Evidence map›Paper›PMID 32555731›Full record

ArticlePloS one2020

HIV testing uptake and HIV positivity among presumptive tuberculosis patients in Mandalay, Myanmar, 2014-2017.

Khine Wut Yee Kyaw, Nang Thu Thu Kyaw, Myo Su Kyi, Sandar Aye, Anthony D Harries, Ajay M V Kumar, Nay Lynn Oo, Srinath Satyanarayana, Si Thu Aung

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 39% 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

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

  1. Pooled it
  2. Losses along the tuberculosis sputum sample referral cascade for Mpongwe District, Zambia.African journal of primary health care & family medicine · 2023
    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 4 institutions in 4 countries.

Khine Wut Yee KyawInternational Union Against Tuberculosis and Lung Disease (The Union), Mandalay, Myanmar.ORCID 0000-0003-0709-484X
Nang Thu Thu KyawInternational Union Against Tuberculosis and Lung Disease (The Union), Mandalay, Myanmar.
Myo Su KyiDepartment of Public Health, National Tuberculosis Programme, Myanmar.ORCID 0000-0001-6968-5456
Sandar AyeInternational Union Against Tuberculosis and Lung Disease (The Union), Mandalay, Myanmar.
Anthony D HarriesInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
Ajay M V KumarInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
Nay Lynn OoInternational Union Against Tuberculosis and Lung Disease (The Union), Mandalay, Myanmar.
Srinath SatyanarayanaInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.ORCID 0000-0002-5420-2551
Si Thu AungDisease Control Division, Department of Public Health, Nay Pyi Taw, Myanmar.
International Union Against Tuberculosis and Lung Disease · FRDepartment of Public Health · MMLondon School of Hygiene & Tropical Medicine · GBYenepoya University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe World Health Organization's framework for TB/HIV collaborative activities recommends provider-initiated HIV testing and counselling (PITC) of patients with presumptive TB. In Myanmar, PITC among presumptive TB patients was started at the TB outpatient department (TB OPD) in Mandalay in 2014. In this study, we assessed the uptake of PITC among presumptive TB patients and the number needed to screen to find one additional HIV positive case, stratified by demographic and clinical characteristics.

methodThis was a cross-sectional study using routinely collected data of presumptive TB patients who registered for PITC services at the TB OPD between August 2014 and December 2017 in Mandalay.

resultAmong 21,989 presumptive TB patients registered, 9,796 (44.5%) had known HIV status at registration and 2,763 (28.2%) were people already living with HIV (PLHIV). Of the remainder, 85.3% (10,401/12,193) were newly tested for HIV. Patients <55 years old, those registered in 2014, 2015 and 2017, those employed and those having a history of TB contact had higher uptakes of HIV testing. Among 10,401 patients tested for HIV, 213 (2.1%) patients were newly diagnosed with HIV and this included 147 (69.0%) who were not diagnosed as having TB. The overall prevalence of HIV (previously known and newly diagnosed) among presumptive TB patients was 14.8% (2,976/20,119). The number needed to screen to find one additional HIV case was 48: this number was lower (i.e., a higher yield) among patients aged 35-44 years and among those who were divorced or separated.

conclusionUptake of HIV testing among eligible presumptive TB patients was high with four out of five presumptive TB patients being tested for HIV. This strategy detected many additional HIV-positive persons, and this included those who were not diagnosed with TB. We strongly recommend that this strategy be implemented nationwide in Myanmar.

Indexed as

AdolescentAdultAgedCoinfectionCounselingCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMass ScreeningMiddle AgedMyanmarPatient Acceptance of Health CarePrevalenceTuberculosis

Identifiers

PMID32555731
PMCPMC7302489
OpenAlexW3036077740

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.