Evidence map›Paper›PMID 34485448›Full record

ArticleSouthern African journal of infectious diseases2019

Tracking the rate of initiation and retention on isoniazid preventive therapy in a high human immunodeficiency virus and tuberculosis burden setting of Lesotho.

Eltony Mugomeri, Dedré Olivier, Wilhelmiena M J van den Heever

Open access · goldAbstract read
In one paragraph

Article in Southern African journal of infectious diseases, 2019. 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
0.3field-weighted citation impact, top 40% 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, 3 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

3 authors at 2 institutions in 2 countries.

Eltony MugomeriMedical Laboratory Sciences, Africa University, Mutare, Zimbabwe.ORCID https://orcid.org/0000-0001-5353-7387
Dedré OlivierDepartment of Health Sciences, Central University of Technology, Bloemfontein, South Africa.ORCID https://orcid.org/0000-0003-3914-7934
Wilhelmiena M J van den HeeverDepartment of Health Sciences, Central University of Technology, Bloemfontein, South Africa.ORCID https://orcid.org/0000-0001-8009-4569
Central University of Technology · ZAAfrica University · ZW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) remains a public health problem, particularly in people living with human immunodeficiency virus (PLHIV). Yet, efforts to reduce TB incidence using isoniazid preventive therapy (IPT) have been curtailed by poor uptake of this intervention. This study reviewed the rate of IPT initiation in the sub-Saharan country of Lesotho, which has one of the highest TB incidences in the world.

methodsTime to IPT initiation in randomly sampled medical records of PLHIV was analysed using Cox's proportional hazards regression. Differences in the periods of enrolment into Human immunodeficiency virus (HIV) care were controlled for by considering the year IPT was launched (2011) as the base year and stratifying the medical records into the 2004-2010 cohort (before the launch of IPT) and the 2011-2016 cohort (after the launch).

resultsOut of 2955 patients included in the final analysis, 68.8% had received IPT by the study exit time. However, the overall rate of IPT initiation was 20.6 per 100 person-years, with 135 (6.6%) treatment interruptions. Compared to the 2004-2010 cohort, the 2011-2016 had a significantly (

conclusionThese findings indicate a high uptake of IPT with a slow rate of implementation. Significant factors associated with disparities in the initiation and interruption of IPT therapy in this study are important for policy review.

Indexed as

Cox’s proportional hazards functionisoniazid preventive therapyLesothotuberculosisuptake of health interventions

Identifiers

PMID34485448
PMCPMC8378156
OpenAlexW2990871994

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.