Evidence map›Paper›PMID 31315696›Full record

ReviewThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2019

Management of patients with multidrug-resistant tuberculosis.

C Lange, R E Aarnoutse, J W C Alffenaar, G Bothamley, F Brinkmann, J Costa, D Chesov, R van Crevel, M Dedicoat, J Dominguez and 24 more

Open access · greenAbstract readReview
In one paragraph

Review in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Post-tuberculosis lung disease.Breathe (Sheffield, England) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Novel Pharmacological Approaches for Multidrug-Resistant Tuberculosis: Review.Advances in pharmacological and pharmaceutical sciences · 2025
    Review
  8. Article
  9. Review
  10. Multidrug-resistant tuberculosis.Nature reviews. Disease primers · 2024
    Review
  11. Review
  12. Editorial: Factors associated with drug resistance and virulence ofFrontiers in cellular and infection microbiology · 2024
    Article
  13. Article
  14. Review
  15. Availability and costs of medicines for the treatment of tuberculosis in Europe.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  16. Article
  17. Clinical standards for the dosing and management of TB drugs.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  18. Article
  19. A longitudinal community-based ototoxicity monitoring programme and treatment effects for drug-resistant tuberculosis treatment, Western Cape.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2022
    Article
  20. MDR Tuberculosis Treatment.Medicina (Kaunas, Lithuania) · 2022
    Review
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

34 authors at 2 institutions in 2 countries.

C LangePlease see Supplementary Data for details of all author affiliations.
R E AarnoutsePlease see Supplementary Data for details of all author affiliations.
J W C AlffenaarPlease see Supplementary Data for details of all author affiliations.
G BothamleyPlease see Supplementary Data for details of all author affiliations.
F BrinkmannPlease see Supplementary Data for details of all author affiliations.
J CostaPlease see Supplementary Data for details of all author affiliations.
D ChesovPlease see Supplementary Data for details of all author affiliations.
R van CrevelPlease see Supplementary Data for details of all author affiliations.
M DedicoatPlease see Supplementary Data for details of all author affiliations.
J DominguezPlease see Supplementary Data for details of all author affiliations.
R DuartePlease see Supplementary Data for details of all author affiliations.
H P GrobbelPlease see Supplementary Data for details of all author affiliations.
G GüntherPlease see Supplementary Data for details of all author affiliations.
L GuglielmettiPlease see Supplementary Data for details of all author affiliations.
J HeyckendorfPlease see Supplementary Data for details of all author affiliations.
A W KayPlease see Supplementary Data for details of all author affiliations.
O KirakosyanPlease see Supplementary Data for details of all author affiliations.
O KirkPlease see Supplementary Data for details of all author affiliations.
R A KoczullaPlease see Supplementary Data for details of all author affiliations.
G G KudriashovPlease see Supplementary Data for details of all author affiliations.
L KuksaPlease see Supplementary Data for details of all author affiliations.
F van LethPlease see Supplementary Data for details of all author affiliations.
C Magis-EscurraPlease see Supplementary Data for details of all author affiliations.
A M MandalakasPlease see Supplementary Data for details of all author affiliations.
B Molina-MoyaPlease see Supplementary Data for details of all author affiliations.
C A PeloquinPlease see Supplementary Data for details of all author affiliations.
M ReimannPlease see Supplementary Data for details of all author affiliations.
R RumetshoferPlease see Supplementary Data for details of all author affiliations.
H S SchaafPlease see Supplementary Data for details of all author affiliations.
T SchönPlease see Supplementary Data for details of all author affiliations.
S TiberiPlease see Supplementary Data for details of all author affiliations.
J ValdaPlease see Supplementary Data for details of all author affiliations.
P K YablonskiiPlease see Supplementary Data for details of all author affiliations.
K DhedaPlease see Supplementary Data for details of all author affiliations.
Research Center Borstel - Leibniz Lung Center · DEInternational Data Group (Sweden) · SE

Funding

Quantifiable stool-based TB PCR to Improve Diagnostics and Treatment MonitoringR01AI137527 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI MANDALAKAS, ANNA M · 2019 to 2022
$2.7M
NIAID NIH HHS R01 AI137527
6 · The paper itself

Abstract

The emergence of multidrug-resistant tuberculosis (MDR-TB; defined as resistance to at least rifampicin and isoniazid) represents a growing threat to public health and economic growth. Never before in the history of mankind have more patients been affected by MDR-TB than is the case today. The World Health Organization reports that MDR-TB outcomes are poor despite staggeringly high management costs. Moreover, treatment is prolonged, adverse events are common, and the majority of affected patients do not receive adequate treatment. As MDR-TB strains are often resistant to one or more second-line anti-TB drugs, in-depth genotypic and phenotypic drug susceptibility testing is needed to construct personalised treatment regimens to improve treatment outcomes. For the first time in decades, the availability of novel drugs such as bedaquiline allow us to design potent and well-tolerated personalised MDR-TB treatment regimens based solely on oral drugs. In this article, we present management guidance to optimise the diagnosis, algorithm-based treatment, drug dosing and therapeutic drug monitoring, and the management of adverse events and comorbidities, associated with MDR-TB. We also discuss the role of surgery, physiotherapy, rehabilitation, palliative care and smoking cessation in patients with MDR-TB. We hope that incorporating these recommendations into patient care will be helpful in optimising treatment outcomes, and lead to more MDR-TB patients achieving a relapse-free cure.

Indexed as

Antitubercular AgentsDrug MonitoringHumansMicrobial Sensitivity TestsMycobacterium tuberculosisPractice Guidelines as TopicTuberculosis, Multidrug-ResistantAntitubercular Agents

Identifiers

PMID31315696
PMCPMC12190730
OpenAlexW2963387937

What OpenQuestion holds

Textmetadata
LicenceTDM
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.