Evidence map›Paper›PMID 31720388›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2018

Pediatric tuberculosis consultations across 5 CDC regional tuberculosis training and medical consultation Centers.

Anjeli Mase, Stephen Ryan, Greg Mader, Ana Alvarez, Lisa Armitige, Lisa Chen, George McSherry, John Wilson, Sundari Mase, Ritu Banerjee

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Anjeli MaseUniversity of California, Berkeley, CA, USA.
Stephen RyanSoutheastern National Tuberculosis Center, Gainesville, FL, USA.
Greg MaderMayo Clinic, Rochester, MN, New York.
Ana AlvarezUniversity of Florida, Jacksonville, FL, USA.
Lisa ArmitigeUniversity of Texas-Health Northeast, San Antonio, TX, USA.
Lisa ChenUniversity of California, San Francisco, CA, USA.
George McSherryPenn State Hershey Children's Hospital, Hershey, PA, USA.
John WilsonMayo Clinic, Rochester, MN, New York.
Sundari MaseDivision of TB Elimination, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Ritu BanerjeeVanderbilt University, Nashville, TN, USA.
Mayo Clinic in Arizona · USCenters for Disease Control and Prevention · USPenn State Milton S. Hershey Medical Center · USSoutheastern University · USUniversity of California, Berkeley · USUniversity of California, San Francisco · USUniversity of Florida · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe U.S. Centers for Disease Control and Prevention (CDC) funds five Regional Tuberculosis Training and Medical Consultation Centers (RTMCCs) that provide training and consultation for tuberculosis (TB) control and management. RTMCC utilization for assistance with diagnosis and management of TB in children has not been described. We analyzed pediatric TB consultations performed across all RTMCCs in terms of question type, provider type, and setting.

methodsThe CDC medical consultation database was queried for consultations regarding patients ≤ 18 years provided between 1/1/13-4/22/15 by all RTMCCs (Curry International TB Center, Heartland National TB Center, Mayo Clinic Center for TB, New Jersey Medical School Global TB Institute, Southeastern National TB Center). Each query was categorized into multiple subject areas based on provider type, setting, consultation topic, and patient age.

resultsThe 5 RTMCCs received 1164 pediatric consultation requests, representing approximately 20% of all consultations performed by the centers during the study period. Providers requesting consults were primarily physicians (46.3%) or nurses (45.0%). The majority of pediatric consult requests were from state and local public health departments (679, 58.3%) followed by hospital providers (199, 17.1%); fewer requests came from clinicians in private practice (84, 7.2%) or academic institutions (40, 3.4%). Consults addressed 14 different topics, most commonly management of children with TB disease (19.1%), latent TB infection (LTBI) (18.2%), diagnosis or laboratory testing (18.7%), and pharmacology (9.2%). DISCUSSION: Pediatric consultations accounted for approximately 20% of all consultations performed by RTMCCs during the study period. RTMCCs were utilized primarily by public health departments regarding management of TB disease, LTBI, and diagnosis or laboratory testing. The relative underutilization of the RTMCCs by clinicians in non-public health settings, who often manage children with TB exposure or infection, warrants further study. As US TB case rates decline and providers become less experienced with childhood TB, medical consultation support may become increasingly important.

Indexed as

ConsultationPediatricTuberculosis

Identifiers

PMID31720388
PMCPMC6830164
OpenAlexW2798220443

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.