Evidence map›Paper›PMID 32872175›Full record

ReviewMicroorganisms2020

Diagnosis of Osteoarticular Tuberculosis: Perceptions, Protocols, Practices, and Priorities in the Endemic and Non-Endemic Areas of the World-A WAIOT View.

Vikas M Agashe, Ashok N Johari, Mudit Shah, Rashid Anjum, Carlo Romano, Lorenzo Drago, Hemant K Sharma, Thami Benzakour

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. The clinical and epidemiological landscape ofFrontiers in cellular and infection microbiology · 2026
    Pooled it
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  16. BMJ case reports · 2023
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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

8 authors at 3 institutions in 3 countries.

Vikas M AgashePD Hinduja Hospital, Mahim, Mumbai 400016, India.ORCID 0000-0003-0756-9622
Ashok N JohariENABLE International Centre for Paediatric Musculoskeletal Care, Mumbai 400016, India.ORCID 0000-0001-6227-5841
Mudit ShahDr. Agashe's Maternity and Surgical Nursing Home, 116 Bazar ward, MN, Road Kurla, Mumbai 400070, India.ORCID 0000-0001-9710-9595
Rashid AnjumDepartment of Orthopaedics, ASCOMS and Hospital, J and K, Jammu 180017, India.ORCID 0000-0001-6557-5399
Carlo RomanoStudio Medico Associato Cecca-Romanò, 20121 Milano, Italy.ORCID 0000-0001-6726-0593
Lorenzo DragoClinical Microbiology, University of Milan, 20100 Milan, Italy.ORCID 0000-0002-5206-540X
Hemant K SharmaHull University Teaching Hospitals, Anlaby Road, Hull HU3 2JZ, UK.ORCID 0000-0003-3781-1651
Thami BenzakourZerktouni Orthopaedic Clinic, Casablanca 20000, Morocco.ORCID 0000-0002-5490-094X
P. D. Hinduja Hospital and Medical Research Centre · INUniversity of Hull · GBUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been a major resurgence of tuberculosis (TB) and drug-resistant tuberculosis in the last few decades. Although it has been brought under control in most Western countries, it is still a major cause of death in endemic regions like India. Osteoarticular tuberculosis (OA TB) forms a small proportion of the total cases of tuberculosis. Perceptions and practices of orthopedic surgeons are entirely different in endemic and non-endemic regions around the world, due to the vast difference in exposure. Literature from endemic areas puts stress on clinico-radiological diagnosis and empirical anti-tubercular treatment (ATT). Such practices, although non-invasive, simple to implement, and economical, carry a significant risk of missing TB mimics and developing drug resistance. However, OA TB is still perceived as a "diagnostic enigma" in non-endemic regions, leading to a delay in diagnosis. Hence, a high index of suspicion, especially in a high-risk population, is needed to improve the diagnosis. Evolving drug resistance continues to thwart efforts to control the disease globally. This review article discusses the perceptions and practices in different parts of the world, with India as an example of the endemic world, and lays down priorities for overcoming the challenges of diagnosing osteoarticular TB.

Indexed as

clinico-radiological diagnosisculturedrug-resistant tuberculosisdrug sensitivityendemicGeneXpertosteoarticular tuberculosis

Identifiers

PMID32872175
PMCPMC7563388
OpenAlexW3082182721

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.