Evidence map›Paper›PMID 28786991›Full record

SynthesisPloS one2017

Yield of community-based tuberculosis targeted testing and treatment in foreign-born populations in the United States: A systematic review.

Mohsen Malekinejad, Andrea Parriott, Amanda P Viitanen, Hacsi Horvath, Suzanne M Marks, James G Kahn

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. 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
  2. Pooled it
  3. Treatment of tuberculosis infection among immigrants in southern New Brunswick, Canada: A cross-sectional study.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  4. Article
  5. Rethinking gastric cancer prevention through an immigrant health lens.Nature reviews. Gastroenterology & hepatology · 2025
    Article
  6. Evaluation of the Latent Tuberculosis Care Cascade Among Public Health Clinics in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  7. Review
  8. Prevalence of Latent Tuberculosis Infection Among Non-US-Born Persons by Country of Birth-United States, 2012-2017.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  9. Article
  10. Review
  11. 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

6 authors at 2 institutions in 1 country.

Mohsen MalekinejadPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, United States of America.ORCID http://orcid.org/0000-0002-5721-6764
Andrea ParriottPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, United States of America.
Amanda P ViitanenPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, United States of America.
Hacsi HorvathPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, United States of America.
Suzanne M MarksCenters for Disease Control and Prevention, Division of Tuberculosis Elimination, Atlanta, Georgia, United States of America.
James G KahnPhillip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, United States of America.
Lee University · USCenters for Disease Control and Prevention · US

Funding

ECONOMIC ANALYSIS FOR PREVENTION OF DISEASE (EMPoD)U38PS004649 · PS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KAHN, JAMES GUSTAVE · 2014 to 2015
$3.0M
NCHHSTP CDC HHS U38 PS004649
6 · The paper itself

Abstract

objectiveTo synthesize outputs and outcomes of community-based tuberculosis targeted testing and treatment (TTT) programs in foreign-born populations (FBP) in the United States (US).

methodsWe systematically searched five bibliographic databases and other key resources. Two reviewers independently applied eligibility criteria to screen citations and extracted data from included studies. We excluded studies that contained <50% FBP participants or that examined steps only after diagnosis of latent TB infection (LTBI). We stratified studies as majority FBP (50-90%) and predominantly FBP (>90%). We used random-effects meta-analytic models to calculate pooled proportions and 95% confidence intervals (CI) for community-based TTT cascade steps (e.g., recruited, tested and treated), and used them to create two hypothetical cascades for 100 individuals.

resultsFifteen studies conducted in 10 US states met inclusion criteria. Studies were heterogeneous in recruitment strategies and mostly recruited participants born in Latin America. Of 100 hypothetical participants (predominantly FBP) reached by community-based TTT, 40.4 (95% CI 28.6 to 50.1) would have valid test results, 15.7 (95% CI 9.9 to 21.8) would test positive, and 3.6 (95% CI 1.4 to 6.0) would complete LTBI treatment. Likewise, of 100 hypothetical participants (majority FBP) reached, 77.9 (95% CI 54.0 to 92.1) would have valid test results, 26.5 (95% CI 18.0 to 33.5) would test positive, and 5.4 (95% CI 2.1 to 9.0) would complete LTBI treatment. Of those with valid test results, pooled proportions of LTBI test positive for predominantly FBP and majority FBP were 38.9% (95% CI 28.6 to 49.8) and 34.3% (95% CI 29.3 to 39.5), respectively.

conclusionsWe observed high attrition throughout the care cascade in FBP participating in LTBI community-based TTT studies. Few studies included cascade steps prior to LTBI diagnosis, limiting our review findings. Moreover, Asia-born populations in the US are substantially underrepresented in the FBP community-based TTT literature.

Indexed as

Emigrants and ImmigrantsHumansTuberculosisUnited States

Identifiers

PMID28786991
PMCPMC5546677
OpenAlexW2743485623

What OpenQuestion holds

Textmetadata
LicenceCC0
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.