Evidence map›Paper›PMID 35384317›Full record

ArticleJournal of the International AIDS Society2022

Incidence of active tuberculosis among people living with HIV receiving long-term antiretroviral therapy in high TB/HIV burden settings in Thailand: implication for tuberculosis preventive therapy.

Gompol Suwanpimolkul, Sivaporn Gatechompol, Kamon Kawkitinarong, Thornthun Ueaphongsukkit, Jiratchaya Sophonphan, Nirada Siriyakorn, Supunnee Jirajariyavej, Suwimon Khusuwan, Palakorn Panarat, Surat Wannalerdsakun and 13 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  12. Tuberculosis among Ambulatory People Living with HIV in Guangxi Province, China: A Longitudinal Study.International journal of environmental research and public health · 2022
    Article
  13. 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

23 authors at 14 institutions in 3 countries.

Gompol SuwanpimolkulDivision of Infectious Disease, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Sivaporn GatechompolCentre of Excellence in Tuberculosis, Division of Pulmonary Disease, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Kamon KawkitinarongCentre of Excellence in Tuberculosis, Division of Pulmonary Disease, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Thornthun UeaphongsukkitDivision of Infectious Disease, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Jiratchaya SophonphanHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Nirada SiriyakornInfectious Disease Unit, Medicine Department, Rajavithi Hospital, Bangkok, Thailand.
Supunnee JirajariyavejMedicine Department, Taksin Hospital, Bangkok, Thailand.
Suwimon KhusuwanMedicine Department, Chiangrai Prachanukroh Hospital, Chiangrai, Thailand.
Palakorn PanaratMedicine Department, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand.
Surat WannalerdsakunDivision of Infectious Disease, Department of Medicine, Naresuan University Hospital Phitsanulok, Phitsanulok, Thailand.
Natcha SaetiewMedicine Department, Sisaket Hospital, Sisaket, Thailand.
Sunee ChayangsuMedicine Department, Surin Hospital, Surin, Thailand.
Sirichai WiwatrojanagulMedicine Department, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand.
Preudtipong NoopetchMedicine Department, Hatyai Hospital, Hatyai, Thailand.
Praniti DanpornprasertMedicine Department, Klang Hospital, Bangkok, Thailand.
Sripetcharat MekviwattanawongMedicine Department, Pranangklao Hospital, Nonthaburi, Thailand.
Chris FujitnirunMedicine Department, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
Cheewanan LertpiriyasuwatDivision of AIDS and STIs, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
Win Min HanHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.ORCID 0000-0003-3731-7960
Stephen J KerrHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Kiat RuxrungthamHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Anchalee AvihingsanonCentre of Excellence in Tuberculosis, Division of Pulmonary Disease, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0003-3222-9611
the HIV-TB study team
Chulalongkorn University · THHIV Netherlands Australia Thailand Research Collaboration · THBangkok Hospital · THBhumibol Adulyadej Hospital · THChiangRai Prachanukroh Hospital · THHatyai Hospital · THMaharat Nakhon Ratchasima Hospital · THMemorial Hospital · USMinistry of Public Health · THPhitsanulok University · THPrapokklao Hospital · THRajavithi Hospital · THSisaket Rajabhat University · THSurin Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong high tuberculosis (TB) and HIV burden countries in Asia, tuberculosis preventive therapy (TPT) in people living with HIV (PLWH) has been underutilized despite its proven benefits independent of antiretroviral therapy (ART). Therefore, we determined the incidence of active TB and mortality among 9179 adult PLWH who attended and received ART from 15 tertiary care hospitals across Thailand.

methodsA retrospective study was conducted in 2018 using follow-up data from 1999 to 2018. The primary endpoint was incident TB disease after ART initiation. Factors associated with TB incidence were analysed using competing risk regression. The Kaplan-Meier method was used to estimate mortality after ART initiation.

resultsDuring a median of 5.1 years of ART (IQR 2.2-9.5 years), 442 (4.8%) PLWH developed TB (TB/HIV), giving an overall incidence of 750 (95% CI 683-823) per 100,000 persons-year of follow up (PYFU). In multivariate analysis, lower CD4 at ART initiation (≤100 cells/mm

conclusionsIn this high TB burden country, TB incidence was remarkably high during the first few years after ART initiation and thereafter decreased significantly. Rapid ART initiation and appropriate TPT can be potential key interventions to tackle the TB epidemic and reduce mortality among PLWH in TB/HIV high burden settings.

Indexed as

HIV InfectionsTuberculosisAdultCD4 Lymphocyte CountHumansIncidenceMaleRetrospective StudiesThailandantiretroviral therapyAsiaHIVincident tuberculosislatent TB infectionThailand

Identifiers

PMID35384317
PMCPMC8982319
OpenAlexW4223488940

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.