Evidence map›Paper›PMID 30992463›Full record

ArticleScientific reports2019

Development and validation of a prediction model for active tuberculosis case finding among HIV-negative/unknown populations.

Yun-Ju Shih, Helen Ayles, Knut Lönnroth, Mareli Claassens, Hsien-Ho Lin

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In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yun-Ju ShihInstitute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan.
Helen AylesDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
Knut LönnrothDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Mareli ClaassensDesmond Tutu Tuberculosis Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Hsien-Ho LinInstitute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan. hsienho@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A prediction model of prevalent pulmonary tuberculosis (TB) in HIV negative/unknown individuals was developed to assist systematic screening. Data from a large TB screening trial were used. A multivariable logistic regression model was developed in the South African (SA) training dataset, using TB symptoms and risk factors as predictors. The model was converted into a scoring system for risk stratification and was evaluated in separate SA and Zambian validation datasets. The number of TB cases were 355, 176, and 107 in the SA training, SA validation, and Zambian validation datasets respectively. The area under curve (AUC) of the scoring system was 0·68 (95% CI 0·64-0·72) in the SA validation set, compared to prolonged cough (0·58, 95% CI 0·54-0·62) and any TB symptoms (0·6, 95% CI 0·56-0·64). In the Zambian dataset the AUC of the scoring system was 0·66 (95% CI 0·60-0·72). In the cost-effectiveness analysis, the scoring system dominated the conventional strategies. The cost per TB case detected ranged from 429 to 1,848 USD in the SA validation set and from 171 to 10,518 USD in the Zambian dataset. The scoring system may help targeted TB case finding under budget constraints.

Indexed as

AdultCoughFemaleHIV InfectionsHumansMaleMass ScreeningMiddle AgedPrevalencePrognosisSouth AmericaTuberculosisZambia

Identifiers

PMID30992463
PMCPMC6467872

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