Evidence map›Paper›PMID 28231851›Full record

ArticleBMC infectious diseases2017

High mortality among tuberculosis patients on treatment in Nigeria: a retrospective cohort study.

Aishatu L Adamu, Muktar A Gadanya, Isa S Abubakar, Abubakar M Jibo, Musa M Bello, Auwalu U Gajida, Musa M Babashani, Ibrahim Abubakar

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

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  13. A predictive score for early in-patient tuberculosis mortality: A case-control study.Journal of clinical tuberculosis and other mycobacterial diseases · 2024
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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

8 authors at 2 institutions in 2 countries.

Aishatu L AdamuDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Muktar A GadanyaDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Isa S AbubakarDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Abubakar M JiboDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Musa M BelloDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Auwalu U GajidaDepartment of Community Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Musa M BabashaniDepartment of Medicine, College of Health Sciences, Bayero University Kano, Kano, Nigeria.
Ibrahim AbubakarInstitute for Global Health, University College London, London, UK. i.abubakar@ucl.ac.uk.ORCID 0000-0002-0370-1430
Aminu Kano Teaching Hospital · NGThe George Institute for Global Health · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) remains a leading cause of death in much of sub-Saharan Africa despite available effective treatment. Prompt initiation of TB treatment and access to antiretroviral therapy (ART) remains vital to the success of TB control. We assessed time to mortality after treatment onset using data from a large treatment centre in Nigeria.

methodsWe analysed a retrospective cohort of TB patients that commenced treatment between January 2010 and December 2014 in Aminu Kano Teaching Hospital. We estimated mortality rates per person-months at risk (pm). Cox proportional hazards model was used to determine risk factors for mortality.

resultsAmong 1,424 patients with a median age of 36.6 years, 237 patients (16.6%) died after commencing TB treatment giving a mortality rate of 3.68 per 100 pm of treatment in this cohort. Most deaths occurred soon after treatment onset with a mortality rate of 37.6 per 100 pm in the 1

conclusionsWe attribute early deaths in this relatively young cohort to delay in diagnosis and treatment of TB, inadequate treatment of drug-resistant TB, and poor ART access. Considerable expansion and improvement in quality of diagnosis and treatment services for TB and HIV are needed to achieve the sustainable development goal of reducing TB deaths by 95% by 2035.

Indexed as

AdolescentAdultAgedAged, 80 and overAntitubercular AgentsDelayed DiagnosisFemaleFollow-Up StudiesHealth Services AccessibilityHumansMaleMiddle AgedNigeriaProportional Hazards ModelsRetrospective StudiesRisk FactorsAntitubercular AgentsAdultsMortalityNigeriaRetrospective cohortRisk factorsTuberculosis

Identifiers

PMID28231851
PMCPMC5324260
OpenAlexW2590420882

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.