Evidence map›Paper›PMID 31318879›Full record

Trial reportPloS one2019

Nutrition support for HIV-TB co-infected adults in Senegal, West Africa: A randomized pilot implementation study.

Noelle A Benzekri, Jacques F Sambou, Ibrahima Tito Tamba, Jean Philippe Diatta, Ibrahima Sall, Ousseynou Cisse, Makhtar Thiam, Gaetan Bassene, Ndeye Maguette Badji, Khadim Faye and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03711721 (Nutritional Support to Improve Adherence and Treatment Completion Among HIV-Tuberculosis Co-infected Adults in Senegal, West Africa), which is not on this map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 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.

NCT03711721 nacompletednot on this map

Nutritional Support to Improve Adherence and Treatment Completion Among HIV-Tuberculosis Co-infected Adults in Senegal, West Africa: A Randomized Pilot Implementation Study

TypeinterventionalSponsorUniversity of WashingtonRan2016 to 2017Enrolled26ConditionsHIV and Tuberculosis Co-infectionArmsFood basket, Ready-to-Use Therapeutic Food
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  16. HIV, Tuberculosis, and Food Insecurity in Africa-A Syndemics-Based Scoping Review.International journal of environmental research and public health · 2022
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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

14 authors.

Noelle A BenzekriDepartment of Medicine, University of Washington, Seattle, WA, United States of America.ORCID 0000-0002-8280-2810
Jacques F SambouCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Ibrahima Tito TambaCentre de Santé de Bignona, Bignona, Senegal.
Jean Philippe DiattaCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Ibrahima SallCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Ousseynou CisseCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Makhtar ThiamCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Gaetan BasseneCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Ndeye Maguette BadjiCentre de Santé de Bignona, Bignona, Senegal.
Khadim FayeServices des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann, Dakar, Senegal.
Fatima SallServices des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann, Dakar, Senegal.
Jean Jacques MalomarCentre de Santé de Ziguinchor, Ziguinchor, Senegal.
Moussa SeydiServices des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann, Dakar, Senegal.
Geoffrey S GottliebDepartment of Medicine, University of Washington, Seattle, WA, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity can contribute to poor adherence to both tuberculosis treatment and HIV antiretroviral therapy (ART). Interventions that target food insecurity have the potential to increase treatment adherence, improve clinical outcomes, and decrease mortality. The goals of this study were to compare the feasibility, acceptability, and potential impact of implementing two different forms of nutrition support for HIV-TB co-infected adults in the Casamance region of Senegal.

methodsWe conducted a randomized pilot implementation study among HIV-TB co-infected adults initiating treatment for TB (ClinicalTrials.gov Identifier: NCT03711721). Subjects received nutrition support in the form of a local food basket or Ready-to-Use Therapeutic Food (RUTF), distributed on a monthly basis for six months.

resultsA total of 178 monthly study encounters were completed by 26 HIV-TB co-infected adults; 14 received food baskets and 12 received RUTF. For both the food basket and RUTF, 100% of subjects obtained the supplement at every study encounter, transferred the supplement from the clinic to their household, and consumed the supplement. The food basket had greater acceptability and was more likely to be shared with members of the household. Adherence to TB treatment and ART exceeded 95%, and all outcomes, including CD4 cell count, hemoglobin, nutritional status, and food security, improved over the study period. All subjects completed TB treatment and were smear negative at treatment completion. The total cost of the local food basket was approximately $0.68 per day versus $0.99 for the RUTF.

conclusionThe implementation of nutrition support for HIV-TB co-infected adults in Senegal is feasible and may provide an effective strategy to improve adherence, treatment completion, and clinical outcomes for less than 1 USD per day. Further studies to determine the impact of nutrition support among a larger population of HIV-TB co-infected individuals are indicated.

Indexed as

Nutritional SupportAdultAnti-HIV AgentsAntitubercular AgentsCoinfectionFemaleFood, FortifiedFood SupplyHIV InfectionsHumansMaleMedication AdherenceMiddle AgedPatient Acceptance of Health CarePilot ProjectsSenegalAnti-HIV AgentsAntitubercular Agents

Identifiers

PMID31318879
PMCPMC6638996

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.