Evidence map›Paper›PMID 33653759›Full record

SynthesisBMJ open2021

Systematic review of prediction models for pulmonary tuberculosis treatment outcomes in adults.

Lauren S Peetluk, Felipe M Ridolfi, Peter F Rebeiro, Dandan Liu, Valeria C Rolla, Timothy R Sterling

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Prediction Models for Maternal and Offspring Short- and Long-Term Outcomes Following Gestational Diabetes: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  10. A Point-of-Care Prediction Tool for Recurrent Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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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

6 authors at 2 institutions in 2 countries.

Lauren S PeetlukDivision of Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA lauren.s.peetluk@vanderbilt.edu.ORCID http://orcid.org/0000-0001-5302-2033
Felipe M RidolfiInstituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Brazil.
Peter F RebeiroDivision of Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Dandan LiuBiostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Valeria C RollaInstituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Brazil.
Timothy R SterlingDivision of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USInstituto Evandro Chagas · BR

Funding

CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
NRSA Training CoreTL1TR002244 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$4.6M
Predictors of treatment toxicity, failure, and relapse in HIV-related tuberculosisR01AI120790 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROLLA, VALERIA CAVALCANTI, STERLING, TIMOTHY R · 2016 to 2019
$2.6M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)TL1TR000447 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$1.2M
The HIV Care Continuum and Health Policy: Changes through Context and GeographyK01AI131895 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REBEIRO, PETER F · 2017 to 2021
$623k
Characterizing the impact of HIV disease severity in prediction models for tuberculosis treatment outcomesF31AI152614 · NIAID · VANDERBILT UNIVERSITY · PI PEETLUK, LAUREN SAAG · 2020 to 2020
$26k
NCATS NIH HHS TL1 TR000447NCATS NIH HHS TL1 TR002244NIAID NIH HHS F31 AI152614NIAID NIH HHS K01 AI131895NIAID NIH HHS R01 AI120790NIAID NIH HHS U01 AI069923
6 · The paper itself

Abstract

objectiveTo systematically review and critically evaluate prediction models developed to predict tuberculosis (TB) treatment outcomes among adults with pulmonary TB.

designSystematic review. DATA SOURCES: PubMed, Embase, Web of Science and Google Scholar were searched for studies published from 1 January 1995 to 9 January 2020. STUDY SELECTION AND DATA EXTRACTION: Studies that developed a model to predict pulmonary TB treatment outcomes were included. Study screening, data extraction and quality assessment were conducted independently by two reviewers. Study quality was evaluated using the Prediction model Risk Of Bias Assessment Tool. Data were synthesised with narrative review and in tables and figures.

results14 739 articles were identified, 536 underwent full-text review and 33 studies presenting 37 prediction models were included. Model outcomes included death (n=16, 43%), treatment failure (n=6, 16%), default (n=6, 16%) or a composite outcome (n=9, 25%). Most models (n=30, 81%) measured discrimination (median c-statistic=0.75; IQR: 0.68-0.84), and 17 (46%) reported calibration, often the Hosmer-Lemeshow test (n=13). Nineteen (51%) models were internally validated, and six (16%) were externally validated. Eighteen (54%) studies mentioned missing data, and of those, half (n=9) used complete case analysis. The most common predictors included age, sex, extrapulmonary TB, body mass index, chest X-ray results, previous TB and HIV. Risk of bias varied across studies, but all studies had high risk of bias in their analysis.

conclusionsTB outcome prediction models are heterogeneous with disparate outcome definitions, predictors and methodology. We do not recommend applying any in clinical settings without external validation, and encourage future researchers adhere to guidelines for developing and reporting of prediction models.

trial registrationThe study was registered on the international prospective register of systematic reviews PROSPERO (CRD42020155782).

Indexed as

Tuberculosis, PulmonaryAdultBiasHumansPrognosisTreatment Outcomeepidemiologystatistics & research methodstuberculosis

Identifiers

PMID33653759
PMCPMC7929865
OpenAlexW3134446428

What OpenQuestion holds

Textmetadata
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.