Evidence map›Paper›PMID 27986673›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Diabetes Mellitus and Latent Tuberculosis Infection: A Systematic Review and Metaanalysis.

Meng-Rui Lee, Ya-Ping Huang, Yu-Ting Kuo, Chen-Hao Luo, Yun-Ju Shih, Chin-Chung Shu, Jann-Yuan Wang, Jen-Chung Ko, Chong-Jen Yu, Hsien-Ho Lin

Erratum issuedOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. 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 81 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 8 pooled it
8.7field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 8 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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  10. LTBI Prevalence and Risk Factors in Field Practice Areas of a Tertiary Care Hospital, Jodhpur, Rajasthan.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Meng-Rui LeeDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu, Taiwan.
Ya-Ping HuangInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
Yu-Ting KuoInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
Chen-Hao LuoInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
Yun-Ju ShihInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
Chin-Chung ShuDepartment of Traumatology, National Taiwan University Hospital, Taipei, Taiwan.
Jann-Yuan WangDepartment of Internal Medicine, National Taiwan University Hospital, Taiwan.
Jen-Chung KoDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu, Taiwan.
Chong-Jen YuDepartment of Internal Medicine, National Taiwan University Hospital, Taiwan.
Hsien-Ho LinInstitute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan.
National Taiwan University Hospital · TWNational Taiwan University · TWUniversity of Medicine 2 Yangon · MMTaipei Institute of Pathology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the well-documented association between diabetes and active tuberculosis, evidence of the association between diabetes and latent tuberculosis infection (LTBI) remains limited and inconsistent. Methods: We included observational studies that applied either the tuberculin skin test or the interferon gamma release assay for diagnosis of LTBI and that provided adjusted effect estimate for the association between diabetes and LTBI. We searched PubMed and EMBASE through 31 January 2016. The risk of bias of included studies was assessed using a quality assessment tool modified from the Newcastle-Ottawa scale. Results: Thirteen studies (1 cohort study and 12 cross-sectional studies) were included, involving 38263 participants. The cohort study revealed an increased but nonsignificant risk of LTBI among diabetics (risk ratio, 4.40; 95% confidence interval [CI], 0.50-38.55). For the cross-sectional studies, the pooled odds ratio from the random-effects model was 1.18 (95% CI, 1.06-1.30), with a small statistical heterogeneity across studies (I2, 3.5%). The risk of bias assessment revealed several methodological issues, but the overall direction of biases would reduce the positive causal association between diabetes and LTBI. Conclusions: Diabetes was associated with a small but statistically significant risk for LTBI. Findings from this review could be used to inform future cost-effectiveness analysis on the impact of LTBI screening programs among diabetics.

Indexed as

Cohort StudiesCross-Sectional StudiesDiabetes ComplicationsDiabetes MellitusHumansLatent TuberculosisOdds RatioPublication Biasdiabetes mellituslatent tuberculosis infectionmetaanalysissystemic review

Identifiers

PMID27986673
PMCPMC5399944
OpenAlexW2562821072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.