Evidence map›Paper›PMID 36629205›Full record

ArticleLung India : official organ of Indian Chest Society

Diagnostic yield of CBNAAT in the diagnosis of extrapulmonary tuberculosis: A prospective observational study.

N Nishal, P Arjun, Rajalakshmi Arjun, K A Ameer, Sanjeev Nair, Alladi Mohan

Abstract read
In one paragraph

Article in Lung India : official organ of Indian Chest Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
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  3. Article
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  5. Article
  6. Article
  7. Article
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  9. Article
  10. Article
  11. Primary Thyroid Tuberculosis Diagnosed with CBNAAT.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Clinical Application of theInfection and drug resistance · 2023
    Article
  17. Abdominal Tuberculosis Masquerading as Malignancy in an Infant.Journal of Indian Association of Pediatric Surgeons
    Article
  18. Article
  19. Article
  20. 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

6 authors.

N NishalDepartment of Respiratory Medicine, Kerala Institute of Medical Sciences, Anayara, Trivandrum, Kerala, India.
P ArjunDepartment of Respiratory Medicine, Kerala Institute of Medical Sciences, Anayara, Trivandrum, Kerala, India.
Rajalakshmi ArjunDepartment of Infectious disease, Kerala Institute of Medical Sciences, Anayara, Trivandrum, Kerala, India.
K A AmeerDepartment of Respiratory Medicine, Kerala Institute of Medical Sciences, Anayara, Trivandrum, Kerala, India.
Sanjeev NairDepartment of Respiratory Medicine, Government Medical College, Thrissur, Kerala, India.
Alladi MohanDepartment of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extrapulmonary Tuberculosis (EPTB) accounts for 15%-53% of all TB cases. In recent years, cartridge-based nucleic acid amplification test (CBNAAT) has emerged as an important diagnostic tool since the diagnostic yield is higher. We conducted this study to evaluate the diagnostic yield of CBNAAT in EPTB. Methods: One hundred and four patients with EPTB were included in the study. Samples were subjected to CBNAAT, AFB smear, culture for Mycobacterium tuberculosis and histopathology examination (HPE). Yield of each was estimated as compared to a composite reference standard (CRS). Results: The most common EPTB was lymph node TB (48.1%). CBNAAT was positive in 30.76% of EPTB cases. The highest yield was for bone and joint TB (35.7%), followed by lymph node TB (34%) and abdominal TB (33.3%). Taking CRS as the gold standard, sensitivity of CBNAAT was 32.3%, that of AFB culture was 33.3% and that of HPE was 87.2%. Conclusion: When taken as a single diagnostic tool, HPE had highest sensitivity in diagnosing EPTB when compared to CBNAAT and AFB culture. Use of CBNAAT alone for diagnosis of EPTB may result in missing the diagnosis. A combined modality incorporating CBNAAT, histopathology and AFB culture is the best approach for diagnosis of EPTB.

Indexed as

Cartridge-based nucleic acid amplification test (CBNAAT)composite reference standard (CRS)extrapulmonary tuberculosis (EPTB)Indianational TB elimination program (NTEP)

Identifiers

PMID36629205
PMCPMC9623858

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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.