Evidence map›Paper›PMID 35180263›Full record

ArticlePloS one2022

Age-specific effectiveness of a tuberculosis screening intervention in children.

Meredith B Brooks, Melanie M Dubois, Amyn A Malik, Junaid F Ahmed, Sara Siddiqui, Salman Khan, Manzoor Brohi, Teerath Das Valecha, Farhana Amanullah, Mercedes C Becerra and 1 more

Abstract readEvaluation Study
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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.

Meredith B BrooksDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0003-1022-2515
Melanie M DuboisDivision of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Amyn A MalikYale Institute for Global Health, New Haven, Connecticut, United States of America.ORCID 0000-0003-4875-9916
Junaid F AhmedThe Indus Hospital and Health Network, Korangi Crossing, Karachi, Pakistan.
Sara SiddiquiThe Indus Hospital and Health Network, Korangi Crossing, Karachi, Pakistan.ORCID 0000-0003-3942-1593
Salman KhanSayed Abdullah Shah Institute of Medical Sciences Sehwan, Sehwan, Pakistan.
Manzoor BrohiCommunicable Diseases Control, Department of Health, Sindh, Hyderabad, Pakistan.
Teerath Das ValechaSayed Abdullah Shah Institute of Medical Sciences Sehwan, Sehwan, Pakistan.
Farhana AmanullahThe Indus Hospital and Health Network, Korangi Crossing, Karachi, Pakistan.
Mercedes C BecerraDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.
Hamidah HussainInteractive Research and Development Global, Singapore, Singapore.ORCID 0000-0002-6585-9815

Funding

PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
Tuberculosis in teens: a geospatial approach to predict community transmissionK01AI151083 · NIAID · HARVARD MEDICAL SCHOOL · PI Meredith Blair Brooks · 2021 to 2026
$698k
NIAID NIH HHS K01 AI151083NIAID NIH HHS T32 AI007433
6 · The paper itself

Abstract

objectiveTo apply a cascade-of-care framework to evaluate the effectiveness-by age of the child-of an intensified tuberculosis patient-finding intervention.

designFrom a prospective screening program at four hospitals in Pakistan (2014-2016) we constructed a care cascade comprising six steps: screened, positive screen, evaluated, diagnosed, started treatment, and successful outcome. We evaluated the cascade by each year of age from 0 to 14 and report the age-specific mean proportion and standard deviation.

resultsOn average across all ages, only 12.5% (standard deviation: 2.0%) of children with a positive screen were not evaluated. Among children who had a complete evaluation, the highest percentages of children diagnosed with tuberculosis were observed in children 0-4 (mean: 31.9%; standard deviation: 4.8%), followed by lower percentages in children 5-9 (mean: 22.4%; standard deviation: 2.2%), and 10-14 (mean: 26.0%; standard deviation:5.4%). Nearly all children diagnosed with tuberculosis initiated treatment, and an average of 93.3% (standard deviation: 3.3%) across all ages had successful treatment outcomes.

conclusionsThis intervention was highly effective across ages 0-14 years. Our study illustrates the utility of applying operational analyses of age-stratified cascades to identify age-specific gaps in pediatric tuberculosis care that can guide future, novel interventions to close these gaps.

Indexed as

AdolescentAge FactorsChildChild, PreschoolFemaleHumansInfantMaleMass ScreeningPakistanTuberculosis

Identifiers

PMID35180263
PMCPMC8856528

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LicenceCC BY
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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.