Evidence map›Paper›PMID 34449817›Full record

ArticlePloS one2021

Comparison of profile and treatment outcomes between elderly and non-elderly tuberculosis patients in Puducherry and Tamil Nadu, South India.

Sharan Murali, Yuvaraj Krishnamoorthy, Selby Knudsen, Gautam Roy, Jerrold Ellner, Charles Robert Horsburgh, Natasha Hochberg, Padmini Salgame, Senbagavalli Prakash Babu, Sonali Sarkar

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

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  8. Mortality and its influencing factors during anti-tuberculosis treatment in pulmonary tuberculosis patients in Hunan Province.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
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  14. Mouse Models forPathogens (Basel, Switzerland) · 2022
    Review
  15. Multidrug-resistant and extensively drug-resistantJournal of clinical tuberculosis and other mycobacterial diseases · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Risk Factors for Tuberculosis in Elderly: Prevalence and Population-attributable Risk.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

10 authors at 3 institutions in 2 countries.

Sharan MuraliDepartment of Preventive & Social Medicine, JIPMER, Puducherry, India.
Yuvaraj KrishnamoorthyDepartment of Preventive & Social Medicine, JIPMER, Puducherry, India.ORCID 0000-0003-4688-510X
Selby KnudsenSection of Infectious Diseases, Boston University School of Medicine, Boston, MA, United States of America.
Gautam RoyDepartment of Preventive & Social Medicine, JIPMER, Puducherry, India.
Jerrold EllnerDepartment of Medicine, Rutgers University, Newark, NJ, United States of America.
Charles Robert HorsburghSchool of Public Health, Epidemiology & Biostatistics, Boston University, Boston, MA, United States of America.
Natasha HochbergSection of Infectious Diseases, Boston University School of Medicine, Boston, MA, United States of America.
Padmini SalgameDepartment of Immunology, Rutgers University, Newark, NJ, United States of America.
Senbagavalli Prakash BabuDepartment of Preventive & Social Medicine, JIPMER, Puducherry, India.
Sonali SarkarDepartment of Preventive & Social Medicine, JIPMER, Puducherry, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · INBoston University · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rising geriatric population and the increased susceptibility of this age group to tuberculosis (TB), the deadliest single infectious agent, is bothersome for India. This study tried to explore the demographic and treatment outcome differences between the elderly (aged 60 years and above) and non-elderly TB (<60 years) patients from South India. This study was part of a large ongoing cohort study under the RePORT India consortium. Newly diagnosed TB patients recruited into the cohort between 2014 and 2018 were included in this study. Pretested and standardized questionnaire and tools were used to collect data and were stored securely for the entire cohort. Required demographic, anthropometric and treatment related variables were extracted from this database and analyzed using Stata version 14.0. Prevalence of elderly TB was summarized as percentage with 95% confidence interval (CI). Generalized linear modelling was attempted to find the factors associated with elderly TB. A total of 1,259 eligible TB patients were included into this present study. Mean (SD) of the participants in the elderly and non-elderly group was 65.8 (6.2) and 40.2 (12.0) respectively. Prevalence of elderly TB was 15.6% (95%CI: 13.6%-17.6%) with nearly 71% belonging to 60-69 age category. Male sex, OBC caste, poor education, unemployment, marriage, alcohol consumption and unable to work as per Karnofsky score were found to be significantly associated with an increased prevalence of elderly TB. Unfavorable outcomes (12% vs 6.5%, p value: 0.018), including death (9.3% vs 3.4%, p value: 0.001) were significantly higher among the elderly group when compared to their non-elderly counterparts. The current TB programme should have strategies to maintain follow up with due attention to adverse effects, social support and outcomes. Additional research should focus on predictors for unfavorable outcomes among the elderly TB group and explore ways to handle the same. Rendering adequate social support from the health system side and family side would be a good start.

Indexed as

AdultAgedAged, 80 and overAlcohol DrinkingAntitubercular AgentsFemaleHumansIndiaMaleMiddle AgedRisk FactorsTreatment OutcomeTuberculosisAntitubercular Agents

Identifiers

PMID34449817
PMCPMC8396735
OpenAlexW3196117392

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.