Evidence map›Paper›PMID 28242663›Full record

ArticleAntimicrobial agents and chemotherapy2017

Factors Influencing Tuberculosis Treatment Outcome in Adult Patients Treated with Thrice-Weekly Regimens in India.

Geetha Ramachandran, Hemanth Kumar Agibothu Kupparam, Chandrasekaran Vedhachalam, Kannan Thiruvengadam, Vijayalakshmi Rajagandhi, Azger Dusthackeer, Ramesh Karunaianantham, Lavanya Jayapal, Soumya Swaminathan

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A systematic review and meta-analysis of first-line tuberculosis drug concentrations and treatment outcomes.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2020
    Pooled it
  5. Pharmacokinetic-Pharmacodynamic Evidence From a Phase 3 Trial to Support Flat-Dosing of Rifampicin for Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Clinical impact of plasma concentrations of first-line antituberculosis drugs.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2023
    Article
  12. Article
  13. Review
  14. Frontiers in cellular and infection microbiology · 2022
    Review
  15. Impact of HIV-AIDS on tuberculosis treatment outcome in Southern Ethiopia - A retrospective cohort study.Journal of clinical tuberculosis and other mycobacterial diseases · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Subtherapeutic Rifampicin Concentration Is Associated With Unfavorable Tuberculosis Treatment Outcomes.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    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 2 institutions in 1 country.

Geetha RamachandranNational Institute for Research in Tuberculosis, Chennai, India geetha202@rediffmail.com.
Hemanth Kumar Agibothu KupparamNational Institute for Research in Tuberculosis, Chennai, India.
Chandrasekaran VedhachalamNational Institute for Research in Tuberculosis, Chennai, India.
Kannan ThiruvengadamNational Institute for Research in Tuberculosis, Chennai, India.
Vijayalakshmi RajagandhiNational Institute for Research in Tuberculosis, Chennai, India.
Azger DusthackeerNational Institute for Research in Tuberculosis, Chennai, India.
Ramesh KarunaiananthamNational Institute for Research in Tuberculosis, Chennai, India.
Lavanya JayapalChennai Corporation, Chennai, India.
Soumya SwaminathanNational Institute for Research in Tuberculosis, Chennai, India.
National Institute of Research in Tuberculosis · INCPCL Polytechnic College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Indian Revised National Tuberculosis (TB) Control Programme uses thrice-weekly treatment with standard drug dosages. The role of plasma drug levels and other factors in determining TB treatment outcomes is not well understood. We aimed to determine the factors influencing the concentrations of rifampin (RMP), isoniazid (INH), and pyrazinamide (PZA) at 2 h postdosing in adult TB patients and to study the factors impacting TB treatment outcome. We recruited 1,912 adult TB patients (newly treated and retreated patients) with pulmonary/extrapulmonary TB receiving antitubercular treatment (ATT) in the RNTCP in Chennai, India. At steady state, the concentrations of RMP, INH, and PZA were determined at 2 h postdosing after supervised drug administration. A total of 1,648 patients had a favorable outcome, while 264 (14%) had an unfavorable outcome. A total of 91%, 16%, and 17% of the patients had suboptimal concentrations of RMP (<8 μg/ml), INH (<3 μg/ml), and PZA (<20 μg/ml), respectively. Factors associated with treatment outcome were low RMP concentrations (adjusted odds ratio [aOR], 0.94; 95% confidence interval [CI], 0.89 to 0.99;

Indexed as

AdultAntitubercular AgentsArylamine N-AcetyltransferaseDrug Dosage CalculationsDrug Therapy, CombinationFemaleHumansIndiaIsoniazidMaleMiddle AgedProspective StudiesPyrazinamideRifampinTreatment OutcomeTuberculosis, PulmonaryAntitubercular AgentsArylamine N-AcetyltransferaseIsoniazidNAT2 protein, humanPyrazinamideRifampinisoniazidpharmacokineticspyrazinamiderifampintreatment outcometuberculosis

Identifiers

PMID28242663
PMCPMC5404592
OpenAlexW2591762438

What OpenQuestion holds

Textmetadata
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.