Evidence map›Paper›PMID 32787837›Full record

ArticleBMC medical informatics and decision making2020

An e-registry for household contacts exposed to multidrug resistant TB in Mongolia.

Kush Naker, Katherine M Gaskell, Munhjargal Dorjravdan, Naranzul Dambaa, Chrissy H Roberts, David A J Moore

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

6 authors.

Kush NakerLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. kushnaker@gmail.com.ORCID 0000-0003-1853-9330
Katherine M GaskellLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Munhjargal DorjravdanNational Centre of Communicable Diseases, Nam Yan Zhu Street, 13th Khoroo, Ulaanbaatar, Mongolia.
Naranzul DambaaNational Centre of Communicable Diseases, Nam Yan Zhu Street, 13th Khoroo, Ulaanbaatar, Mongolia.
Chrissy H RobertsLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
David A J MooreLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WHO recommends that individuals exposed to persons with multidrug resistant tuberculosis (MDRTB) should be screened for active TB and followed up for 2 years to detect and treat secondary cases early. Resource prioritisation means this is rarely undertaken and where it is performed it's usually using a paper-based record, without collation of data. Electronic data collection into a web-based registry offers the opportunity for simplified and systematic TB contact surveillance with automatic synthesis of data at local, regional and national level. This pilot study was designed to explore the feasibility of usage of a novel e-registry tool and explore obstacles and facilitating factors to implementation.

methodsIn parallel with their paper records, seven dispensaries in Ulaanbaatar, Mongolia collected standardized data electronically using Open Data Kit (ODK). Patients with MDRTB and their contacts were recruited during a single clinic visit. Staff and patients were interviewed to gain insights into acceptability and to identify areas for improvement.

resultsSeventy household contacts of 32 MDR-TB index patients were recruited. 7/70 contacts (10%) traced had active TB at the time they were recruited to the e-registry. Paper registry satisfaction was low; 88% of staff preferred the e-registry as it was perceived as faster and more secure. Patients and their contacts were generally supportive of the e-registry; however, a significant minority 10/42 (24%) of index cases who were invited, declined to participate in the e-registry, with data security cited as their top concern.

conclusionE-registries are a promising tool for MDRTB contact tracing, but their acceptability amongst patients should not be taken for granted.

Indexed as

Contact TracingFamily CharacteristicsFeasibility StudiesFemaleHumansMaleMicrobial Sensitivity TestsMongoliaMycobacterium tuberculosisPilot ProjectsRegistriesTuberculosis, Multidrug-ResistantElectronicHousehold contactsMultidrug-resistant tuberculosisRegistry

Identifiers

PMID32787837
PMCPMC7425559

What OpenQuestion holds

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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.