Evidence map›Paper›PMID 29061336›Full record

ArticleThe Journal of infection2018

Management of MDR-TB in HIV co-infected patients in Eastern Europe: Results from the TB:HIV study.

A M W Efsen, A Schultze, R F Miller, A Panteleev, A Skrahin, D N Podlekareva, J M Miro, E Girardi, H Furrer, M H Losso and 7 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
3.6field-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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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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

17 authors at 11 institutions in 8 countries.

A M W EfsenCHIP, Department of Infectious Diseases, Finsencentret, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen 2100, Denmark. Electronic address: anne.marie.werlinrud.efsen@regionh.dk.
A SchultzeDepartment of Infection and Population Health, University College London Medical School, Rowland Hill Street, London NW3 2PF, UK.
R F MillerCentre for Sexual Health and HIV Research, Mortimer Market Centre, University College London, London WC1E 6JB, UK.
A PanteleevDepartment of HIV/TB, TB hospital 2, Ushinskogo str 39/1 - 122, St. Petersburg 195267, Russia.
A SkrahinClinical Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
D N PodlekarevaCHIP, Department of Infectious Diseases, Finsencentret, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen 2100, Denmark.
J M MiroInfectious Diseases Service, Hospital Clinic - IDIBAPS, University of Barcelona, Villarroel, 170, Barcelona 08036, Spain.
E GirardiDepartment of Infectious Diseases INMI "L. Spallanzani", Ospedale L Spallanzani, Via Portuense, 292, Rome 00149, Italy.
H FurrerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern CH-3010, Switzerland.
M H LossoDepartment of immunocompromised, Hospital J.M. Ramos Mejia, Pabellón de Cliníca, 2do Piso, Buenos Aires CP 1221, Argentina.
J ToibaroDepartment of immunocompromised, Hospital J.M. Ramos Mejia, Pabellón de Cliníca, 2do Piso, Buenos Aires CP 1221, Argentina.
J A CaylàAgencia de Salud Pública de Barcelona, Barcelona, Spain; Programa Integrado de Investigación en Tuberculosis de SEPAR (PII-TB), Barcelona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
A MocroftDepartment of Infection and Population Health, University College London Medical School, Rowland Hill Street, London NW3 2PF, UK.
J D LundgrenCHIP, Department of Infectious Diseases, Finsencentret, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen 2100, Denmark.
F A PostDepartment of Sexual Health, Caldecot Centre, King's College Hospital, Bessemer Road, London SE5 9RS, UK.
O KirkCHIP, Department of Infectious Diseases, Finsencentret, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen 2100, Denmark.
TB: HIV study in EuroCoord
University of Copenhagen · DKRoland Hill (United Kingdom) · GBKing's College Hospital · GBSociedad Española de Neumología y Cirugía Torácica · ESHospital Ramos Mejía · ARIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITMortimer Market Centre · GBNovosibirsk Tuberculosis Research Institute · RURepublican Scientific and Practical Centre of Pulmonology and Tuberculosis · BYUniversity of Bern · CHHospital Clínic de Barcelona · ES

Funding

Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
FIC NIH HHS D43 TW007124
6 · The paper itself

Abstract

objectivesMortality among HIV patients with tuberculosis (TB) remains high in Eastern Europe (EE), but details of TB and HIV management remain scarce.

methodsIn this prospective study, we describe the TB treatment regimens of patients with multi-drug resistant (MDR) TB and use of antiretroviral therapy (ART).

resultsA total of 105 HIV-positive patients had MDR-TB (including 33 with extensive drug resistance) and 130 pan-susceptible TB. Adequate initial TB treatment was provided for 8% of patients with MDR-TB compared with 80% of those with pan-susceptible TB. By twelve months, an estimated 57.3% (95%CI 41.5-74.1) of MDR-TB patients had started adequate treatment. While 67% received ART, HIV-RNA suppression was demonstrated in only 23%.

conclusionsOur results show that internationally recommended MDR-TB treatment regimens were infrequently used and that ART use and viral suppression was well below the target of 90%, reflecting the challenging patient population and the environment in which health care is provided. Urgent improvement of management of patients with TB/HIV in EE, in particular for those with MDR-TB, is needed and includes widespread access to rapid TB diagnostics, better access to and use of second-line TB drugs, timely ART initiation with viral load monitoring, and integration of TB/HIV care.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveAntitubercular AgentsCohort StudiesCoinfectionDisease ManagementEurope, EasternFemaleHIV InfectionsHumansMaleProspective StudiesTuberculosis, Multidrug-ResistantAnti-HIV AgentsAntitubercular AgentsEastern EuropeHIVMDR-TBTuberculosis

Identifiers

PMID29061336
PMCPMC6293190
OpenAlexW2766423849

What OpenQuestion holds

Textmetadata
LicenceTDM
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.