Evidence map›Paper›PMID 33437678›Full record

ArticlePublic health action2020

Performance of Xpert

M P Kasaro, O N Chilyabanyama, N S Shah, B Muluka, N Kapata, A Krüüner, I Mwaba, K Kaunda, W L Coggin, X J Wen and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Public health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 51% 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

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

  1. Pooled it
  2. 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

12 authors at 4 institutions in 2 countries.

M P KasaroCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
O N ChilyabanyamaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
N S ShahCenters for Disease Control and Prevention, Atlanta, GA, USA.
B MulukaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
N KapataMinistry of Health Zambia National TB Programme, Lusaka, Zambia.
A KrüünerCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
I MwabaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
K KaundaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
W L CogginCenters for Disease Control and Prevention, Atlanta, GA, USA.
X J WenCenters for Disease Control and Prevention, Atlanta, GA, USA.
G HenostrozaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
S ReidCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Centre for Infectious Disease Research in Zambia · ZMCenters for Disease Control and Prevention · USMinistry of Health · ZMUniversity of Alabama at Birmingham · US

Funding

CGH CDC HHS U01 GH000486
6 · The paper itself

Abstract

settingPeri-urban health facilities providing HIV and TB care in Zambia.

objectiveTo evaluate 1) the impact of Xpert

designQuasi-experimental study design with the first cohort evaluated per standard-of-care (SOC; first sputum tested using smear microscopy) and the second cohort per an algorithm using Xpert as initial test (intervention phase; IP). Xpert testing was provided onsite in Chongwe District, while samples were transported 5-10 km in Kafue District. TB was confirmed using mycobacterial culture.

resultsAmong 1350 PLHIV enrolled, 156 (15.4%) had confirmed TB. Time from TB evaluation to diagnosis (

conclusionXpert improved time to diagnosis and treatment initiation, but there was no difference in all-cause mortality. High sensitivity of Determine TB-LAM Ag at lower CD4 count supports increased use in settings providing care to PLHIV, particularly with advanced HIV disease.

Indexed as

HIVMycobacterium tuberculosisZambia

Identifiers

PMID33437678
PMCPMC7790492
OpenAlexW3118580708

What OpenQuestion holds

Textmetadata
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.