Evidence map›Paper›PMID 29862942›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2018

TB preventive therapy for people living with HIV: key considerations for scale-up in resource-limited settings.

I Pathmanathan, S Ahmedov, E Pevzner, G Anyalechi, S Modi, H Kirking, J S Cavanaugh

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In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 84 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

7 authors at 3 institutions in 1 country.

I PathmanathanDivision of Global HIV and TB, US Centers for Disease Control and Prevention, Atlanta, Georgia.
S AhmedovBureau for Global Health, United States Agency for International Development, Washington, DC.
E PevznerDivision of Global HIV and TB, US Centers for Disease Control and Prevention, Atlanta, Georgia.
G AnyalechiDivision of Global HIV and TB, US Centers for Disease Control and Prevention, Atlanta, Georgia.
S ModiDivision of Global HIV and TB, US Centers for Disease Control and Prevention, Atlanta, Georgia.
H KirkingDivision of Global HIV and TB, US Centers for Disease Control and Prevention, Atlanta, Georgia.
J S CavanaughOffice of the Global AIDS Coordinator, Washington, DC, USA.
Centers for Disease Control and Prevention · USAIDS United · USUnited States Agency for International Development · US

Funding

Intramural CDC HHS CC999999PEPFAR
6 · The paper itself

Abstract

Tuberculosis (TB) is the leading cause of death for persons living with the human immunodeficiency virus (PLHIV). TB preventive therapy (TPT) works synergistically with, and independently of, antiretroviral therapy to reduce TB morbidity, mortality and incidence among PLHIV. However, although TPT is a crucial and cost-effective component of HIV care for adults and children and has been recommended as an international standard of care for over a decade, it remains highly underutilized. If we are to end the global TB epidemic, we must address the significant reservoir of tuberculous infection, especially in those, such as PLHIV, who are most likely to progress to TB disease. To do so, we must confront the pervasive perception that barriers to TPT scale-up are insurmountable in resource-limited settings. Here we review available evidence to address several commonly stated obstacles to TPT scale-up, including the need for the tuberculin skin test, limited diagnostic capacity to reliably exclude TB disease, concerns about creating drug resistance, suboptimal patient adherence to therapy, inability to monitor for and prevent adverse events, a 'one size fits all' option for TPT regimen and duration, and uncertainty about TPT use in children, adolescents, and pregnant women. We also discuss TPT delivery in the era of differentiated care for PLHIV, how best to tackle advanced planning for drug procurement and supply chain management, and how to create an enabling environment for TPT scale-up success.

Indexed as

AdolescentAdultAnti-HIV AgentsAntitubercular AgentsChildDrug Resistance, BacterialFemaleGlobal HealthHIV InfectionsHumansMedication AdherencePregnancyTuberculin TestTuberculosisAnti-HIV AgentsAntitubercular Agents

Identifiers

PMID29862942
PMCPMC5989571
OpenAlexW2806075692

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.