Evidence map›Paper›PMID 35794932›Full record

ArticleOpen forum infectious diseases2022

Tuberculosis Among Patients With Systemic Lupus Erythematosus in Indonesia: A Cohort Study.

Laniyati Hamijoyo, Edhyana Sahiratmadja, Nadia G Ghassani, Guntur Darmawan, Evan Susandi, Reinout van Crevel, Philip C Hill, Bachti Alisjahbana

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.2field-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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Autoimmune Diseases and Mycobacterial Infection.Diseases (Basel, Switzerland) · 2026
    Review
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  8. Review
  9. Oral Lesion Management in Juvenile SLE with Hepatosplenomegaly.International medical case reports journal · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Pregnancy-associatedIndian journal of sexually transmitted diseases and AIDS
    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 at 5 institutions in 3 countries.

Laniyati HamijoyoDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.ORCID https://orcid.org/0000-0002-1310-674X
Edhyana SahiratmadjaDepartment of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0001-9092-5848
Nadia G GhassaniStudy Center of Immunology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0002-4416-5208
Guntur DarmawanDepartment of Internal Medicine, Faculty of Medicine, Krida Wacana Christian University, Jakarta, Indonesia.ORCID https://orcid.org/0000-0002-2038-8220
Evan SusandiDepartment of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0002-0178-7138
Reinout van CrevelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.ORCID https://orcid.org/0000-0002-6233-6410
Philip C HillCentre for International Health, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0002-7006-0549
Bachti AlisjahbanaResearch Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0003-3745-8229
Padjadjaran University · IDDr. Hasan Sadikin General Hospital · IDKrida Wacana Christian University · IDRadboud University Nijmegen · NLUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In previous studies, researchers have identified systemic lupus erythematosus (SLE) as a risk factor for tuberculosis (TB), but data from TB-endemic countries are still relatively scarce. We examined TB in a large cohort of SLE patients in Indonesia. Methods: All patients registered in a lupus registry of the top referral hospital for West Java between 2008 and 2020 were included. Data on SLE characteristics and treatment were retrieved from the registry, and data on TB diagnosis, localization, and outcome were extracted from medical records. Cox-proportional hazard model was used to examine risk factors for development of TB. Results: Among 1278 SLE patients observed over a total of 4804 patient-years, 131 patients experienced 138 episodes of TB, a median of 2 years (interquartile range, 0.6-5.4) after diagnosis of SLE. A total of 113 patients (81.9%) had pulmonary involvement and 61 (44.2%) had extrapulmonary involvement, with disseminated disease in 26 of 138 episodes (18.8%), and 13 of 131 patients (9.9%) died from TB. The estimated TB incidence was 2873 cases per 100 000 person years. In multivariate cox regression analysis, development of TB was associated with household TB contact (hazard ratio [HR], 7.20; 95% confidence interval [CI], 4.05-12.80), pulse methylprednisolone therapy (HR, 1.64; 95% CI, 1.01-2.67), and age ≤25 years old at SLE diagnosis (HR, 1.54; 95% CI, 1.00-2.35). Conclusions: There is a high burden of TB in SLE patients in this TB-endemic setting, underlining the need for evaluation or implementation of TB preventive strategies.

Indexed as

Indonesiarisk factorssystemic lupus erythematosustuberculosis

Identifiers

PMID35794932
PMCPMC9251660
OpenAlexW4223515679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.