Evidence map›Paper›PMID 31299908›Full record

ArticleBMC infectious diseases2019

The association between tuberculin skin test result and active tuberculosis risk of college students in Beijing, China: a retrospective cohort study.

Demin Cao, Zhiguo Zhang, Zhen Yang, Shubo Ma, Zhaogang Sun, Huijuan Duan, Baoli Zhu, Fei Zhao

Open access · goldAbstract read
In one paragraph

Article in BMC 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
2.0field-weighted citation impact, top 14% 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, 19 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 1 country.

Demin CaoCAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China.
Zhiguo ZhangBeijing Changping institute for tuberculosis prevention and treatment, Beijing, 102200, China.
Zhen YangBeijing Changping institute for tuberculosis prevention and treatment, Beijing, 102200, China.
Shubo MaBeijing Changping institute for tuberculosis prevention and treatment, Beijing, 102200, China.
Zhaogang SunClinical Trials and Research Center, National Center for Geriatrics of Beijing Hospital, Beijing, 100730, China.
Huijuan DuanBeijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, 101149, China.
Baoli ZhuCAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China. zhubaoli@im.ac.cn.
Fei ZhaoClinical Trials and Research Center, National Center for Geriatrics of Beijing Hospital, Beijing, 100730, China. zhaofei4814@bjhmoh.cn.
Heilongjiang Center for Tuberculosis Control and Prevention · CNBeijing Hospital · CNInstitute of Microbiology · CNBeijing Chest Hospital · CN

Funding

National Science and Technology Major Project of China 2018ZX10103001the Strategic Priority Research Program of the Chinese Academy of Sciences XDB29020203
6 · The paper itself

Abstract

backgroundAbout 10% latent tuberculosis infections (LTBI) would progress to active tuberculosis (TB), if left prophylactic therapy. Tuberculin skin test (TST) is the most widely used method for LTBI screening in the school of China. However, for college students, the association between TST reaction size and active TB risk was unclear.

methodsWe conducted a retrospective study to assess whether the TST reaction size would predict active TB during the next two years after TST screening for college students. Multivariable Cox regression was performed to identify the size of TST reaction and other factors associated with active TB risk.

resultsA total of 67292 college students in Beijing, China were included in this study; 8021 (11.92%) individuals were TST positive (≥10 mm), and 3879 (5.76%) of them were strong TST positive (≥15 mm). During the two years of follow-up, 26 active TB cases were reported in 134575 person-years with an incidence rate of 19.32 (95% CI: 12.61-28.32) per 100000 person-years. The adjusted hazard ratios (HR) (95% CI) were 1.094 (0.247~4.846), 3.644 (1.188~11.179), 6.832 (2.436~19.163) and 9.768 (2.203~43.315) of cohorts with the TST reaction size intervals 5~9, 10~14, 15~20 and ≥ 20 mm, respectively, compared to cohort with interval 0~4 mm. Besides, the adjusted HR (95% CI) was 3.593 (1.354~9.537) of males compared to females.

conclusionsThis study indicated that the risk of active TB increased in college students when the TST reaction size was ≥10 mm, and males had a higher risk compared to females.

Indexed as

AdultChinaFemaleHumansIncidenceMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsStudentsTuberculin TestTuberculosisYoung AdultCollege studentsTuberculin skin testTuberculosis risk

Identifiers

PMID31299908
PMCPMC6626405
OpenAlexW2958187071

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.