Evidence map›Paper›PMID 33350763›Full record

ArticleMedicine2020

Incidence of nontuberculous mycobacterial disease and coinfection with tuberculosis in a tuberculosis-endemic region: A population-based retrospective cohort study.

Chin-Kuo Lin, Yao-Hsu Yang, Mong-Liang Lu, Ying-Huang Tsai, Meng-Jer Hsieh, Yi-Chen Lee, Tsu-Nai Wang, Yi-Lung Chen, Vincent Chin-Hung Chen

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Detection ofMicroorganisms · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Activity Profiling of Mycobacterial L,D-Transpeptidases.bioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Clinical characteristics and outcomes of tuberculosis and non-tuberculous mycobacteria infections: a population-based study of concurrent and sequential infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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 6 institutions in 2 countries.

Chin-Kuo LinDivision of Pulmonary Infection and Critical Care, Department of Pulmonary and Critical Care Medicine Chang Gung Memorial Hospital, Chiayi.ORCID 0000-0002-5940-3715
Yao-Hsu YangDepartment of Traditional Chinese Medicine, Chiayi Chang Gung Memorial Hospital.
Mong-Liang LuDepartment of Psychiatry, Wan-Fang Hospital & School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Ying-Huang TsaiDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine.
Meng-Jer HsiehDivision of Pulmonary Infection and Critical Care, Department of Pulmonary and Critical Care Medicine Chang Gung Memorial Hospital, Chiayi.
Yi-Chen LeeSchool of Occupational Therapy, Chung Shan Medical University, Taichung, Taiwan.
Tsu-Nai WangDepartment of Public Health, College of Health Science.
Yi-Lung ChenDepartment of Healthcare Administration, Asia University, Taichung, Taiwan.
Vincent Chin-Hung ChenHealth Information and Epidemiology Laboratory of Chang Gung Memorial Hospital, Chiayi.
Chang Gung University · TWAsia University · TWChiayi Chang Gung Memorial Hospital · TWKaohsiung Medical University · TWPulmonary and Critical Care Associates · USWan Fang Hospital · TW

Funding

Chiayi Chang Gung Memorial Hospital CLRPG6G0041
6 · The paper itself

Abstract

abstractNontuberculous mycobacteria (NTM) infection may interfere in the diagnosis and treatment of tuberculosis (TB) in TB-endemic regions. However, the population-based incidence of NTM disease and NTM-TB coinfection remains unclear.We used Taiwan's National Health Insurance Research Database to identify new diagnoses of NTM disease and TB from 2005 to 2013 and calculated the incidence rate and the proportion of NTM-TB coinfection. The patients with NTM disease or TB were determined by the use of disease codes from International Classification of Diseases, Ninth Revision, Clinical Modification, laboratory mycobacterium examination codes, and antimycobacterial therapy receipts.From 2005 to 2013, the age-adjusted incidence rate of NTM disease increased from 5.3 to 14.8 per 100,000 people per year and the age-adjusted incidence rate of NTM-TB coinfection was around 1.2 to 2.2 per 100,000 people per year. The proportion of NTM-TB coinfection among patients with confirmed TB was 2.8%. Male and older patients had a significantly higher incidence of NTM disease. The effects of urbanization and socioeconomic status (SES) on the incidences of TB and NTM disease were different. Rural living and lower SES were significantly associated with increasing the incidence of confirmed TB but not with that of NTM disease. For NTM disease, those living in the least urbanized area had significantly lower incidence rate ratio than in the highest urbanized area. The incidence of NTM-TB coinfection was higher in older patients and compared with patients aged < 45 years, the incidence rate ratio of the patients aged> 74 years was 12.5.In TB-endemic Taiwan, the incidence of NTM disease increased from 2005 to 2013. Male gender and old age were risk factors for high incidence of NTM disease. SES did not have a significant effect on the incidence of NTM disease, but rural living was associated with lower incidence of NTM disease. In TB-endemic areas, NTM-TB coinfection could disturb the diagnosis of TB and treatment, especially in elderly patients.

Indexed as

Mycobacterium Infections, NontuberculousTuberculosisAdultAgedAge FactorsCohort StudiesCoinfectionEndemic DiseasesFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSex Factors

Identifiers

PMID33350763
PMCPMC7769346
OpenAlexW3116378978

What OpenQuestion holds

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LicenceCC BY-NC
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.