Evidence map›Paper›PMID 31877818›Full record

ArticleTropical medicine and infectious disease2019

GeneXpert and Community Health Workers Supported Patient Tracing for Tuberculosis Diagnosis in Conflict-Affected Border Areas in India.

Mrinalini Das, Dileep Pasupuleti, Srinivasa Rao, Stacy Sloan, Homa Mansoor, Stobdan Kalon, Farah Naz Hossain, Gabriella Ferlazzo, Petros Isaakidis

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Engagement and Preparedness of Urban Accredited Social Health Activists (U-ASHAs) for Delivery of Tuberculosis (TB) Care: Findings From two Cities in Maharashtra, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

9 authors at 1 institution in 1 country.

Mrinalini DasMédecins Sans Frontières/Doctors Without Borders, Delhi 110024, India.ORCID 0000-0002-1354-4299
Dileep PasupuletiMédecins Sans Frontières/Doctors Without Borders, Bhadrachalam, Telangana 507111, India.
Srinivasa RaoDistrict TB Office, RNTCP, Bhadrachalam district hospital, Bhadrachalam, Telangana 507111, India.
Stacy SloanMédecins Sans Frontières/Doctors Without Borders, Bhadrachalam, Telangana 507111, India.
Homa MansoorMédecins Sans Frontières/Doctors Without Borders, Delhi 110024, India.
Stobdan KalonMédecins Sans Frontières/Doctors Without Borders, Delhi 110024, India.
Farah Naz HossainMédecins Sans Frontières/Doctors Without Borders, Delhi 110024, India.
Gabriella FerlazzoSouthern Africa Medical Unit, Médecins Sans Frontières, Cape Town 7925, South Africa.
Petros IsaakidisSouthern Africa Medical Unit, Médecins Sans Frontières, Cape Town 7925, South Africa.ORCID 0000-0002-7881-1554
Médecins Sans Frontières · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Médecins Sans Frontières (MSF) has been providing diagnosis and treatment for patients with tuberculosis (TB) via mobile clinics in conflict-affected border areas of Chhattisgarh, India since 2009. The study objectives were to determine the proportion of patients diagnosed with TB and those who were lost-to-follow-up (LTFU) prior to treatment initiation among patients with presumptive TB between April 2015 and August 2018. The study also compared bacteriological confirmation and pretreatment LTFU during two time periods: a) April 2015-August 2016 and b) April 2017-August 2018 (before and after the introduction of GeneXpert as a first diagnostic test). Community health workers (CHW) supported patient tracing. This study was a retrospective analysis of routine program data. Among 1042 patients with presumptive TB, 376 (36%) were diagnosed with TB. Of presumptive TB patients, the pretreatment LTFU was 7%. Upon comparing the two time-periods, bacteriological confirmation increased from 20% to 33%, while pretreatment LTFU decreased from 11% to 4%. TB diagnosis with GeneXpert as the first diagnostic test and CHW-supported patient tracing in a mobile-clinic model of care shows feasibility for replication in similar conflict-affected, hard to reach areas.

Indexed as

health promotionindigenous populationoperational researchsputum

Identifiers

PMID31877818
PMCPMC7157641
OpenAlexW2995779097

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.