Evidence map›Paper›PMID 32280767›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2020

Abdominal tuberculosis in children: A real-world experience of 218 cases from an endemic region.

Sadhna B Lal, Rishi Bolia, Jagadeesh V Menon, Vybhav Venkatesh, Anmol Bhatia, Kim Vaiphei, Rakesh Yadav, Sunil Sethi

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Article in JGH open : an open access journal of gastroenterology and hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Sadhna B LalDivision of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.ORCID https://orcid.org/0000-0003-0908-3650
Rishi BoliaDivision of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.
Jagadeesh V MenonDivision of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.
Vybhav VenkateshDivision of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.
Anmol BhatiaDivision of Paediatric Gastroenterology, Hepatology and Nutrition Post Graduate Institute of Medical Education and Research Chandigarh India.
Kim VaipheiDepartment of Pathology Post Graduate Institute of Medical Education and Research Chandigarh India.
Rakesh YadavFIND-RNTCP, Department of Microbiology Post Graduate Institute of Medical Education and Research Chandigarh India.
Sunil SethiDepartment of Microbiology Post Graduate Institute of Medical Education and Research Chandigarh India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimAbdominal tuberculosis (ATB) in children poses a diagnostic challenge because of its nonspecific clinical features, which often delay the diagnosis. Our aim was to present our real-world experience and provide an insight into the presentation, pattern of distribution, and diagnosis of the disease.

methodsA retrospective review was conducted of case records of all children ≤12 years of age diagnosed with ATB from January 2007 to January 2018. Clinical details and investigations were recorded and analyzed.

resultsA total of 218 children (110 boys), with a median age of 10 (0.25-12) years, were included. There was a median delay of 4 (0.5-36) months in establishing the diagnosis. Abdominal pain, fever, and loss of weight were the most common presenting features, with the triad of symptoms present in 54%. Multiple intra-abdominal sites were involved in 118 (54%) patients, with a combination of the gastrointestinal tract (I) and abdominal lymph nodes (L) being the most common (53/118). Among children with single-site involvement (

conclusionA triad of abdominal pain, fever, and weight loss is suggestive of ATB. Multiple intra-abdominal sites are frequently involved. Microbiological confirmation is possible in only one-third of the cases.

Indexed as

abdominal tuberculosischildrenpresentation

Identifiers

PMID32280767
PMCPMC7144780

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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.