Evidence map›Paper›PMID 34567987›Full record

ArticlePublic health action2021

Diverse clinical and social circumstances: developing patient-centred care for DR-TB patients in South Africa.

L Mitrani, L Dickson-Hall, S Le Roux, J Hill, M Loveday, A D Grant, K Kielmann, K Mlisana, M Moshabela, M P Nicol and 2 more

Abstract read
In one paragraph

Article in Public health action, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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.

L MitraniDivision of Medical Microbiology, University of Cape Town, Cape Town, South Africa.
L Dickson-HallDivision of Medical Microbiology, University of Cape Town, Cape Town, South Africa.
S Le RouxDivision of Medical Microbiology, University of Cape Town, Cape Town, South Africa.
J HillTB Centre, London School of Hygiene & Tropical Medicine, London, UK.
M LovedayHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
A D GrantTB Centre, London School of Hygiene & Tropical Medicine, London, UK.
K KielmannInstitute for Global Health and Development, Queen Margaret University, Edinburgh, Scotland, UK.
K MlisanaDepartment of Medical Microbiology, University of KwaZulu-Natal, Durban, South Africa.
M MoshabelaSchool of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
M P NicolDivision of Medical Microbiology, University of Cape Town, Cape Town, South Africa.
J BlackLivingstone Hospital, Eastern Cape Department of Health, Port Elizabeth, South Africa.
H CoxDivision of Medical Microbiology, University of Cape Town, Cape Town, South Africa.

Funding

Medical Research Council MR/N015924/1Wellcome Trust
6 · The paper itself

Abstract

objectiveTo describe the medical, socio-economic and geographical profiles of patients with rifampicin-resistant TB (RR-TB) and the implications for the provision of patient-centred care.

settingThirteen districts across three South African provinces.

designThis descriptive study examined laboratory and healthcare facility records of 194 patients diagnosed with RR-TB in the third quarter of 2016.

resultsThe median age was 35 years; 120/194 (62%) of patients were male. Previous TB treatment was documented in 122/194 (63%) patients and 56/194 (29%) had a record of fluoroquinolone and/or second-line injectable resistance. Of 134 (69%) HIV-positive patients, viral loads were available for 68/134 (51%) (36/68 [53%] had viral loads of >1000 copies/ml) and CD4 counts were available for 92/134 (69%) (20/92 [22%] had CD4 <50 cells/mm

conclusionsRR-TB patients had diverse medical and social challenges highlighting the need for integrated, differentiated and patient-centred healthcare to better address specific needs and underlying vulnerabilities of individual patients.

Indexed as

health systemsintegrated carepatient complexity

Identifiers

PMID34567987
PMCPMC8455019

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.