Evidence map›Paper›PMID 28862176›Full record

ArticleThe Indian journal of medical research2017

Index-TB guidelines: Guidelines on extrapulmonary tuberculosis for India.

Surendra K Sharma, H Ryan, Sunil Khaparde, K S Sachdeva, Achintya D Singh, Alladi Mohan, Rohit Sarin, C N Paramasivan, Prahlad Kumar, Neeraj Nischal and 3 more

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 4 pooled it
19.8field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 4 syntheses or guidelines pooled it, 264 citations in OpenAlex.

  1. Pooled it
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  15. Article
  16. The impact of tuberculosis misdiagnosis in Hodgkin lymphoma patients.The Indian journal of medical research · 2025
    Article
  17. Psoas Abscess in Spinal Tuberculosis.The American journal of tropical medicine and hygiene · 2025
    Article
  18. Article
  19. Article
  20. Article

47 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

13 authors at 4 institutions in 2 countries.

Surendra K SharmaDepartment of Internal Medicine, All Institute of Medical Sciences, New Delhi, India.
H RyanCochrane Infectious Diseases Group, Liverpool, UK.
Sunil KhapardeMinistry of Health & Family Welfare, Government of India, New Delhi, India.
K S SachdevaMinistry of Health & Family Welfare, Government of India, New Delhi, India.
Achintya D SinghDepartment of Internal Medicine, All Institute of Medical Sciences, New Delhi, India.
Alladi MohanDepartment of Medicine, Sri Venkateshwara Institute of Medical Sciences, Tirupati, India.
Rohit SarinNational Institute of TB & Respiratory Diseases, New Delhi, India.
C N ParamasivanFoundation for Innovative New Diagnostics- & South East Asia, New Delhi, India.
Prahlad KumarNational Tuberculosis Institute, Bengaluru, India.
Neeraj NischalDepartment of Internal Medicine, All Institute of Medical Sciences, New Delhi, India.
Saurav KhatiwadaDepartment of Internal Medicine, All Institute of Medical Sciences, New Delhi, India.
Paul GarnerCochrane Infectious Diseases Group, Liverpool, UK.
Prathap TharyanSouth Asian Cochrane Network & Centre, Vellore, India.
Cochrane · GBGovernment of India · INMinistry of Health and Family Welfare · INNational Tuberculosis Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extrapulmonary tuberculosis (EPTB) is frequently a diagnostic and therapeutic challenge. It is a common opportunistic infection in people living with HIV/AIDS and other immunocompromised states such as diabetes mellitus and malnutrition. There is a paucity of data from clinical trials in EPTB and most of the information regarding diagnosis and management is extrapolated from pulmonary TB. Further, there are no formal national or international guidelines on EPTB. To address these concerns, Indian EPTB guidelines were developed under the auspices of Central TB Division and Directorate of Health Services, Ministry of Health and Family Welfare, Government of India. The objective was to provide guidance on uniform, evidence-informed practices for suspecting, diagnosing and managing EPTB at all levels of healthcare delivery. The guidelines describe agreed principles relevant to 10 key areas of EPTB which are complementary to the existing country standards of TB care and technical operational guidelines for pulmonary TB. These guidelines provide recommendations on three priority areas for EPTB: (i) use of Xpert MTB/RIF in diagnosis, (ii) use of adjunct corticosteroids in treatment, and (iii) duration of treatment. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria, which were evidence based, and due consideration was given to various healthcare settings across India. Further, for those forms of EPTB in which evidence regarding best practice was lacking, clinical practice points were developed by consensus on accumulated knowledge and experience of specialists who participated in the working groups. This would also reflect the needs of healthcare providers and develop a platform for future research.

Indexed as

Adrenal Cortex HormonesGovernment AgenciesGuidelines as TopicHumansIndiaTuberculosisAdrenal Cortex Hormones

Identifiers

PMID28862176
PMCPMC5663158
OpenAlexW2752282790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.