Evidence map›Paper›PMID 35420123›Full record

ArticleInternational health2023

Definitive outcomes in patients with rifampicin-resistant tuberculosis treated in Niger from 2012 to 2019: A retrospective cohort study.

Mahamadou Bassirou Souleymane, Tom Decroo, Saïdou Mamadou, Alphazazi Soumana, Ibrahim Mamane Lawan, Assiatou Gagara-Issoufou, Eric Adehossi, Nimer Ortuño-Gutiérrez, Lutgarde Lynen, Leen Rigouts and 3 more

Open access · goldAbstract read
In one paragraph

Article in International health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 45% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  8. 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

13 authors at 6 institutions in 3 countries.

Mahamadou Bassirou SouleymaneDamien Foun dation Niger, TB-MR, BP: 1065 Niamey, Niger.ORCID 0000-0002-9645-1994
Tom DecrooInstitute of Tropical Medicine, Unit of Mycobacteriology, Nationalestraat 155, 2000 Antwerp, Belgium.
Saïdou MamadouUniversité Abdou Moumouni de Niamey, Faculté des Sciences de la Santé, BP: 237 Niamey, Niger.
Alphazazi SoumanaProgramme National de Lutte contre la Tuberculose, Coordination, BP: 613 Niamey, Niger.
Ibrahim Mamane LawanDamien Foun dation Niger, TB-MR, BP: 1065 Niamey, Niger.
Assiatou Gagara-IssoufouUniversité Abdou Moumouni de Niamey, Faculté des Sciences de la Santé, BP: 237 Niamey, Niger.
Eric AdehossiUniversité Abdou Moumouni de Niamey, Faculté des Sciences de la Santé, BP: 237 Niamey, Niger.
Nimer Ortuño-GutiérrezDamien Foundation Brussels, TB-MR, Boulevard Léopold II 263, 1081 Brussels, Belgium.
Lutgarde LynenInstitute of Tropical Medicine, Unit of Mycobacteriology, Nationalestraat 155, 2000 Antwerp, Belgium.
Leen RigoutsInstitute of Tropical Medicine, Unit of Mycobacteriology, Nationalestraat 155, 2000 Antwerp, Belgium.
Bouke Catherine de JongInstitute of Tropical Medicine, Unit of Mycobacteriology, Nationalestraat 155, 2000 Antwerp, Belgium.
Armand Van DeunIndependent Consultant, 3000 Leuven, Belgium.
Alberto PiubelloDamien Foun dation Niger, TB-MR, BP: 1065 Niamey, Niger.
United Nations Children's Fund Niger · NEUniversité Abdou Moumouni · NEInstituut voor Tropische Geneeskunde · BENational Hospital Niamey · NEResearch Foundation - Flanders · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutcomes of retreatment for rifampicin-resistant tuberculosis (RR-TB) are rarely reported. We report 'definitive outcomes' after a cascade approach to RR-TB treatment. After a bacteriologically adverse outcome for the 9-months fluoroquinolone-based Short Treatment Regimen (STR), patients were retreated with a bedaquiline-based regimen (BDQ-regimen).

methodsA Retrospective cohort study of RR-TB patients treated with the STR during 2012-2019 and retreated with a BDQ-regimen in case of failure or relapse was conducted. Definitive relapse-free cure took into account BDQ-regimen outcomes.

resultsOf 367 patients treated with the STR, 20 (5.4%) experienced failure or relapse. Out of these 20 patients, 14 started a BDQ-regimen, of whom none experienced failure or relapse. Definitive end of treatment outcomes of STR after revising with third-line BDQ-regimen outcomes, 84.7% (311/367) were cured relapse-free, 10.6% (39/367) died during treatment and 3.0% (11/367) were lost to follow-up during treatment with either the STR or BDQ-regimen. Six patients (1.6%; 6/367) with STR failure/relapse died before starting a BDQ-regimen. No patient had definitive treatment failure or relapse and remained without treatment.

conclusionsIf fluoroquinolone resistance is excluded or rare, it is beneficial to use fluoroquinolone as the core drug for a first RR-TB treatment regimen and to safeguard bedaquiline for those in need of retreatment.

Indexed as

Antitubercular AgentsTuberculosis, Multidrug-ResistantFluoroquinolonesHumansNigerRetrospective StudiesRifampinTreatment OutcomeAntitubercular AgentsFluoroquinolonesRifampinbedaquiline, Nigerrifampicin-resistantshort treatment regimenTB

Identifiers

PMID35420123
PMCPMC10153560
OpenAlexW4224011573

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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.