Evidence map›Paper›PMID 27931342›Full record

Observational studyThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2016

Evaluation of serum inflammatory biomarkers as predictors of treatment outcome in pulmonary tuberculosis.

A Singanayagam, K Manalan, D W Connell, J D Chalmers, S Sridhar, A I Ritchie, A Lalvani, M Wickremasinghe, O M Kon

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Interaction of Glycemic Control and Statin Use on Diabetes-Tuberculosis Treatment Outcome: A Nested Case-Control Study.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. 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

9 authors at 1 institution in 1 country.

A SinganayagamChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London.
K ManalanChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London.
D W ConnellChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London, Tuberculosis Immunology Group, Imperial College London, London.
J D ChalmersTayside Respiratory Research Group, University of Dundee, Dundee, UK.
S SridharChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London, Tuberculosis Immunology Group, Imperial College London, London.
A I RitchieChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London.
A LalvaniChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London, Tuberculosis Immunology Group, Imperial College London, London.
M WickremasingheChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London.
O M KonChest and Allergy Department, St Marys Hospital, Imperial College NHS Trust, London.
NHS Tayside · GB

Funding

Department of HealthWellcome Trust 064353
6 · The paper itself

Abstract

objectiveTo evaluate C-reactive protein (CRP), globulin and white blood cell (WBC) count as predictors of treatment outcome in pulmonary tuberculosis (PTB).

methodsAn observational study of patients with active PTB was conducted at a tertiary centre. All patients had serum CRP, globulin and WBC measured at baseline and at 2 months following commencement of treatment. The outcome of interest was requirement for extension of treatment beyond 6 months.

resultsThere were 226 patients included in the study. Serum globulin 45 g/l was the only baseline biomarker evaluated that independently predicted requirement for treatment extension (OR 3.42, 95%CI 1.597.32, P 0.001). An elevated globulin level that failed to normalise at 2 months was also associated with increased requirement for treatment extension (63.9% vs. 5.1%, P 0.001), and had a low negative likelihood ratio (0.07) for exclusion of requirement for treatment extension. On multivariable analysis, an elevated globulin that failed to normalise at 2 months was independently associated with requirement for treatment extension (OR 6.13, 95%CI 2.2316.80, P 0.001).

conclusionsSerum globulin independently predicts requirement for treatment extension in PTB and outperforms CRP and WBC as a predictive biomarker. Normalisation of globulin at 2 months following treatment commencement is associated with low risk of requirement for treatment extension.

Indexed as

AdultBiomarkersCohort StudiesC-Reactive ProteinFemaleFollow-Up StudiesGlobulinsHumansLeukocyte CountMaleMiddle AgedTreatment OutcomeTuberculosis, PulmonaryBiomarkersC-Reactive ProteinGlobulins

Identifiers

PMID27931342
PMCPMC5741172
OpenAlexW2553531375

What OpenQuestion holds

Textmetadata
LicenceTDM
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.