Evidence map›Paper›PMID 33023668›Full record

ArticleSystematic reviews2020

Systematic review of therapeutic outcomes of multidrug resistant tuberculosis and their predictors in adults receiving integrated treatment of tuberculosis and human immuno-deficiency virus in low- and middle-income countries: a study protocol.

Benjamin Momo Kadia, Desmond Aroke, Kevin Pene Njefi, Joel Noutakdie Tochie, Frank-Leonel Tianyi, Reine Suzanne Kadia, Christian Akem Dimala

Abstract read
In one paragraph

Article in Systematic reviews, 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
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  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

7 authors.

Benjamin Momo KadiaDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. benjaminmomokadia@gmail.com.ORCID 0000-0002-8566-7132
Desmond ArokeHealth and Human Development (2HD) Research Network, Douala, Cameroon.
Kevin Pene NjefiFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Joel Noutakdie TochieFaculty of Medicine and Biomedical Sciences (FMBS), University of Yaounde I, Yaounde, Cameroon.
Frank-Leonel TianyiFaculty of Medicine and Biomedical Sciences (FMBS), University of Yaounde I, Yaounde, Cameroon.
Reine Suzanne KadiaGlobal Health Systems Solutions, Douala, Cameroon.
Christian Akem DimalaHealth and Human Development (2HD) Research Network, Douala, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrograms that integrate tuberculosis (TB) and human immunodeficiency virus (HIV) treatment aim to provide efficient treatment services and maximize successful treatment outcomes through the delivery of both TB and HIV treatment by one provider at the same time and location. However, multi-drug resistant tuberculosis (MDR-TB) is more difficult to treat as compared to drug-sensitive TB, and in low- and middle-income countries (LMICs), the potential of programs integrating TB/HIV treatment to sustain favourable MDR-TB treatment outcomes is poorly elucidated. The objective of this review is to perform a systematic collection, critical appraisal and synthesis of existing evidence on therapeutic outcomes of MDR-TB and their predictors among adults receiving integrated treatment for TB/HIV in LMICs.

methodsA systematic review of quantitative evidence from observational cohort studies will be performed. MEDLINE, Embase, and Global Health electronic databases will be searched for relevant studies published from March 2004 to December 2019. Two investigators will independently screen the search output, review the eligible studies, and assess the quality of the eligible studies using quality assessment tools of the National Heart Lung and Blood Institute. Random-effects meta-analysis will be used to obtain summary estimates. Heterogeneity across studies will be assessed using the I DISCUSSION: This study is expected to report the performance of integrated TB/HIV treatment programs as regards their potential to uphold successful MDR-TB treatment outcomes in LMICs. Furthermore, the review will indicate patient-related and healthcare-related factors that should be addressed to improve on survival of patients with MDR-TB/HIV co-infection in LMICs. SYSTEMATIC REVIEW REGISTRATION: This review has been registered with the International Prospective Register of Systematic Reviews and the reference ID is CRD42020159745.

Indexed as

HIV InfectionsTuberculosisTuberculosis, Multidrug-ResistantAdultDeveloping CountriesHumansMeta-Analysis as TopicReview Literature as TopicSystematic Reviews as TopicTreatment OutcomeHIVIntegrated treatmentMultidrug-resistant tuberculosisOutcomes

Identifiers

PMID33023668
PMCPMC7541321

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.