Evidence map›Paper›PMID 34168683›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2021

Patient- and provider-related factors in the success of multidrug-resistant tuberculosis treatment in Colombia.

Gloria Mercedes Puerto Castro, Fernando Nicolás Montes Zuluaga, Jacqueline Elizabeth Alcalde-Rabanal, Freddy Pérez

Open access · diamondAbstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% 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, 3 citations in OpenAlex.

  1. Article
  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

4 authors at 1 institution in 1 country.

Gloria Mercedes Puerto CastroColombia National Network for Tuberculosis Research Innovation and Knowledge Management, National Institute of Health Bogotá Colombia Colombia National Network for Tuberculosis Research Innovation and Knowledge Management, National Institute of Health, Bogotá, Colombia.
Fernando Nicolás Montes ZuluagaMedellín Municipal Secretariat of Health Medellín Colombia Medellín Municipal Secretariat of Health, Medellín, Colombia.
Jacqueline Elizabeth Alcalde-RabanalMexico National Institute of Public Health, Health Systems Research Center, Cuernavaca Morelos Mexico Mexico National Institute of Public Health, Health Systems Research Center, Cuernavaca, Morelos, Mexico.
Freddy PérezDepartment of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization Washington, DC USA Department of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, USA.
World Health Organization Regional Office for the Americas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify patient- and provider-related factors associated with the success of multidrug-resistant tuberculosis (MDR-TB) treatment in the six municipalities of Colombia with the highest number of MDR-TB cases.

methodsBivariate and multivariate logistic regressions were used to analyze the association between treatment success (cure or treatment completion) and characteristics of the patients and physicians, nursing professionals, and psychologists involved in their treatment. The importance of knowledge in the management of MDR-TB cases was explored through focus groups with these providers.

resultsOf 128 cases of TB-MDR, 63 (49.2%) experienced treatment success. Only 52.9% of the physicians and nursing professionals had satisfactory knowledge about MDR-TB. Logistic regression showed that being HIV negative, being affiliated with the contributory health insurance scheme, being cared for by a male physician, and being cared for by nursing professionals with sufficient knowledge were associated with a successful treatment outcome (

conclusionsSome characteristics of patients and healthcare providers influence treatment success in MDR-TB cases. Physicians' and nurses' knowledge about MDR-TB must be improved, and follow-up of MDR-TB patients who are living with HIV and of those affiliated with the subsidized health insurance scheme in Colombia must be strengthened, as these patients have a lower likelihood of a successful treatment outcome.

Indexed as

Colombiahealth human resources traininghealth personnelmultidrug bacterial resistanceTuberculosis

Identifiers

PMID34168683
PMCPMC8216496
OpenAlexW3171617116

What OpenQuestion holds

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LicenceCC BY
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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.