Evidence map›Paper›PMID 31002070›Full record

ArticleEmerging infectious diseases2019

Outcomes of Bedaquiline Treatment in Patients with Multidrug-Resistant Tuberculosis.

Lawrence Mbuagbaw, Lorenzo Guglielmetti, Catherine Hewison, Nyasha Bakare, Mathieu Bastard, Eric Caumes, Mathilde Fréchet-Jachym, Jérôme Robert, Nicolas Veziris, Naira Khachatryan and 5 more

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Bedaquiline-containing regimens and multidrug-resistant tuberculosis: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Bedaquiline for multidrug-resistant TB in paediatric patients.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    Trial
  7. Treatment of Highly Drug-Resistant Pulmonary Tuberculosis.The New England journal of medicine · 2020
    Trial
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. International journal of microbiology · 2024
    Article
  14. Article
  15. Favourable outcomes in RR-TB patients using BPaL and other WHO-recommended second-line anti-TB drugs.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. New and Repurposed Drugs for the Treatment of Active Tuberculosis: An Update for Clinicians.Respiration; international review of thoracic diseases · 2023
    Review
  20. Article
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

15 authors.

Lawrence Mbuagbaw
Lorenzo Guglielmetti
Catherine Hewison
Nyasha Bakare
Mathieu Bastard
Eric Caumes
Mathilde Fréchet-Jachym
Jérôme Robert
Nicolas Veziris
Naira Khachatryan
Tinatin Kotrikadze
Armen Hayrapetyan
Zaza Avaliani
Holger J Schünemann
Christian Lienhardt

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bedaquiline is recommended by the World Health Organization for the treatment of multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis (TB). We pooled data from 5 cohorts of patients treated with bedaquiline in France, Georgia, Armenia, and South Africa and in a multicountry study. The rate of culture conversion to negative at 6 months (by the end of 6 months of treatment) was 78% (95% CI 73.5%-81.9%), and the treatment success rate was 65.8% (95% CI 59.9%-71.3%). Death rate was 11.7% (95% CI 7.0%-19.1%). Up to 91.1% (95% CI 82.2%-95.8%) of the patients experienced >1 adverse event, and 11.2% (95% CI 5.0%-23.2%) experienced a serious adverse event. Lung cavitations were consistently associated with unfavorable outcomes. The use of bedaquiline in MDR and XDR TB treatment regimens appears to be effective and safe across different settings, although the certainty of evidence was assessed as very low.

Indexed as

AdultAntitubercular AgentsCohort StudiesDiarylquinolinesDrug Resistance, Multiple, BacterialExtensively Drug-Resistant TuberculosisFemaleHumansMaleMiddle AgedMycobacterium tuberculosisOdds RatioTreatment OutcomeTuberculosis, Multidrug-ResistantYoung AdultAntitubercular AgentsbedaquilineDiarylquinolinesantimicrobial resistanceArmeniaAsiabacteriabedaquilineChinaEuropeextensively drug resistantFranceGeorgiaindividual patient dataMDRmultidrug resistantSouth AfricaTBtuberculosistuberculosis and other mycobacteriaXDR

Identifiers

PMID31002070
PMCPMC6478224

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.