Evidence map›Paper›PMID 27749904›Full record

ArticlePloS one2016

Epidemiology of Tuberculosis in Immigrants in a Large City with Large-Scale Immigration (1991-2013).

Jesús E Ospina, Àngels Orcau, Joan-Pau Millet, Miriam Ros, Sonia Gil, Joan A Caylà, Barcelona Tuberculosis Immigration Working Group

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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  11. Letter to the editor: Trends in tuberculosis notification rates by country of origin in the metropolitan area of Rome, 2010 to 2015.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jesús E OspinaServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9820-2422
Àngels OrcauServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.
Joan-Pau MilletServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.
Miriam RosServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.
Sonia GilServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.
Joan A CaylàServicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, Spain.
Barcelona Tuberculosis Immigration Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increase in immigration in Barcelona between 2000 and 2008 forced a reorganization of the control of tuberculosis (TB). TB clinical units (TBCU) were created and community health workers (CHW) were gradually included.

objectiveTo understand trends in the incidence of TB among immigrants, their main characteristics and treatment compliance during the period 1991-2013.

designWe conducted a cross-sectional population-based study of cases detected among immigrants by the Tuberculosis Program in Barcelona, Spain. Sociodemographic, clinical characteristics and risk factors were described. The annual incidence was calculated for various periods and geographical areas of origin. In the linear trend analysis, a p-value of <0.05 was considered statistically significant.

resultsWe detected 3,284 cases. Incidence decreased from 144.8/100,000 inhabitants in 1991 to 53.4/100,000 in 2013. Individuals born in Pakistan-India-Bangladesh had the highest average annual incidence (675/100,000). In all, 2,156 cases (65.7%) were male. 2,272 (69.2%) had pulmonary TB, of which 48.2% were smear-positive. 33% of the cases (1,093) lived in the inner city. Contact tracing (CT) coverage in smear-positive individuals rose from 56.8% in 1991-1999 to 81.4% in 2000-2013 (p<0.01); this value was less than 50% in people from Africa and Eastern European countries. The case fatality rate was 3.6% overall and 9.8% among those born in high-income countries (p<0.01). The highest rate of treatment default (12.8%) was observed among cases from the Maghreb. The rate of successful treatment increased from 69.9% in 1991-1999 to 87.5% in 2000-2013 (p<0.01).

conclusionThe incidence of TB in immigrants is decreasing in Barcelona. Organizational actions, such as incorporating CHWs and TBCUs, have been decisive for the observed improvements.

Indexed as

Emigration and ImmigrationAdolescentAdultAgedChildChild, PreschoolCitiesCross-Sectional StudiesDemographyFemaleHumansIncidenceInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID27749904
PMCPMC5066941

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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.