Evidence map›Paper›PMID 34929028›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Incidence and Mortality of Extrapulmonary Tuberculosis in Ukraine: Analysis of National Surveillance Data.

Sara Khalife, Helen E Jenkins, Mariia Dolynska, Iana Terleieva, Iurii Varchenko, Tao Liu, E Jane Carter, C Robert Horsburgh, Natasha R Rybak, Vasyl Petrenko and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

16 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
  5. Article
  6. Surgical treatment of spinal tuberculosis: an updated review.European journal of medical research · 2024
    Review
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Clinical standards for drug-susceptible TB in children and adolescents.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  13. Article
  14. Review
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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

11 authors at 4 institutions in 2 countries.

Sara KhalifeDepartment of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Helen E JenkinsDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Mariia DolynskaDepartment of Tuberculosis and Pulmonology, Bogomolets National Medical University, Kyiv City, Ukraine.
Iana TerleievaPublic Health Center of the Ministry of Health, Kyiv City, Ukraine.
Iurii VarchenkoPublic Health Center of the Ministry of Health, Kyiv City, Ukraine.
Tao LiuDepartment of Biostatistics, Brown University School of Public Health, Providence, Rhode Island, USA.
E Jane CarterDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
C Robert HorsburghDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Natasha R RybakDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Vasyl PetrenkoDepartment of Tuberculosis and Pulmonology, Bogomolets National Medical University, Kyiv City, Ukraine.
Silvia S ChiangDepartment of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Brown University · USBogomolets National Medical University · UABoston University · USMinistry of Health · UA

Funding

Teens on TB Treatment: Predicting Adherence through Clinical Decision AnalysisK01TW010829 · FIC · RHODE ISLAND HOSPITAL · PI CHIANG, SILVIA SHINPEI · 2017 to 2021
$775k
Tracking tuberculosis patients in Ukraine to understand pathways through care and the impact of geographic movementsR03AI164123 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JENKINS, HELEN E. · 2021 to 2022
$165k
FIC NIH HHS K01 TW010829NIAID NIH HHS L40 AI141492NIAID NIH HHS R03 AI164123NIH HHS K01TW010829
6 · The paper itself

Abstract

backgroundImproved understanding of the epidemiology and mortality risk factors of extrapulmonary tuberculosis (EPTB) may facilitate successful diagnosis and management.

methodsWe analyzed national surveillance data from Ukraine to characterize EPTB subtypes (ie, localized in different anatomic sites). We calculated annual reported incidence, stratified by age, sex, and human immunodeficiency virus (HIV) status. Using Cox regression, we estimated mortality risk factors.

resultsBetween January 2015 and November 2018, 14 062 adults/adolescents (≥15 years) and 417 children (<15 years) had EPTB with or without concomitant pulmonary TB. The most commonly reported EPTB subtypes were pleural, peripheral lymph node, and osteoarticular. Most EPTB subtype notifications peaked at age 30-39 years and were higher in males. In adults/adolescents, most peripheral TB lymphadenitis, central nervous system (CNS) TB, and abdominal TB occurred in those with untreated HIV. CNS TB notifications in people without HIV peaked before age 5 years. Adults/adolescents with CNS TB (adjusted hazard ratio [aHR]: 3.22; 95% CI: 2.89-3.60) and abdominal TB (aHR: 1.83; 95% CI: 1.59-2.11) were more likely to die than those with pulmonary TB. Children with CNS TB were more likely to die (aHR: 88.25; 95% CI: 43.49-179.10) than those with non-CNS TB. Among adults/adolescents, older age and HIV were associated with death. Rifampicin resistance was associated with mortality in pleural, peripheral lymph node, and CNS TB.

conclusionsWe identified the most common EPTB subtypes by age and sex, patterns of EPTB disease by HIV status, and mortality risk factors. These findings can inform diagnosis and care for people with EPTB.

Indexed as

HIV InfectionsTuberculosisTuberculosis, PulmonaryAdolescentAdultChildChild, PreschoolHumansIncidenceMaleUkraineadolescentschildrenepidemiologypublic health surveillancetuberculous meningitis

Identifiers

PMID34929028
PMCPMC9464074
OpenAlexW4200264834

What OpenQuestion holds

Textmetadata
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.