Evidence map›Paper›PMID 36091352›Full record

ArticleAfrican journal of laboratory medicine2022

GeneXpert rollout in three high-burden tuberculosis countries in Africa: A review of pulmonary tuberculosis diagnosis and outcomes from 2001 to 2019.

Victor Williams, Marianne Calnan, Bassey Edem, Chukwuemeka Onwuchekwa, Chika Okoro, Christine Candari, Rhodora Cruz, Kennedy Otwombe

Abstract read
In one paragraph

Article in African journal of laboratory medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Rifampicin-resistantJournal of clinical tuberculosis and other mycobacterial diseases · 2025
    Article
  6. Article
  7. Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review.African journal of primary health care & family medicine · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors.

Victor WilliamsUnit of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-0594-3433
Marianne CalnanUniversity Research Co. LLC, Manila, Philippines.ORCID https://orcid.org/0000-0001-5321-7025
Bassey EdemVaccines and Immunity Theme, MRC Unit the Gambia, London School of Hygiene and Tropical Medicine, Fajara, Gambia.ORCID https://orcid.org/0000-0002-9783-1542
Chukwuemeka OnwuchekwaBarcelona Institute of Global Health (ISGlobal), Barcelona, Spain.ORCID https://orcid.org/0000-0002-0017-8429
Chika OkoroUniversal Health Coverage and Communicable and Non-Communicable Diseases Cluster, World Health Organization, Owerri, Imo State, Nigeria.ORCID https://orcid.org/0000-0003-1093-5953
Christine CandariUniversity Research Co. LLC, Manila, Philippines.ORCID https://orcid.org/0000-0002-0168-0947
Rhodora CruzUniversity Research Co. LLC, Manila, Philippines.ORCID https://orcid.org/0000-0002-9780-7032
Kennedy OtwombeUnit of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-7433-4383

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: The rollout of GeneXpert aimed at increasing early diagnosis of tuberculosis to improve treatment outcomes and global tuberculosis targets. Objective: This study evaluated trends in tuberculosis diagnosis and outcomes pre- and post-introduction of GeneXpert in three African countries - the Democratic Republic of the Congo (DRC), Nigeria and South Africa. Methods: Data from 2001 to 2019 were extracted from the World Health Organization's data repository. Descriptive analysis, paired Results: Estimated tuberculosis incidence decreased from 327/100 000 to 324/100 000 in the DRC, and from 1220/100 000 to 988/100 000 in South Africa. Incidence remained at 219/100 000 in Nigeria. The tuberculosis case notification rate did not change significantly. Increases in the new case treatment success rates were statistically significant (DRC: Conclusion: Improvements in tuberculosis treatment outcomes were achieved, but little progress has been made in new case notification due to varied implementation and scale-up of GeneXpert across the three countries. Implementation barriers need to be addressed to achieve the required tuberculosis targets.

Indexed as

AfricaGeneXpertinterrupted time seriestuberculosisXpert MTB/RIF

Identifiers

PMID36091352
PMCPMC9453189

What OpenQuestion holds

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LicenceCC BY
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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.