Evidence map›Paper›PMID 31764106›Full record

ArticleAIDS (London, England)2019

High incidence of tuberculosis in the first year of antiretroviral therapy in the Botswana National antiretroviral therapy programme between 2011 and 2015.

Lucy Mupfumi, Sikhulile Moyo, Sanghyuk S Shin, Qiao Wang, Nicola Zetola, Kesaobaka Molebatsi, Judith Nnawa, Botshelo T Kgwaadira, Lesedi Bewlay, Tony Chebani and 7 more

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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, 7 citations in OpenAlex.

  1. Article
  2. 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

17 authors at 8 institutions in 3 countries.

Lucy MupfumiaDepartment of Medical Laboratory Sciences, School of Allied Health Professions, University of Botswana bBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana cDepartment of Immunology & Infectious Diseases, Harvard TH Chan School of Public Health, Boston, Massachusetts dSue & Bill Gross School of Nursing, University of California Irvine, California eInfectious Diseases Division, University of Pennsylvania, Philadelphia, Pennsylvania, USA fBotswana - University of Pennsylvania Partnership gDepartment of Statistics, University of Botswana hHealth Policy Development Monitoring & Evaluation, Ministry of Health & Wellness iNational TB Program, Ministry of Health & Wellness, Gaborone, Botswana jCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA kTau Technology, Gaborone, Botswana lCollege of Health Sciences, School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa.
Sikhulile Moyo
Sanghyuk S Shin
Qiao Wang
Nicola Zetola
Kesaobaka Molebatsi
Judith Nnawa
Botshelo T Kgwaadira
Lesedi Bewlay
Tony Chebani
Thato Iketleng
Tuelo Mogashoa
Joseph Makhema
Rosemary M Musonda
Max Essex
Ishmael Kasvosve
Simani Gaseitsiwe
Botswana Harvard AIDS Institute Partnership · BWUniversity of Botswana · BWBotswana Institute for Technology Research and Innovation · BWHarvard University · USMinistry of Health · BWUniversity of California, Irvine · USUniversity of KwaZulu-Natal · ZAUniversity of Pennsylvania · US

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
The Effect of Mixed-strain Mycobacterium tuberculosis Infections on TB Treatment Outcomes in Botswana: A Retrospective Cohort Study.K01AI118559 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHIN, SANGHYUK SAM · 2015 to 2019
$670k
FIC NIH HHS D43 TW010543NIAID NIH HHS K01 AI118559Wellcome TrustWellcome Trust 107752/Z/15/Z
6 · The paper itself

Abstract

objectiveTuberculosis (TB) remains one of the leading causes of mortality and morbidity among people living with HIV. We sought to estimate the incidence of TB in a national database of HIV-infected patients receiving antiretroviral therapy (ART) in Botswana.

designA retrospective analysis of HIV-infected adult patients (≥18years) who initiated ART between 2011 and 2015 in the Botswana ART program.

methodsMultivariable analysis using Cox regression included sex, age, viral load and CD4 T-cell counts.

resultsOf 45 729 patients, with a median follow-up of 1.7 years Q1 : Q3, 0.5, 3.1), 1791 patients developed TB over a median of 1.5 years (Q1 : Q3, 0.3, 3.1) of follow-up (incidence rate 1.9 per 100 person-years; 95% CI 1.8-2.0). At baseline, the median CD4 T-cell count was 272 cells/μl (Q1, Q3 146, 403). The risk of TB was greatest within the first year of ART (incidence rate 2.9 per 100 person-years; 95% CI 2.7-3.1) and in patients with CD4 T-cell counts below 50 cells/μl (incidence rate 8.3/100 person-years; 95% CI 7.1-9.7). Patients with viral loads above 10 000 copies/ml at 3 months post-ART initiation had two times higher risk of TB, hazard ratio 2.5 (95% CI 1.8-2.3).

conclusionWe report a high incidence of TB within the first year of ART and in patients with advanced immunodeficiency. Improved screening strategies and virologic monitoring during this early period on ART, coupled with TB preventive treatment, will reduce the burden of TB.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveBotswanaCD4 Lymphocyte CountFemaleHIV InfectionsHumansIncidenceMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRetrospective StudiesRisk FactorsTime FactorsTuberculosis

Identifiers

PMID31764106
PMCPMC7903483
OpenAlexW2971792214

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.