Evidence map›Paper›PMID 30697572›Full record

ArticleOpen forum infectious diseases2019

Burden and Characteristics of the Comorbidity Tuberculosis-Diabetes in Europe: TBnet Prevalence Survey and Case-Control Study.

Monica Sane Schepisi, Assunta Navarra, M Nieves Altet Gomez, Andrii Dudnyk, Anne Margarita Dyrhol-Riise, Jaime Esteban, Pier Francesco Giorgetti, Gina Gualano, Lorenzo Guglielmetti, Jan Heyckendorf and 12 more

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  11. BioMed research international · 2020
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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

22 authors at 15 institutions in 10 countries.

Monica Sane SchepisiClinical Epidemiology Unit, National Institute for Infectious Diseases L. Spallanzani - IRCCS, Rome, Italy.
Assunta NavarraClinical Epidemiology Unit, National Institute for Infectious Diseases L. Spallanzani - IRCCS, Rome, Italy.
M Nieves Altet GomezUnidad de Tratamiento Directamente Observado de la Tuberculosis "Servicios Clínicos," Barcelona, Spain.
Andrii DudnykTuberculosis, Clinical Immunology & Allergy Department, National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Anne Margarita Dyrhol-RiiseDepartment of Infectious Diseases, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Department of Clinical Science, University of Bergen, Norway.
Jaime EstebanDepartamento de Microbiología Clínica, Fundación Jiménez Díaz, Madrid, Spain.
Pier Francesco GiorgettiClinica di Malattie Infettive e Tropicali, A. O. Spedali Civili di Brescia e Università di Brescia, Brescia, Italy.
Gina GualanoClinical Department, National Institute for Infectious Diseases L. Spallanzani - IRCCS, Rome, Italy.
Lorenzo GuglielmettiSanatorium, Centre Hospitalier de Bligny Briis-sous-Forges, Paris, France.
Jan HeyckendorfResearch Center Borstel. German Center for Infection Research (DZIF), Borstel, Germany.
Anna KaluzheninaDepartment of Phthisiopulmonology, Volgograd State Medical University, Volgograd, Russian Federation.
Berit LangeInfectious Disease Division, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
Christoph LangeResearch Center Borstel. German Center for Infection Research (DZIF), Borstel, Germany.
Katerina ManikaRespiratory Infections Unit, Pulmonary Department, Aristotle University of Thessaloniki, "G. Papanikolaou" Hospital, Thessaloniki, Greece.
Jalal MiahDivision of Infection, Barts Health NHS Trust, London, United Kingdom.
Zorica NanovicInstitute of Lung Diseases and Tuberculosis - Skopje, Institute of Lung Diseases and Tuberculosis - Skopje, Skopje, FYROM (Macedonia).
Emanuele PontaliDivisione di Malattie Infettive, Ospedale Galliera - Genova, Genova, Italy.
Monica Rios PregoEnfermedades Infecciosas, Medicina Interna, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Ivan SolovicCatholic University Ruzomberok, Slovakia.
Simon TiberiDivision of Infection, Barts Health NHS Trust, London, United Kingdom.
Fabrizio PalmieriClinical Department, National Institute for Infectious Diseases L. Spallanzani - IRCCS, Rome, Italy.
Enrico GirardiClinical Epidemiology Unit, National Institute for Infectious Diseases L. Spallanzani - IRCCS, Rome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITBarts Health NHS Trust · GBGerman Center for Infection Research · DEIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCatholic University in Ruzomberok · SKCentre d'Immunologie et des Maladies Infectieuses · FRComplejo Hospitalario de Pontevedra · ESEnte Ospedaliero Ospedali Galliera · ITG. Papanikolaou General Hospital · GRHospital Universitario Fundación Jiménez Díaz · ESNational Pirogov Memorial Medical University, Vinnytsya · UAUniversity Medical Center Freiburg · DEUniversity of Oslo · NOVolgograd State Medical University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe growing burden of diabetes mellitus (DM) is posing a threat to global tuberculosis (TB) control. DM triples the risk of developing TB, modifies the presenting features of pulmonary TB, and worsens TB treatment outcomes. We aimed to analyze the prevalence of DM among TB patients and to describe the characteristics and clinical presentation of TB-DM patients in Europe.

methodsWe performed a cross-sectional survey on the prevalence of DM among consecutively diagnosed adult TB patients in 11 European TB referral centers located in France, Germany, Greece, Italy, Russia, Slovakia, Spain, and the United Kingdom over the period 2007-2015. We also selected DM-TB cases and TB only controls with a 1:3 ratio to perform a case-control analysis, including patients selected from the countries mentioned above plus Norway and Ukraine.

resultsAmong 3143 TB enrolled patients, DM prevalence overall was 10.7% and ranged from 4.4% in Greece to 28.5% in the United Kingdom. Patients' median ages ranged from 36 to 49 years, and all centers had >60% males; the proportion of foreign-born patients varied widely across sites. In the case-control study, DM was independently associated with older age and, among older patients, with being foreign-born. Among patients with pulmonary involvement, cavities on chest imaging were more frequently observed among those with DM.

conclusionsDiabetes mellitus represents a challenge for TB control in Europe, especially in foreign-born and in elderly patients. Specific screening strategies should be evaluated.

Indexed as

diabetes mellitusEuropeforeign-borntuberculosis

Identifiers

PMID30697572
PMCPMC6330516
OpenAlexW2904243538

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Registered trials

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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.