Evidence map›Paper›PMID 34579667›Full record

SynthesisBMC infectious diseases2021

The yield of tuberculosis contact investigation in low- and middle-income settings: a systematic review and meta-analysis.

Mariana Velleca, Mohsen Malekinejad, Cecily Miller, Lucia Abascal Miguel, Hailey Reeves, Philip Hopewell, Elizabeth Fair

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
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  14. The Impact of Preventive Treatment for Multidrug- and Rifampin-Resistant Tuberculosis Exceeds Trial-Based Estimates.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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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

7 authors.

Mariana VellecaDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, CA, USA.ORCID https://orcid.org/0000-0001-6397-2016
Mohsen MalekinejadInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Cecily MillerInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Lucia Abascal MiguelInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Hailey ReevesInstitute for Global Health Sciences, University of California, San Francisco, CA, USA.
Philip HopewellDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Elizabeth FairDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco, CA, USA. elizabeth.fair@ucsf.edu.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundContact investigation, the systematic evaluation of individuals in close contact with an infectious tuberculosis (TB) patient, is a key active case-finding strategy for global TB control. Better estimates of the yield of contact investigation can guide strategies to reduce the number of underreported and underdiagnosed TB cases, approximately three million cases per year globally. A systematic review (Prospero ID # CRD42019133380) and meta-analysis was conducted to update and enhance the estimates of the yield of TB contact investigation in low- and middle-income countries (LMIC). Pubmed, Web of Science, Embase and the WHO Global Index Medicus were searched for peer-reviewed studies (published between January 2006-April 2019); studies reporting the number of active TB or latent tuberculosis infection (LTBI) found through contact investigation were included. Pooled data were meta-analyzed using a random effects model and risk of bias was assessed.

resultsOf 1,644 unique citations obtained from database searches, 110 studies met eligibility criteria for descriptive data synthesis and 95 for meta-analysis. The pooled yields of contact investigation activities for different outcomes were: secondary cases of all active TB (defined as those bacteriologically confirmed or clinically diagnosed) 2.87% (2.61-3.14, I

conclusionsThis study provides methodologically rigorous and up-to-date estimates for the yield of TB contact investigation activities in low- and middle-income countries (LMIC). While the data are heterogenous, these findings can inform strategic and programmatic planning for scale up of TB contact investigation activities.

Indexed as

Latent TuberculosisTuberculosisContact TracingHumansIncomeContact investigationMycobacterium tuberculosisSystematic ReviewTuberculosis

Identifiers

PMID34579667
PMCPMC8474777

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.