Evidence map›Paper›PMID 32891134›Full record

ArticleBMC public health2020

Cardiometabolic risk factors among patients with tuberculosis attending tuberculosis treatment centers in Nepal.

Indra Prasad Poudyal, Pratik Khanal, Shiva Raj Mishra, Milan Malla, Prakash Poudel, Raj Kumar Jha, Anil Phuyal, Abiral Barakoti, Bipin Adhikari

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 48% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  4. 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 5 institutions in 3 countries.

Indra Prasad PoudyalInstitute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Pratik KhanalInstitute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal. pratikkhanal@iom.edu.np.ORCID http://orcid.org/0000-0002-1057-5700
Shiva Raj MishraNepal Development Society, Bharatpur, Chitwan, Nepal.
Milan MallaDepartment of Health Services, Ministry of Health and Population, Kathmandu, Nepal.
Prakash PoudelInstitute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Raj Kumar JhaInstitute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Anil PhuyalInstitute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Abiral BarakotiDepartment of Health Services, Ministry of Health and Population, Kathmandu, Nepal.
Bipin AdhikariCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Tribhuvan University Teaching Hospital · NPMinistry of Health and Population · NPThe University of Queensland · AUTribhuvan University · NPUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe co-morbidity of cardiometabolic diseases in patients with Tuberculosis adds a significant burden in current health systems in developing countries including Nepal. The main objective of this study was to explore cardiometabolic risk factors among patients with Tuberculosis.

methodsThis was a cross-sectional study conducted among patients with tuberculosis in 12 tuberculosis treatment centers from eight districts of Nepal between May and July 2017. Interviews with participants were conducted using a structured questionnaire and were supplemented by anthropometric measurements and on-site blood glucose tests. Data were analyzed using descriptive and inferential statistics.

resultsAmong 221 study participants, 138 (62.4%) had new smear-positive pulmonary tuberculosis, 24 (10.9%) had new smear-negative pulmonary tuberculosis and 34 (15.4%) had new extra- pulmonary tuberculosis. Overall, 43.1% of the patients with tuberculosis had at least one cardiometabolic risk factor. The prevalence of at least one cardiometabolic risk factor was more in male than female (47.8% versus 33.8%). Prevalence of tobacco (18.9% versus 4.8%), and alcohol (12.6% versus 6.5%) use was proportionately higher in male compared to female. The prevalence of hypertension (17% vs. 21%) and obesity (11.9% vs. 12.9%) was lower in male compared to females. Female (AOR = 0.47; CI: 0.23-0.94), those from Gandaki Province (AOR = 0.32; CI: 0.13-0.79) and literate (AOR = 0.49; CI: 0.25-0.96) had reduced risk of cardiometabolic disease risk factors.

conclusionsThis study highlights the role of gender and socio-demographic characteristics associated with the risk of cardiometabolic diseases in patients with Tuberculosis. The findings from this study can guide medical practitioners and policy makers to consider clinical suspicion, diagnosis and treatment. National treatment guideline can benefit by integrating the management of non-communicable diseases in Tuberculosis treatment centers.

Indexed as

AdultAlcohol DrinkingComorbidityCross-Sectional StudiesDelivery of Health CareFemaleHealth FacilitiesHumansHypertensionMaleMiddle AgedNepalNoncommunicable DiseasesObesityPrevalenceRisk FactorsCardiometabolic risk factorsNon-communicable diseasesTuberculosis

Identifiers

PMID32891134
PMCPMC7487625
OpenAlexW3083614207

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.