Evidence map›Paper›PMID 32666352›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2021

Post-tuberculosis mortality risk among immigrants to British Columbia, Canada, 1985-2015: a time-dependent Cox regression analysis of linked immigration, public health, and vital statistics data.

C Andrew Basham, Mohammad Ehsanul Karim, Victoria J Cook, David M Patrick, James C Johnston

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. The ghost of tuberculosis past.Nature medicine · 2026
    Article
  3. Post-tuberculosis lung disease.Breathe (Sheffield, England) · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  11. Improving post-tuberculosis care in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  12. 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

5 authors.

C Andrew BashamSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. umbashac@myumanitoba.ca.ORCID 0000-0003-0506-7936
Mohammad Ehsanul KarimSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Victoria J CookBritish Columbia Centre for Disease Control, 655 W 12th Ave., Vancouver, BC, V5Z 4R4, Canada.
David M PatrickSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
James C JohnstonSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.

Funding

CIHR PJT#153213
6 · The paper itself

Abstract

objectiveTo compare non-tuberculosis (non-TB)-cause mortality risk overall and cause-specific mortality risks within the immigrant population of British Columbia (BC) with and without TB diagnosis through time-dependent Cox regressions.

methodsAll people immigrating to BC during 1985-2015 (N = 1,030,873) were included with n = 2435 TB patients, and the remaining as non-TB controls. Outcomes were time-to-mortality for all non-TB causes, respiratory diseases, cardiovascular diseases, cancers, and injuries/poisonings, and were ascertained using ICD-coded vital statistics data. Cox regressions were used, with a time-varying exposure variable for TB diagnosis.

resultsThe non-TB-cause mortality hazard ratio (HR) was 4.01 (95% CI 3.57-4.51) with covariate-adjusted HR of 1.69 (95% CI 1.50-1.91). Cause-specific covariate-adjusted mortality risk was elevated for respiratory diseases (aHR = 2.96; 95% CI 2.18-4.00), cardiovascular diseases (aHR = 1.63; 95% CI 1.32-2.02), cancers (aHR = 1.40; 95% CI 1.13-1.75), and injuries/poisonings (aHR = 1.85; 95% CI 1.25-2.72).

conclusionsIn any given year, if an immigrant to BC was diagnosed with TB, their risk of non-TB mortality was 69% higher than if they were not diagnosed with TB. Healthcare providers should consider multiple potential threats to the long-term health of TB patients during and after TB treatment. TB guidelines in high-income settings should address TB survivor health.

Indexed as

Emigrants and ImmigrantsMortalityTuberculosisAdultAgedBritish ColumbiaEmigration and ImmigrationFemaleHumansMaleMiddle AgedProportional Hazards ModelsPublic HealthRegression AnalysisVital StatisticsAdministrative dataBritish ColumbiaCanadaCohort studiesMortalityPost-tuberculosisSurvival analysis

Identifiers

PMID32666352
PMCPMC7851220

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.