Evidence map›Paper›PMID 36090970›Full record

SynthesisFrontiers in immunology2022

Screening performance of C-reactive protein for active pulmonary tuberculosis in HIV-positive patients: A systematic review with a meta-analysis.

Andreea-Daniela Meca, Adina Turcu-Stiolica, Maria Bogdan, Mihaela-Simona Subtirelu, Relu Cocoș, Bogdan Silviu Ungureanu, Beatrice Mahler, Catalina-Gabriela Pisoschi

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Efficacy ofFrontiers in medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Changes of C-reactive protein and Procalcitonin after four weeks of treatment in patients with pulmonary TB.Journal of clinical tuberculosis and other mycobacterial diseases · 2023
    Article
  15. 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 2 institutions in 1 country.

Andreea-Daniela MecaDepartment of Pharmacology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Adina Turcu-StiolicaDepartment of Pharmacoeconomics, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Maria BogdanDepartment of Pharmacology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Mihaela-Simona SubtireluDepartment of Pharmacoeconomics, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Relu CocoșDepartment of Medical Genetics, University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania.
Bogdan Silviu UngureanuResearch Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Beatrice MahlerMarius Nasta Institute of Pneumology, Bucharest, Romania.
Catalina-Gabriela PisoschiDepartment of Biochemistry, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
University of Medicine and Pharmacy of Craiova · ROInstitutul de Pneumoftiziologie "Marius Nasta" · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tuberculosis (TB) is the leading infectious cause of mortality worldwide. In the last years, resistant strains of the etiological agent, Methods: We performed a meta-analysis update of diagnostic tests, pooling sensitivities, and specificities in order to assess the accuracy of CRP as a potential test for the screening of HIV-associated PTB in outpatients. We searched MEDLINE, Web of Science, and SCOPUS for eligible articles before 19 October 2021. Results: We identified 13 eligible studies with HIV-positive patients with PTB. At a CRP threshold of 10 mg/L, CRP pooled sensitivity was 87% (76%-93%) and pooled specificity was 67% (49%-81%), with an area under the curve (AUC) of 0.858. Using a CRP threshold of 8 mg/L, pooled sensitivity was 82% (72%-89%) and pooled specificity was 82% (67%-92%), with an AUC of 0.879. We found that CRP has a high sensitivity in the screening of PTB in HIV-positive outpatients, consistent with findings reported previously. Conclusions: Regardless of pooled specificity, better results were found using the CRP threshold of 8 mg/L as a test screening of PTB, meeting the need of further approaching specific TB diagnostic methods and reducing resource consumption.

Indexed as

HIV InfectionsMycobacterium tuberculosisTuberculosis, Lymph NodeTuberculosis, PulmonaryC-Reactive ProteinHumansC-Reactive ProteinC-reactive proteinHIV-positivescreeningsensitivityspecificitytuberculosis

Identifiers

PMID36090970
PMCPMC9453225
OpenAlexW4293231898

What OpenQuestion holds

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LicenceCC BY
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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.