Evidence map›Paper›PMID 32070443›Full record

ArticleEpidemiology and infection2020

Survival of patients with multidrug-resistant tuberculosis in Central China: a retrospective cohort study.

Jianjie Wang, Meilan Zhou, Zi Chen, Cong Chen, Gang Wu, Yingping Zuo, Xin Ren, Zhuan Chen, Weihua Wang, Yu Pang

Abstract read
In one paragraph

Article in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Influencing factors of death in patients with MDR-TB based on Bayesian Cox regression model.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  7. Drug resistance characteristics ofEpidemiology and infection · 2022
    Article
  8. Article
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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

10 authors.

Jianjie WangDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Meilan ZhouDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Zi ChenDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Cong ChenDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Gang WuDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Yingping ZuoDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Xin RenDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Zhuan ChenDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Weihua WangDepartment of Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
Yu PangNational Clinical Laboratory on Tuberculosis, Beijing Key Laboratory on Drug-resistant Tuberculosis Research, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Institute, Beijing, China.ORCID 0000-0001-6803-9807

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate long-term survival and risk factors associated with multidrug-resistant tuberculosis (MDR-TB) patient survival in Central China. Between December 2006 and June 2011, incident and retreatment adult MDR-TB patients were enrolled in the present study. Cox proportional hazard regression analysis was used to evaluate the risk factors affecting survival. The total follow-up period was 270 person-years (PY) for 356 MDR-TB cases in Wuhan. Of the 356 cases, 103 patients died, yielding an average case fatality rate of 381.2 per 1000 TB patients per year. Using adjusted Cox regression analysis, older age (adjusted hazard ratio (aHR) >3.0 starting from 30 years) and low education level (primary and middle school; aHR 1.67 (95% CI 1.01-2.77)) were independently associated with lower survival. Diabetes mellitus profoundly affected the survival of MDR-TB patients (aHR 1.95 (95% CI 1.30-2.93)). Our data demonstrate that coexistent diabetes significantly and negatively impacted MDR-TB patient survival. In addition, MDR-TB patients aged 60 years or older exhibited a greater risk of mortality during follow-up. Our findings emphasise that MDR-TB patients with comorbidities that increase their risk of death require additional medical interventions to reduce mortality.

Indexed as

AdolescentAdultAgedBiostatisticsChinaFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival AnalysisTuberculosis, Multidrug-ResistantYoung AdultMultidrug-resistantrisk factorsurvivaltuberculosis

Identifiers

PMID32070443
PMCPMC7078509

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Registered trials

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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.