Evidence map›Paper›PMID 28234080›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2017

Examples of bedaquiline introduction for the management of multidrug-resistant tuberculosis in five countries.

L Guglielmetti, C Hewison, Z Avaliani, J Hughes, N Kiria, N Lomtadze, N Ndjeka, S Setkina, A Shabangu, W Sikhondze and 3 more

Open access · greenAbstract read
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Clinical Outcomes Among Patients With Drug-resistant Tuberculosis Receiving Bedaquiline- or Delamanid-Containing Regimens.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Observational
  8. Bedaquiline and delamanid result in low rates of unfavourable outcomes among TB patients in Eswatini.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2020
    Article
  9. Article
  10. Article
  11. Review
  12. Integration of drug safety monitoring in tuberculosis treatment programmes: country experiences.European respiratory review : an official journal of the European Respiratory Society · 2019
    Review
  13. Article
  14. Improved Treatment Outcomes With Bedaquiline When Substituted for Second-line Injectable Agents in Multidrug-resistant Tuberculosis: A Retrospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  15. Article
  16. A new era for treatment of drug-resistant tuberculosis.The European respiratory journal · 2018
    Article
  17. Article
  18. 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

13 authors at 9 institutions in 6 countries.

L GuglielmettiSanatorium, Centre Hospitalier de Bligny, Briis-sous-Forges, France; Médecins Sans Frontières, Paris, France; Sorbonne Université, Université Pierre et Marie Curie 06, Unité 1135, Team E13 (Bactériologie), CR7 Institut National de la Santé et de la Recherche Médicale, Centre d'Immunologie et des Maladies Infectieuses, Paris, France.
C HewisonMédecins Sans Frontières, Paris, France.
Z AvalianiNational Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
J HughesMédecins Sans Frontières, Khayelitsha, South Africa.
N KiriaNational Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
N LomtadzeNational Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
N NdjekaNational Department of Health, Pretoria, South Africa.
S SetkinaCenter for Examinations and Tests in Health Service, Republican Unitary Enterprise, Minsk, Republic of Belarus.
A ShabanguNational TB Referral Hospital, Manzini, Swaziland.
W SikhondzeNational Tuberculosis Control Programme, Manzini, Swaziland.
A SkrahinaRepublican Scientific and Practical Centre for Pulmonology and TB, Minsk, Belarus.
N VezirisSorbonne Université, Université Pierre et Marie Curie 06, Unité 1135, Team E13 (Bactériologie), CR7 Institut National de la Santé et de la Recherche Médicale, Centre d'Immunologie et des Maladies Infectieuses, Paris, France; Assistance Publique Hôpitaux de Paris, Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Bactériologie-Hygiène, Hôpitaux Universitaires Pitié Salpêtrière-Charles Foix, Paris, France.
J FurinHarvard Medical School, Boston, Massachusetts, USA.
National Center for Tuberculosis and Lung Disease · GEMédecins Sans Frontières · FRCentre d'Immunologie et des Maladies Infectieuses · FRDepartment of Health · ZAHarvard University · USMédecins Sans Frontières · ZARepublican Scientific and Practical Centre of Pulmonology and Tuberculosis · BYRSPC MT · BYSwaziland National Trust Commission · SZ

Funding

Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
FIC NIH HHS D43 TW007124
6 · The paper itself

Abstract

backgroundFor the first time in almost 50 years, there are new drugs available for the treatment of tuberculosis (TB), including bedaquiline (BDQ) and delamanid (DLM). The rate of introduction, however, has not kept pace with patient needs. It is estimated that as many as 23% of multidrug-resistant TB (MDR-TB) patients have an indication for receiving BDQ. As this is the first time the MDR-TB community is introducing new medications, it is important to understand how implementation can be developed in a variety of settings.

methodsA qualitative assessment of country TB programs in which more than 5% of MDR-TB patients were started on BDQ under program conditions.

resultsNational TB programs in Belarus, France, Georgia, South Africa, and Swaziland all started sizeable cohorts of patients on BDQ in 2015. Common factors observed in these programs included experience with compassionate use/expanded access, support from implementing partners, and adequate national or donor-supported budgets. Barriers to introduction included restriction of BDQ to the in-patient setting, lack of access to companion drugs, and the development of systems for pharmacovigilance.

conclusionThe five countries in this paper are examples of the introduction of new therapeutic options for the treatment of TB.

Indexed as

National Health ProgramsAntitubercular AgentsCompassionate Use TrialsDiarylquinolinesDiffusion of InnovationHealth Services AccessibilityHumansPharmacovigilanceTuberculosis, Multidrug-ResistantAntitubercular AgentsbedaquilineDiarylquinolines

Identifiers

PMID28234080
PMCPMC5664221
OpenAlexW2574744716

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.