Evidence map›Paper›PMID 35734005›Full record

ArticlePublic health action2022

Impact of on-site Xpert on TB diagnosis and mortality trends in Uganda.

S Walusimbi, I Najjingo, S Zawedde-Muyanja, J Musaazi, A Nyombi, W Katagira, J Ssendiwala, W Muttamba

Abstract read
In one paragraph

Article in Public health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. The diagnostic yield of brushing versus non-brushing bronchoalveolar lavage fluid for Xpert MTB/RIF in patients with suspected tuberculosis: a prospective self-controlled study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
  3. Article
  4. Use of stool swabs in molecular transport media increases access to Xpert Ultra testing for TB in children.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  5. Article
  6. Evaluating the impact of XpertPublic health action · 2022
    Article
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

8 authors.

S WalusimbiInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
I NajjingoMakerere University Lung Institute, College of Health Sciences, Kampala, Uganda.
S Zawedde-MuyanjaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
J MusaaziInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
A NyombiNational Tuberculosis and Leprosy Programme, Ministry of Health, Kampala, Uganda.
W KatagiraMakerere University Lung Institute, College of Health Sciences, Kampala, Uganda.
J SsendiwalaMakerere University School of Public Health Monitoring and Evaluation Technical Support (METS) Program Uganda, Kampala, Uganda.
W MuttambaMakerere University Lung Institute, College of Health Sciences, Kampala, Uganda.

Funding

HIV Co-infections in Uganda: TB, Cryptococcus, and Viral Hepatitis.D43TW009771 · FIC · JOHNS HOPKINS UNIVERSITY · PI CASTELNUOVO, BARBARA, KAMBUGU, ANDREW DDUNGU · 2014 to 2023
$3.3M
FIC NIH HHS D43 TW009771
6 · The paper itself

Abstract

settingSince 2012, Uganda expanded the Xpert

objectivesWe compared TB care cascades at health facilities with on-site Xpert vs. facilities that accessed the assay through specimen referral.

designWe analysed secondary aggregate data of the National TB and Leprosy Program (NTLP) from 2016 to 2019. We computed the proportions of notified TB cases and mortality ratios in relation to the estimated TB burden.

resultsTB case notifications per annum increased from 24,287 in 2016 to 30,739 in 2019, and the proportion of cases diagnosed at facilities with on-site Xpert testing increased from 62% (15,070/24,287) to 81% (24,829/30,739) (

conclusionWider installation and decentralisation of Xpert leads to increased case-finding. However, the impact on reduction in mortality remains limited. Interventions to address TB-related mortality in addition to Xpert roll-out are required.

Indexed as

cascadeimpacttuberculosisUgandaXpert MTB/RIF assay

Identifiers

PMID35734005
PMCPMC9176188

What OpenQuestion holds

Textmetadata
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.