Evidence map›Paper›PMID 28751410›Full record

ArticleThe European respiratory journal2017

Evaluating 17 years of latent tuberculosis infection screening in north-west England: a retrospective cohort study of reactivation.

Dominik Zenner, Miranda G Loutet, Ross Harris, Stephen Wilson, L Peter Ormerod

Abstract read
In one paragraph

Article in The European respiratory journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effectiveness of interventions for reducing TB incidence in countries with low TB incidence: a systematic review of reviews.European respiratory review : an official journal of the European Respiratory Society · 2019
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Diagnosis of tuberculosis in dialysis and kidney transplant patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2022
    Article
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  16. Tuberculosis control in the Republic of Korea.Epidemiology and health · 2018
    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

5 authors.

Dominik ZennerCentre for Infectious Disease Surveillance and Control, Public Health England, London, UK dominik.zenner@phe.gov.uk.
Miranda G LoutetCentre for Infectious Disease Surveillance and Control, Public Health England, London, UK.
Ross HarrisCentre for Infectious Disease Surveillance and Control, Public Health England, London, UK.ORCID 0000-0003-3190-7281
Stephen WilsonDept of Respiratory and General Medicine, East Lancashire Hospitals NHS Trust, Blackburn, UK.
L Peter OrmerodInstitute of Inflammation, University of Manchester, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 72% of tuberculosis (TB) cases in England occur among non-UK born individuals, mostly as a result of reactivation of latent TB infection (LTBI). Programmatic LTBI screening is a key intervention of the TB strategy for England. This article reviews the results of a long-standing LTBI screening initiative in England.A retrospective cohort was created through probabilistic linkage between LTBI screening data and national TB case notifications. Screened persons were followed until they died, became a case, emigrated or until cohort-end. TB incidence rates and rate ratios (IRR) were calculated.97 out of 1820 individuals screened for LTBI were reported to have active TB. Crude incidence rates among LTBI-positive, treatment-naïve individuals were 4.1 and 2.3 per 100 person-years in the QuantiFERON and tuberculin skin test cohorts, respectively. Among the QuantiFERON cohort, Poisson regression showed that LTBI positivity (IRR 22.6, 95% CI 6.8-74.6) and no chemoprophylaxis increased the probability of becoming a TB case (IRR 0.17, 95% CI 0.05-0.6).We found high TB rates in LTBI-positive, treatment-naïve individuals and a strong association between no treatment and becoming a TB case, demonstrating feasibility and effectiveness of LTBI screening and providing important policy lessons for LTBI screening in England and beyond.

Indexed as

Mass ScreeningAdultDatabases, FactualEnglandFemaleHumansInterferon-gammaLatent TuberculosisMaleMultivariate AnalysisRegression AnalysisRetrospective StudiesTuberculin TestYoung AdultIFNG protein, humanInterferon-gamma

Identifiers

PMID28751410
PMCPMC5540676

What OpenQuestion holds

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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.