Evidence map›Paper›PMID 31017227›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia2019

Performance of diagnostic tests for pulmonary tuberculosis in indigenous populations in Brazil: the contribution of Rapid Molecular Testing.

Jocieli Malacarne, Alexsandro Santos Heirich, Eunice Atsuko Totumi Cunha, Ida Viktoria Kolte, Reinaldo Souza-Santos, Paulo Cesar Basta

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 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
2.2field-weighted citation impact, top 13% 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, 22 citations in OpenAlex.

  1. Pooled it
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  11. Tuberculosis series 2019.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2019
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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

6 authors at 4 institutions in 2 countries.

Jocieli Malacarne. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-9845-1752
Alexsandro Santos Heirich. Distrito Sanitário Especial Indígena Mato Grosso do Sul - Amambai (MS), Brazil.ORCID http://orcid.org/0000-0002-9793-754X
Eunice Atsuko Totumi Cunha. Laboratório Central de Saúde Pública, Secretaria de Estado de Saúde - Campo Grande (MS), Brazil.ORCID http://orcid.org/0000-0002-5700-9044
Ida Viktoria Kolte. Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0003-4912-9764
Reinaldo Souza-Santos. Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0003-2387-6999
Paulo Cesar Basta. Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0003-0804-0413
Escola Nacional de Saúde Pública · BRInstituto Nacional de Saúde · MZSecretaria da Saúde · BRUniversidade Federal de Mato Grosso do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the accuracy of rapid molecular testing as a diagnostic tool and estimate the incidence of smear-positive pulmonary tuberculosis among the indigenous population.

methodsThis is an epidemiological study based on secondary data. We calculated the incidence of smear-positive pulmonary tuberculosis between January 1st, 2011 and December 31, 2016, and the performance of bacilloscopy and rapid molecular testing in diagnosing pulmonary tuberculosis compared to sputum culture (standard test).

resultsWe included 4,048 cases of indigenous people with respiratory symptoms who provided sputum samples for analysis. Among them, 3.7%, 6.7%, and 3.7% had positive results for bacilloscopy, sputum culture, and rapid molecular testing, respectively. The mean incidence of pulmonary tuberculosis was 269.3/100 thousand inhabitants. Rapid molecular testing had 93.1% sensitivity and 98.2% specificity, compared to sputum culture. Bacilloscopy showed 55.1% sensitivity and 99.6% specificity.

conclusionsRapid molecular testing can be useful in remote areas with limited resources and a high incidence of tuberculosis, such as indigenous villages in rural regions of Brazil. In addition, the main advantages of rapid molecular testing are its easy handling, fast results, and the possibility of detecting rifampicin resistance. Together, these attributes enable the early start of treatment, contributing to reduce the transmission in communities recognized as vulnerable to infection and disease.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionBrazilChildChild, PreschoolCross-Sectional StudiesFemaleHumansIncidenceIndians, South AmericanInfantMaleMiddle Aged

Identifiers

PMID31017227
PMCPMC6733740
OpenAlexW2937427653

What OpenQuestion holds

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LicenceCC BY-NC
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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.