Evidence map›Paper›PMID 31720296›Full record

ArticleERJ open research2019

Time to diagnosis of tuberculosis is greater in older patients: a retrospective cohort review.

Aula Abbara, Simon M Collin, Onn M Kon, Kevin Buell, Adam Sullivan, Jessica Barrett, Tumena Corrah, Alastair McGregor, Trevor Hansel, Laurence John and 1 more

Abstract read
In one paragraph

Article in ERJ open research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 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.

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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Tuberculosis in an Aging World.Pathogens (Basel, Switzerland) · 2022
    Review
  19. A narrative review of tuberculosis in the United States among persons aged 65 years and older.Journal of clinical tuberculosis and other mycobacterial diseases · 2022
    Review
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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

11 authors.

Aula AbbaraLondon North West University Healthcare NHS Trust, London, UK.
Simon M CollinPublic Health England, London, UK.ORCID https://orcid.org/0000-0002-1239-1681
Onn M KonDept of Infection, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-2647-4688
Kevin BuellDept of Infection, Imperial College London, London, UK.
Adam SullivanDept of Infection, Imperial College London, London, UK.
Jessica BarrettLondon North West University Healthcare NHS Trust, London, UK.
Tumena CorrahLondon North West University Healthcare NHS Trust, London, UK.
Alastair McGregorLondon North West University Healthcare NHS Trust, London, UK.
Trevor HanselDept of Infection, Imperial College London, London, UK.
Laurence JohnLondon North West University Healthcare NHS Trust, London, UK.
Robert N DavidsonLondon North West University Healthcare NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAge-related immunosenescence influences the presentation of tuberculosis (TB) in older patients. Here, we explore the clinical and radiological presentation of TB in the elderly and the factors associated with time to treatment for TB.

methodsThis is a retrospective cohort study comparing the clinical, radiological and demographic characteristics of TB patients aged ≥65 years with TB patients aged 18-64 years in a large cohort of TB patients in the UK. Factors associated with the time to presentation and time to treatment were identified using a multivariable analysis model.

results1023 patients were included in the analyses: 679 patients aged 18-64 years and 344 patients aged ≥65 years. "Classical" symptoms of TB (cough, haemoptysis, fever, nights sweats and weight loss) were less common among older patients with pulmonary TB (PTB) (p<0.05), but dyspnoea was more common among older patients (p=0.001). Time from presenting in secondary care to starting treatment was shorter in younger compared with older patients: 3

conclusionsOlder patients aged ≥65 years with TB had fewer "classical" clinical and radiological presentations of TB, which may explain longer times to starting treatment from symptom onset compared with younger patients aged <65 years.

Identifiers

PMID31720296
PMCPMC6826249

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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.