Evidence map›Paper›PMID 36962203›Full record

ArticlePLOS global public health2022

Patient-centered approach to the management of drug-resistant tuberculosis in France: How far off the mark are we?

Yousra Kherabi, Bastien Mollo, Sandrine Gerard, François-Xavier Lescure, Christophe Rioux, Yazdan Yazdanpanah

Open access · goldFull text read
In one paragraph

Article in PLOS global public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 51% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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 at 1 institution in 1 country.

Yousra KherabiService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.ORCID https://orcid.org/0000-0002-6201-426X
Bastien MolloService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.ORCID https://orcid.org/0000-0002-9671-7553
Sandrine GerardService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.
François-Xavier LescureService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.
Christophe RiouxService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.
Yazdan YazdanpanahService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire Bichat-Claude Bernard, Paris, France.
Université Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-resistant tuberculosis (DR-TB) is a major public health concern worldwide. The prolonged isolation required is a source of challenges for both healthcare workers and patients, especially in high-income countries where DR-TB patients are frequently migrants with vulnerabilities. However, data on the needs of these vulnerable patients are scarce. Our objective was to identify and quantify conflict or inappropriate care situations experienced by both DR-TB patients and healthcare workers. This 10-year retrospective observational study (01/2008 to 10/2018) was conducted in a referral center for resistant tuberculosis management in Paris, France. Sixty-five DR-TB patients were hospitalized during the study period. Their demographic, clinical and social characteristics and any conflict or inappropriate care situations they experienced with healthcare workers while hospitalized were analyzed. Conflict or inappropriate care situations with healthcare workers were reported for 24 patients during their stay (36.9%). Eleven patients (16.9%) had difficulty adhering to respiratory isolation rules, 15 (23.1%) were discharged against medical advice, 9 (13.8%) were excluded from hospital for disciplinary reasons, verbal or physical violence was reported for 7 patients (10.8%), and 4 arrests (6.2%) were made by the police. Conflict situations were reported more often when there was a language barrier (70.8%, p<0.0001). More than one-third of patients with DR-TB in this referral center experienced at least one inappropriate care situation with healthcare workers. This study illustrates the urgent need to promote a patient-centered approach and to respond to the challenges of its practical implementation.

Identifiers

PMID36962203
PMCPMC10021739
OpenAlexW4224302638

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read56
identifiers read4
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.