Evidence map›Paper›PMID 35479297›Full record

ArticleERJ open research2022

Latent tuberculosis screening and treatment in HIV: highly acceptable in a prospective cohort study.

Helena A White, Hajra Okhai, Amandip Sahota, John Maltby, Iain Stephenson, Hemu Patel, Philip M Hefford, Martin J Wiselka, Manish Pareek

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

Helena A WhiteDept of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-2882-3511
Hajra OkhaiInstitute for Global Health, University College London, London, UK.
Amandip SahotaDept of Infection and HIV Medicine, University Hospitals Leicester NHS Trust, Leicester, UK.ORCID https://orcid.org/0000-0003-4123-1713
John MaltbyDept of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK.
Iain StephensonDept of Infection and HIV Medicine, University Hospitals Leicester NHS Trust, Leicester, UK.
Hemu PatelDept of Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.
Philip M HeffordDept of Infection and HIV Medicine, University Hospitals Leicester NHS Trust, Leicester, UK.
Martin J WiselkaDept of Infection and HIV Medicine, University Hospitals Leicester NHS Trust, Leicester, UK.
Manish PareekDept of Respiratory Sciences, University of Leicester, Leicester, UK.
University Hospitals of Leicester NHS Trust · GBUniversity of Leicester · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People living with HIV (PLWH) are at increased risk of re-activation of latent tuberculosis infection (LTBI). Although UK and international guidelines identify this group as a priority for LTBI screening and treatment, data on attitudes of PLWH to this policy recommendation are lacking. Methods: A five-point, Likert-style questionnaire was administered to PLWH to assess views and intentions towards accepting LTBI screening and treatment. Subsequent interferon-γ release assay (IGRA) testing was offered, and chemoprophylaxis if required. Influencing demographic and psychological associations with planned, and actual, testing and treatment uptake were assessed using multivariable logistic regression. Results: 444 out of 716 (62%) patients responded. 417 out of 437 (95.4%) expressed intention to accept LTBI testing. The only significant association was the perceived importance of testing to the individual (adjusted odds ratio (aOR) 8.98, 95% CI 2.55-31.67). 390 out of 393 (99.2%) accepted appropriate IGRA screening; 41 out of 390 (10.5%) were positive. 397 out of 431 (92.1%) expressed intention to accept chemoprophylaxis, associated with perceived importance of treatment (aOR 3.52, 95% CI 1.46-8.51), a desire to have treatment for LTBI (aOR 1.77, 95% CI 0.99-3.15) and confidence in taking treatment (aOR 3.77, 95% CI 1.84-7.72). Of those offered chemoprophylaxis, 36 out of 37 (97.3%) accepted and 34 out of 36 (94.4%) completed treatment. There were no correlates with actual screening acceptance. Conclusions: LTBI is common amongst PLWH, highlighting the importance of robust screening and treatment programmes. This study shows that screening and treatment for LTBI is highly acceptable to PLWH and provides strong, objective evidence for policy-makers developing guidelines in this cohort.

Identifiers

PMID35479297
PMCPMC9035605
OpenAlexW3215000238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.