Evidence map›Paper›PMID 31431826›Full record

ArticleTherapeutic advances in infectious disease

Utility of tissue Xpert-Mtb/Rif for the diagnosis of intestinal tuberculosis in patients with ileocolonic ulcers.

Balaji L Bellam, Harshal S Mandavdhare, Kusum Sharma, Siddharth Shukla, Hariom Soni, Praveen Kumar-M, Harjeet Singh, Kaushal K Prasad, Usha Dutta, Vishal Sharma

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Gastrointestinal tuberculosis: A systematic review of epidemiology, presentation, diagnosis and treatment.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Evidence-based approach to diagnosis and management of abdominal tuberculosis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Observational
  12. GeneXpert in stool: Diagnostic yield in Intestinal Tuberculosis.Journal of clinical tuberculosis and other mycobacterial diseases · 2019
    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

10 authors at 1 institution in 1 country.

Balaji L BellamDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Chandigarh, India.ORCID https://orcid.org/0000-0001-6163-0733
Harshal S MandavdhareDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Kusum SharmaDepartment of Microbiology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Siddharth ShuklaDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Hariom SoniDepartment of Pharmacology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Praveen Kumar-MDepartment of Pharmacology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Harjeet SinghDepartment of General Surgery, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Kaushal K PrasadDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Usha DuttaDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Vishal SharmaDepartment of Gastroenterology, Postgraduate institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.ORCID https://orcid.org/0000-0003-2472-3409
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData on the use of Xpert Mtb/Rif for the diagnosis of intestinal tuberculosis is sparse. We report on the utility of Xpert Mtb/Rif testing for diagnosis of intestinal tuberculosis (ITB) in patients with ileocecal ulcers. METHODOLOGY: We performed a retrospective analysis of patients with ileocecal ulcers and suspected to have ITB and in whom testing of intestinal tissue for Xpert Mtb/Rif was performed. The patients were divided into two groups: those with a final diagnosis of intestinal tuberculosis and those with other diagnosis. These patients were compared for clinical features and presentation. The sensitivity, specificity, positive predictive value, and negative predictive value of Xpert Mtb/Rif for the diagnosis of ITB were calculated.

resultsOf the 40 patients studied, 23 were women and the mean age was 32.92 ± 12.78 years. Abdominal pain was present in 33 (88.5%) patients and diarrhea in 12 (30%). A total of 25 patients had underlying ITB whereas 15 patients had other diagnoses (Crohn's disease, amebiasis, nonspecific ileitis, etc.). The sensitivity, specificity, negative predictive value, positive predictive value, and accuracy of GeneXpert-Mtb/Rif was 32% (CI: 14.95-53.50%), 100% (78.2-100), 46.88% (40.27-53.59%), 100 & 57.50 (40.89-72.89%) respectively.

conclusionA positive GeneXpert-Mtb/Rif helps in the diagnosis of ITB, but the sensitivity is low.

Indexed as

abdominal tuberculosiscolonoscopyCrohn’s diseaseintestinal biopsypolymerase chain reaction

Identifiers

PMID31431826
PMCPMC6686322
OpenAlexW2965318543

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.