Evidence map›Paper›PMID 32381002›Full record

ArticleBMC pulmonary medicine2020

Development of chronic lung impairment in Mozambican TB patients and associated risks.

Celso Khosa, Nilesh Bhatt, Isabel Massango, Khalide Azam, Elmar Saathoff, Abhishek Bakuli, Friedrich Riess, Olena Ivanova, Michael Hoelscher, Andrea Rachow

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
0.4field-weighted citation impact, top 25% 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
NCT06722547 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effects of Addition Respiratory Muscle Stretching Exercise for Improving Functional Exercise Capacity Fatigue and Quality of Life in Patients With Bronchiectasis Post-Tuberculosis Lung Disease

TypeinterventionalSponsorUniversitas PadjadjaranRan2024 to 2025Enrolled50ConditionsBronchiectasis Post-Tuberculosis Lung DiseaseArmsStandard PR, Standard PR plus Respiratory Muscle Stretching
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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 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
  5. Trial
  6. Article
  7. Review
  8. Post-tuberculosis lung disease.Breathe (Sheffield, England) · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Performance of spirometry assessment at TB diagnosis.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Neutrophils Contribute to Severity of Tuberculosis Pathology and Recovery From Lung Damage Pre- and Posttreatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  18. Article
  19. Article
  20. Seroprevalence ofJournal of fungi (Basel, Switzerland) · 2021
    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

10 authors at 3 institutions in 3 countries.

Celso KhosaInstituto Nacional de Saúde (INS), Maputo, Mozambique. khosacelso@gmail.com.ORCID http://orcid.org/0000-0001-6701-4202
Nilesh BhattInstituto Nacional de Saúde (INS), Maputo, Mozambique.
Isabel MassangoInstituto Nacional de Saúde (INS), Maputo, Mozambique.
Khalide AzamInstituto Nacional de Saúde (INS), Maputo, Mozambique.
Elmar SaathoffDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Abhishek BakuliDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Friedrich RiessDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Olena IvanovaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Michael HoelscherCenter for International Health - CIHLMU, Munich, Germany.
Andrea RachowCenter for International Health - CIHLMU, Munich, Germany.
Center for International Environmental Law · USLMU Klinikum · DEInstituto Nacional de Saúde · MZ

Funding

Bundesministerium für Bildung und Forschung (DE) 01DG13013European and Developing Countries Clinical Trials Partnership SP.2011.41304.008European and Developing Countries Clinical Trials Partnership SP.2011.41304.022
6 · The paper itself

Abstract

backgroundPulmonary tuberculosis (PTB) is frequently associated with chronic respiratory impairment despite microbiological cure. There are only a few clinical research studies that describe the course, type and severity as well as associated risk factors for lung impairment (LI) in TB patients.

methodsA prospective cohort study was conducted at TB Research Clinic of Instituto Nacional de Saúde in Mavalane, Maputo, from June 2014 to June 2016. PTB patients were prospectively enrolled and followed for 52 weeks after TB diagnosis. Lung function was evaluated by spirometry at 8, 26 and 52 weeks after TB treatment initiation, and spirometric values of below the lower limit of normality were considered as LI. Descriptive statistical analysis was performed to summarize the proportion of patients with different lung outcomes at week 52, including type and severity of LI. Risk factors were analysed using multinomial regression analysis.

resultsA total of 69 PTB patients were enrolled, of which 62 had a valid spirometry result at week 52 after TB treatment start. At week 8, 26 and 52, the proportion of patients with LI was 78, 68.9 and 64.5%, respectively, and 35.5% had moderate or severe LI at week 52. The majority of patients with LI suffered from pulmonary restriction. Female sex, low haemoglobin and heavy smoking were significantly associated with LI.

conclusionModerate or severe LI can be observed in a third of cured TB patients. Further research is urgently needed to gain deeper insight into the characteristics of post TB LI, the causal pathways and potential treatment strategies.

Indexed as

SpirometryAdultAntitubercular AgentsFemaleHumansLungMaleMiddle AgedMozambiqueProspective StudiesRegression AnalysisRespiratory Function TestsRisk FactorsSputumTuberculosis, PulmonaryAntitubercular AgentsLung function in TB diseasePulmonary function testingTreatment outcomeTuberculosis (TB)

Identifiers

PMID32381002
PMCPMC7203866
OpenAlexW3023116135

What OpenQuestion holds

Textmetadata
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.