Evidence map›Paper›PMID 32102951›Full record

ArticleThorax2020

Patient outcomes associated with post-tuberculosis lung damage in Malawi: a prospective cohort study.

Jamilah Meghji, Maia Lesosky, Elizabeth Joekes, Peter Banda, Jamie Rylance, Stephen Gordon, Joseph Jacob, Harmien Zonderland, Peter MacPherson, Elizabeth L Corbett and 2 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Thorax, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 125 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 6 pooled it
15.9field-weighted citation impact, top 1% 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.

NCT06127641 narecruitingnot on this mapstarted 2023, after this paper: background citation

Rehabilitation of People With Post-tuberculosis Lung Disease

TypeinterventionalSponsorCentro Universitário Augusto MottaRan2023 to 2027Enrolled40ConditionsPulmonary TuberculosisArmsStandard care plus pulmonary rehabilitation, Standard Care
NCT07067528 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Feasibility and Acceptability of a Diagnostic Algorithm for Timely Post-tuberculosis Lung Disease Diagnosis at Primary Health Care Facilities in Mbarara, Uganda.

TypeinterventionalSponsorMbarara University of Science and TechnologyRan2026 to 2029Enrolled80ConditionsPost Pulmonary Tuberculosis, Post-Tuberculous BronchiectasisArmsA novel PTLD clinical diagnostic algorithm
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 6 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Post-tuberculosis lung impairment: systematic review and meta-analysis of spirometry data from 14 621 people.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Doxycycline host-directed therapy in human pulmonary tuberculosis.The Journal of clinical investigation · 2021
    Trial
  10. Review
  11. Article
  12. Post-tuberculosis lung disease in treated extra-pulmonary tuberculosis.American journal of respiratory and critical care medicine · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Observational
  20. Observational

65 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 4 countries.

Jamilah MeghjiDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK jamilah.meghji@lstmed.ac.uk.ORCID 0000-0002-4693-8884
Maia LesoskyDivision of Epidemiology and Biostatistics, University of Cape Town, Rondebosch, Western Cape, South Africa.ORCID 0000-0002-2026-958X
Elizabeth JoekesDepartment of Radiology, Royal Liverpool University Hospital, Liverpool, UK.
Peter BandaDepartment of Medicine, Queen Elizabeth Central Hospital, Blantyre, Southern Region, Malawi.
Jamie RylanceDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-2323-3611
Stephen GordonDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Joseph JacobCentre for Medical Imaging and Computing, University College London, London, UK.
Harmien ZonderlandDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Peter MacPhersonDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-0329-9613
Elizabeth L CorbettMalawi-Liverpool-Wellcome Clinical Research Programme, Blantyre, Malawi.
Kevin MortimerDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-8118-8871
Stephen Bertel SquireDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0001-7173-9038
University of Liverpool · GBAmsterdam University Medical Centers · NLLiverpool School of Tropical Medicine · GBQueen Elizabeth Central Hospital · MWUniversity College London · GBUniversity of Cape Town · ZA

Funding

Medical Research Council MR/K006533/1Medical Research Council MR/L009242/1Wellcome Trust 200901/Z/16/ZWellcome Trust 206575/Z/17/ZWellcome Trust 209553/Z/17/Z
6 · The paper itself

Abstract

backgroundPost-tuberculosis lung damage (PTLD) is a recognised consequence of pulmonary TB (pTB). However, little is known about its prevalence, patterns and associated outcomes, especially in sub-Saharan Africa and HIV-positive adults.

methodsAdult (≥15 years) survivors of a first episode of pTB in Blantyre, Malawi, completed the St George's Respiratory Questionnaire, 6-minute walk test, spirometry and high-resolution CT (HRCT) chest imaging at TB treatment completion. Symptom, spirometry, health seeking, TB-retreatment and mortality data were collected prospectively to 1 year. Risk factors for persistent symptoms, pulmonary function decline and respiratory-related health-seeking were identified through multivariable regression modelling.

resultsBetween February 2016 and April 2017, 405 participants were recruited. Median age was 35 years (IQR: 28 to 41), 77.3% (313/405) had had microbiologically proven pTB, and 60.3% (244/403) were HIV-positive. At pTB treatment completion, 60.7% (246/405) reported respiratory symptoms, 34.2% (125/365) had abnormal spirometry, 44.2% (170/385) had bronchiectasis ≥1 lobe and 9.4% (36/385) had ≥1 destroyed lobe on HRCT imaging. At 1 year, 30.7% (113/368) reported respiratory symptoms, 19.3% (59/305) and 14.1% (43/305) of patients had experienced declines in FEV

conclusionsPTLD is a common and under-recognised consequence of pTB that is disabling for patients and associated with adverse outcomes beyond pTB treatment completion. Increased efforts to prevent PTLD and guidelines for management of established disease are urgently needed. Low-cost clinical interventions to improve patient outcomes must be evaluated.

Indexed as

AdultBronchiectasisChronic DiseaseCoinfectionCoughDyspneaEpisode of CareFemaleForced Expiratory VolumeHealth SurveysHIV InfectionsHumansLung InjuryMalawiMalePrevalencebronchiectasisclinical epidemiologyrespiratory infectiontuberculosis

Identifiers

PMID32102951
PMCPMC7063395
OpenAlexW3007952794

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.