Evidence map›Paper›PMID 34937802›Full record

ArticleThorax2022

Respiratory symptoms and lung function in patients treated for pulmonary tuberculosis in Malawi: a prospective cohort study.

Rebecca Nightingale, Beatrice Chinoko, Maia Lesosky, Sarah J Rylance, Bright Mnesa, Ndaziona Peter Kwanjo Banda, Elizabeth Joekes, Stephen Bertel Squire, Kevin Mortimer, Jamilah Meghji and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Thorax, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07067528 (The Feasibility and Acceptability of a Diagnostic Algorithm for Timely Post-tuberculosis Lung Disease Diagnosis at Primary Health Care Facilities in Mbarara, Uganda.), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT07067528 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Feasibility and Acceptability of a Diagnostic Algorithm for Timely Post-tuberculosis Lung Disease Diagnosis at Primary Health Care Facilities in Mbarara, Uganda.

TypeinterventionalSponsorMbarara University of Science and TechnologyRan2026 to 2029Enrolled80ConditionsPost Pulmonary Tuberculosis, Post-Tuberculous BronchiectasisArmsA novel PTLD clinical diagnostic algorithm
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Post-tuberculosis lung disease in treated extra-pulmonary tuberculosis.American journal of respiratory and critical care medicine · 2026
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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 3 institutions in 3 countries.

Rebecca NightingaleDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK rebecca.nightingale@lstmed.ac.uk.ORCID 0000-0001-5636-8531
Beatrice ChinokoMalawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Maia LesoskyDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-2026-958X
Sarah J RylanceDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0001-6459-9073
Bright MnesaMalawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Ndaziona Peter Kwanjo BandaDepartment of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi.ORCID 0000-0002-3958-0888
Elizabeth JoekesLiverpool Univeristy Hospitals NHS Foundation Trust, Liverpool, UK.ORCID 0000-0002-5577-210X
Stephen Bertel SquireDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0001-7173-9038
Kevin MortimerDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-8118-8871
Jamilah MeghjiDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-4693-8884
Jamie RylanceDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-2323-3611
University of Liverpool · GBQueen Elizabeth Central Hospital · MWUniversity of Cape Town · ZA

Funding

Department of Health 16/136/35Medical Research Council MR/N013514/1Medical Research Council MR/P022006/1Medical Research Council MR/S02042X/1Wellcome TrustWellcome Trust 106065/Z/14/A
6 · The paper itself

Abstract

rationalePulmonary tuberculosis (PTB) can cause post-TB lung disease (PTLD) associated with respiratory symptoms, spirometric and radiological abnormalities. Understanding of the predictors and natural history of PTLD is limited.

objectivesTo describe the symptoms and lung function of Malawian adults up to 3 years following PTB-treatment completion, and to determine the evolution of PTLD over this period.

methodsAdults successfully completing PTB treatment in Blantyre, Malawi were followed up for 3 years and assessed using questionnaires, post-bronchodilator spirometry, 6 min walk tests, chest X-ray and high-resolution CT. Predictors of lung function at 3 years were identified by mixed effects regression modelling. MEASUREMENT AND MAIN

resultsWe recruited 405 participants of whom 301 completed 3 years follow-up (mean (SD) age 35 years (10.2); 66.6% males; 60.4% HIV-positive). At 3 years, 59/301 (19.6%) reported respiratory symptoms and 76/272 (27.9%) had abnormal spirometry. The proportions with low FVC fell from 57/285 (20.0%) at TB treatment completion to 33/272 (12.1%), while obstruction increased from and 41/285 (14.4%) to 43/272 (15.8%) at 3 years. Absolute FEV

conclusionSpirometric measures improved over the 3 years following treatment, mostly in the first year. However, a third of PTB survivors experienced ongoing respiratory symptoms and abnormal spirometry (with accelerated FEV

Indexed as

Lung DiseasesTuberculosis, PulmonaryAdultBronchodilator AgentsFemaleForced Expiratory VolumeHumansLungMalawiMaleProspective StudiesSpirometryVital CapacityBronchodilator Agentstuberculosis

Identifiers

PMID34937802
PMCPMC9606518
OpenAlexW4200189059

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.