Evidence map›Paper›PMID 31142548›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2019

Effectiveness of interventions for reducing TB incidence in countries with low TB incidence: a systematic review of reviews.

Simon M Collin, Fatima Wurie, Morris C Muzyamba, Gerard de Vries, Knut Lönnroth, Giovanni Battista Migliori, Ibrahim Abubakar, Sarah R Anderson, Dominik Zenner

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Appraisal of umbrella reviews on vaccines.Communications medicine · 2024
    Review
  9. Active tuberculosis screening among the displaced population fleeing Ukraine, France, February to October 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  10. Clinical standards for the diagnosis, treatment and prevention of TB infection.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  11. Country-specific approaches to latent tuberculosis screening targeting migrants in EU/EEA* countries: A survey of national experts, September 2019 to February 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  12. Article
  13. Review
  14. 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

9 authors at 5 institutions in 4 countries.

Simon M CollinTB Unit, National Infection Service, Public Health England, London, UK simon.collin@phe.gov.uk.ORCID https://orcid.org/0000-0002-1239-1681
Fatima WurieTB Unit, National Infection Service, Public Health England, London, UK.
Morris C MuzyambaTB Unit, National Infection Service, Public Health England, London, UK.
Gerard de VriesKNCV Tuberculosis Foundation, Den Haag, Netherlands.
Knut LönnrothKarolinska Institutet, Stockholm, Sweden.
Giovanni Battista MiglioriIstituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy.ORCID https://orcid.org/0000-0002-2597-574X
Ibrahim AbubakarUCL Institute for Global Health, London, UK.
Sarah R AndersonTB Unit, National Infection Service, Public Health England, London, UK.
Dominik ZennerUCL Institute for Global Health, London, UK.
Public Health England · GBUniversity College London · GBIstituti Clinici Scientifici Maugeri · ITKarolinska Institutet · SETuBerculosis Vaccine Initiative · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWhat is the evidence base for the effectiveness of interventions to reduce tuberculosis (TB) incidence in countries which have low TB incidence?

methodsWe conducted a systematic review of interventions for TB control and prevention relevant to low TB incidence settings (<10 cases per 100 000 population). Our analysis was stratified according to "direct" or "indirect" effects on TB incidence. Review quality was assessed using AMSTAR2 criteria. We summarised the strength of review level evidence for interventions as "sufficient", "tentative", "insufficient" or "no" using a framework based on the consistency of evidence within and between reviews.

resultsWe found sufficient review level evidence for direct effects on TB incidence/case prevention of vaccination and treatment of latent TB infection. We also found sufficient evidence of beneficial indirect effects attributable to drug susceptibility testing and adverse indirect effects (measured as sub-optimal treatment outcomes) in relation to use of standardised first-line drug regimens for isoniazid-resistant TB and intermittent dosing regimens. We found insufficient review level evidence for direct or indirect effects of interventions in other areas, including screening, adherence, multidrug-resistant TB, and healthcare-associated infection. DISCUSSION: Our review has shown a need for stronger evidence to support expert opinion and country experience when formulating TB control policy.

Indexed as

Risk Reduction BehaviorAntitubercular AgentsEvidence-Based MedicineHumansIncidenceLatent TuberculosisMass ScreeningPatient Acceptance of Health CarePredictive Value of TestsRisk FactorsTreatment OutcomeTuberculosisTuberculosis VaccinesAntitubercular AgentsTuberculosis Vaccines

Identifiers

PMID31142548
PMCPMC9489042
OpenAlexW2946962825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.