Evidence map›Paper›PMID 29781683›Full record

ArticleAfrican journal of primary health care & family medicine2018

Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa.

Karl Peltzer

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  6. Predictors of drug-resistant TB outcomes: Body mass index, HIV, and comorbidities.African journal of primary health care & family medicine · 2025
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  17. Multimorbidity prevalence and chronic disease patterns among tuberculosis survivors in a high-income setting.Canadian journal of public health = Revue canadienne de sante publique · 2023
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  18. Article
  19. Rehabilitation Capacity in South Africa-A Situational Analysis.International journal of environmental research and public health · 2023
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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

1 author at 1 institution in 1 country.

Karl PeltzerHIV/STI and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; Department of Psychology, University of Limpopo, Turfloop. kpeltzer@hsrc.ac.za.
Human Sciences Research Council · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the prevalence of non-communicable disease (NCD) multimorbidity among tuberculosis (TB) patients in Africa.Aim and setting: The aim of this study was to assess the prevalence of NCD multimorbidity, its pattern and impact on adverse health outcomes among patients with TB in public primary care in three selected districts of South Africa.

methodsIn a cross-sectional survey, new TB and TB retreatment patients were interviewed, and medical records assessed in consecutive sampling within 1 month of anti-TB treatment. The sample included 4207 (54.5% men and 45.5% women) TB patients from 42 primary care clinics in three districts. Multimorbidity was measured as the simultaneous presence of two or more of 10 chronic conditions, including myocardial infarction or angina pectoris, arthritis, asthma, chronic lung disease, diabetes mellitus, hypertension, dyslipidaemia, malignant neoplasms, tobacco and alcohol-use disorder.

resultsThe prevalence of comorbidity (with one NCD) was 26.9% and multimorbidity (with two or more NCDs) was 25.3%. We identified three patterns of multimorbidity: (1) cardio-metabolic disorders; (2) respiratory disorders, arthritis and cancer; and (3) substance-use disorders. The likelihood of multimorbidity was higher in older age, among men, and was lower in those with higher education and socio-economic status. The prevalence of physical health decreased, and common mental disorders and post-traumatic stress disorder increased with an increase in the number of chronic conditions.

conclusionHigh NCD comorbidity and multimorbidity were found among TB patients predicted by socio-economic disparity.

Indexed as

Chronic DiseaseMultimorbidityNoncommunicable DiseasesPrimary Health CareAdolescentAdultAgedAlcoholismArthritisAsthmaComorbidityCross-Sectional StudiesDiabetes MellitusFemaleHumansHypertensionmulti-morbiditynon-communicable diseasesTB patients

Identifiers

PMID29781683
PMCPMC5913762
OpenAlexW2796597102

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.