Evidence map›Paper›PMID 28479622›Full record

Trial reportBulletin of the World Health Organization2017

A randomized controlled study of socioeconomic support to enhance tuberculosis prevention and treatment, Peru.

Tom Wingfield, Marco A Tovar, Doug Huff, Delia Boccia, Rosario Montoya, Eric Ramos, Sumona Datta, Matthew J Saunders, James J Lewis, Robert H Gilman and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

68 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  5. Impact of mental disorders on active TB treatment outcomes: a systematic review and meta-analysis.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2020
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8 more citing papers are in PubMed but not listed here.

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

11 authors.

Tom WingfieldDepartment of Clinical Infection, Microbiology and Immunology, Institute of Infection and Global Health, Ronald Ross Building, 8 West Derby Street, Liverpool, L69 7BE, England.
Marco A TovarInnovation For Health And Development (IFHAD), Universidad Peruana Cayetano Heredia, Lima, Peru.
Doug HuffInnovación Por la Salud Y Desarrollo (IPSYD), Asociación Benéfica Prisma, Lima, Peru.
Delia BocciaDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, England.
Rosario MontoyaInnovación Por la Salud Y Desarrollo (IPSYD), Asociación Benéfica Prisma, Lima, Peru.
Eric RamosInnovation For Health And Development (IFHAD), Universidad Peruana Cayetano Heredia, Lima, Peru.
Sumona DattaSection of Infectious Diseases and Immunity, Imperial College London, London, England.
Matthew J SaundersSection of Infectious Diseases and Immunity, Imperial College London, London, England.
James J LewisDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, England.
Robert H GilmanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America.
Carlton A EvansSection of Infectious Diseases and Immunity, Imperial College London, London, England.

Funding

Medical Research Council MR/K007467/1Medical Research Council MR/K012126/1Wellcome Trust
6 · The paper itself

Abstract

objectiveTo evaluate the impact of socioeconomic support on tuberculosis preventive therapy initiation in household contacts of tuberculosis patients and on treatment success in patients.

methodsA non-blinded, household-randomized, controlled study was performed between February 2014 and June 2015 in 32 shanty towns in Peru. It included patients being treated for tuberculosis and their household contacts. Households were randomly assigned to either the standard of care provided by Peru's national tuberculosis programme (control arm) or the same standard of care plus socioeconomic support (intervention arm). Socioeconomic support comprised conditional cash transfers up to 230 United States dollars per household, community meetings and household visits. Rates of tuberculosis preventive therapy initiation and treatment success (i.e. cure or treatment completion) were compared in intervention and control arms.

findingsOverall, 282 of 312 (90%) households agreed to participate: 135 in the intervention arm and 147 in the control arm. There were 410 contacts younger than 20 years: 43% in the intervention arm initiated tuberculosis preventive therapy versus 25% in the control arm (adjusted odds ratio, aOR: 2.2; 95% confidence interval, CI: 1.1-4.1). An intention-to-treat analysis showed that treatment was successful in 64% (87/135) of patients in the intervention arm versus 53% (78/147) in the control arm (unadjusted OR: 1.6; 95% CI: 1.0-2.6). These improvements were equitable, being independent of household poverty.

conclusionA tuberculosis-specific, socioeconomic support intervention increased uptake of tuberculosis preventive therapy and tuberculosis treatment success and is being evaluated in the Community Randomized Evaluation of a Socioeconomic Intervention to Prevent TB (CRESIPT) project.

Indexed as

FamilySocial SupportAdolescentAntibiotic ProphylaxisAntitubercular AgentsChildChild, PreschoolFemaleHealth EducationHouse CallsHumansInfantMaleMass ScreeningMedical AssistancePeruAntitubercular Agents

Identifiers

PMID28479622
PMCPMC5407248

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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.