPublications citing the 2008 research agenda and normative documents were reviewed for evidence gaps. Gaps were formulated into questions and grouped as in the 2008 research agenda: Laboratory Support, Treatment Strategy, Programmatically Relevant Research, Epidemiology, and Management of Contacts. A survey was distributed through snowball sampling to identify research priorities. Respondent priority rankings were scored and summarized by mean. Sensitivity analyses explored weighting and handling of missing rankings.

resultsThirty normative documents and publications were reviewed for stated research needs; these were collapsed into 56 research questions across 5 categories. Of more than 500 survey recipients, 133 ranked priorities within at least one category. Priorities within categories included new diagnostics and their effect on improving treatment outcomes, improved diagnosis of paucibacillary and extra pulmonary TB, and development of shorter, effective regimens. Interruption of nosocomial transmission and treatment for latent TB infection in contacts of known MDR-TB patients were also top priorities in their respective categories. Results were internally consistent and robust. DISCUSSION: Priorities retained from the 2008 research agenda include shorter MDR-TB regimens and averting transmission. Limitations of recent advances were implied in the continued quest for: shorter regimens containing new drugs, rapid diagnostics that improve treatment outcomes, and improved methods of estimating burden without representative data.

conclusionThere is continuity around the priorities for research in PMDT. Coordinated efforts to address questions regarding shorter treatment regimens, knowledge of disease burden without representative data, and treatment for LTBI in contacts of known DR-TB patients are essential to stem the epidemic of TB, including DR-TB.

Indexed as

FemaleHumansMaleTuberculosis, Multidrug-ResistantTuberculosis, Pulmonary

Identifiers

PMID27223622
PMCPMC4880345

What OpenQuestion holds

Textmetadata
LicenceCC0
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.