Evidence map›Paper›PMID 30631793›Full record

ArticleOpen forum infectious diseases2019

Impact of Diabetes Mellitus on the Presentation and Response to Treatment of Adults With Pulmonary Tuberculosis in Qatar.

Khalid M Dousa, Abdelrahman Hamad, Mohamed Albirair, Hussam Al Soub, Abdel-Naser Elzouki, Mahmoud I Alwakeel, Bonnie A Thiel, John L Johnson

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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

8 authors at 3 institutions in 2 countries.

Khalid M DousaDivision of Infectious Diseases & HIV Medicine, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio.ORCID 0000-0003-3272-7231
Abdelrahman HamadDepartment of Internal Medicine, Weill Cornell Medical Collage, Hamad Medical Corporation, Doha, Qatar.
Mohamed AlbirairDepartment of Global Health, University of Washington, Seattle, Washington.
Hussam Al SoubDepartment of Internal Medicine, Weill Cornell Medical Collage, Hamad Medical Corporation, Doha, Qatar.
Abdel-Naser ElzoukiDepartment of Internal Medicine, Weill Cornell Medical Collage, Hamad Medical Corporation, Doha, Qatar.
Mahmoud I AlwakeelDepartment of Internal Medicine, Weill Cornell Medical Collage, Hamad Medical Corporation, Doha, Qatar.
Bonnie A ThielTuberculosis Research Unit, Department of Medicine, Case Western Reserve University and University Hospitals Cleveland Medical Center, Cleveland, Ohio.
John L JohnsonDivision of Infectious Diseases & HIV Medicine, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Weill Cornell Medical College in Qatar · QAUniversity Hospitals of Cleveland · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersons with diabetes mellitus (DM) have a 3-fold increased risk of tuberculosis (TB). Atypical radiographic findings and differences in bacteriologic response during anti-TB treatment have been reported in earlier studies; however, the findings have varied. We evaluated the effect of DM on manifestations and response to treatment in adults with pulmonary TB in Qatar.

methodsThe impact of DM on the clinical and radiographic presentations of pulmonary TB and bacteriologic response during anti-TB treatment was evaluated between January 2007 and December 2011, comparing patients with and without DM. This is a retrospective unmatched case-control study conducted at a large national hospital. Cases and controls were randomly selected from patients diagnosed with pulmonary TB over a 5-year period. Sputum culture conversion was assessed after 2 months of anti-TB treatment.

resultsClinical symptoms were similar between patients with and without DM. Patients with DM had a higher initial sputum acid-fast bacillus (AFB) smear grade and were less likely to have cavitary lesions on initial chest radiographs than patients without DM. Of 134 adults with DM and TB, 71 (53%) remained sputum culture positive after 2 months of anti-TB treatment, compared with 36 (27%) patients without DM.

conclusionsDM was associated with atypical radiographic findings and delayed sputum culture conversion at 2 months in adults with pulmonary TB in Qatar. Increased health education of patients with DM about symptoms of TB, low thresholds for evaluation for active TB, and close monitoring of bacteriologic response to treatment among patients with TB and DM are warranted.

Indexed as

diabetes mellitusmigrant workerspulmonary tuberculosis

Identifiers

PMID30631793
PMCPMC6324545
OpenAlexW2903476327

What OpenQuestion holds

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LicenceCC BY
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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.