Evidence map›Paper›PMID 32750060›Full record

ArticlePloS one2020

Outcomes and adverse events of pre- and extensively drug-resistant tuberculosis patients in Kinshasa, Democratique Republic of the Congo: A retrospective cohort study.

Innocent Murhula Kashongwe, Fina Mawete, Leopoldine Mbulula, Don Jean Nsuela, Luc Losenga, Nicole Anshambi, Murielle Aloni, Michel Kaswa, Jean Marie Ntumba Kayembe, Pierre Umba and 2 more

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 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 33% 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

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

  1. A systematic review on extensively drug-resistant tuberculosis from 2009 to 2020: special emphases on treatment outcomes.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Pooled it
  2. Bedaquiline-containing regimens and multidrug-resistant tuberculosis: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Pooled it
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  13. Drug Resistance Pattern ofInfection and drug resistance · 2021
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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

12 authors at 3 institutions in 1 country.

Innocent Murhula KashongweKinshasa University Hospital, Internal Medicine, Pulmonology Unit, Kinshasa, Democratic Republic of the Congo.ORCID 0000-0003-3983-1533
Fina MaweteNational Tuberculosis Program of the Democratic Republic of the Congo, Kinshasa, Democratic Republic of the Congo.
Leopoldine MbululaDrug Resistant Tuberculosis Unit 'Centre d'excellence Damien', Damian Foundation, Kinshasa, Democratic Republic of the Congo.
Don Jean NsuelaDrug Resistant Tuberculosis Unit 'Centre d'excellence Damien', Damian Foundation, Kinshasa, Democratic Republic of the Congo.
Luc LosengaDrug Resistant Tuberculosis Unit 'Centre d'excellence Damien', Damian Foundation, Kinshasa, Democratic Republic of the Congo.
Nicole AnshambiProvincial Coordination for Tuberculosis Control, Kinshasa, Democratic Republic of the Congo.
Murielle AloniNational Laboratory of Mycobacteria, Kinshasa, Democratic Republic of the Congo.
Michel KaswaNational Tuberculosis Program of the Democratic Republic of the Congo, Kinshasa, Democratic Republic of the Congo.
Jean Marie Ntumba KayembeKinshasa University Hospital, Internal Medicine, Pulmonology Unit, Kinshasa, Democratic Republic of the Congo.
Pierre UmbaDrug Resistant Tuberculosis Unit 'Centre d'excellence Damien', Damian Foundation, Kinshasa, Democratic Republic of the Congo.
Francois Bompeka LepiraKinshasa University Hospital, Internal Medicine, Pulmonology Unit, Kinshasa, Democratic Republic of the Congo.
Zacharie Munogolo KashongweKinshasa University Hospital, Internal Medicine, Pulmonology Unit, Kinshasa, Democratic Republic of the Congo.
University of Kinshasa · CDProgramme National Multisectoriel de Lutte contre le sida · CDKinshasa General Hospital · CD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensively drug-resistant tuberculosis (XDR TB) is a very serious form of tuberculosis that is burdened with a heavy mortality toll, especially before the advent of new TB drugs. The Democratic Republic of the Congo (DRC) is among the countries most affected by this new epidemic.

methodsA retrospective analysis was performed of the records of all patients with pre- and extensively drug-resistant tuberculosis hospitalized from January 1, 2015 to December 31, 2017 and monitored for at least 6 months to one year after the end of their treatment in Kinshasa; an individualized therapeutic regimen with bedaquiline for 20 months was built for each patient. The adverse effects were systematically monitored.

resultsOf the 40 laboratory-confirmed patients, 32 (80%) patients started treatment, including 29 preXRB and 3 XDR TB patients. In the eligible group, 3 patients (9.4%) had HIV-TB coinfections. The therapeutic success rate was 53.2%, and the mortality rate was 46.8% (15/32); there were no relapses, failures or losses to follow-up. All coinfected HIV-TB patients died during treatment. The cumulative patient survival rate was 62.5% at 3 months, 53.1% at 6 months and 53.1% at 20 months. The most common adverse events were vomiting, Skin rash, anemia and peripheral neuropathy.

conclusionThe new anti-tuberculosis drugs are a real hope for the management of Drug Resistant tuberculosis patient and other new therapeutic combinations may improve favorable outcomes.

Indexed as

AdolescentAdultAgedAnemiaAntitubercular AgentsCost of IllnessDemocratic Republic of the CongoDiarylquinolinesDrug Administration ScheduleDrug Therapy, CombinationExanthemaExtensively Drug-Resistant TuberculosisFemaleHumansMaleMiddle AgedAntitubercular AgentsbedaquilineDiarylquinolines

Identifiers

PMID32750060
PMCPMC7402497
OpenAlexW3046933341

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.