Evidence map›Paper›PMID 37066967›Full record

ArticleEpidemiology and infection2023

Role of latent tuberculosis infection on elevated risk of cardiovascular disease: a population-based cohort study of immigrants in British Columbia, Canada, 1985-2019.

Md Belal Hossain, James C Johnston, Victoria J Cook, Mohsen Sadatsafavi, Hubert Wong, Kamila Romanowski, Mohammad Ehsanul Karim

Open access · goldAbstract read
In one paragraph

Article in Epidemiology and infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. The ghost of tuberculosis past.Nature medicine · 2026
    Article
  2. Cardiovascular Complications from Tuberculosis.Reviews in cardiovascular medicine · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Tuberculosis and Increased Incidence of Cardiovascular Disease: Cohort Study Using United States and United Kingdom Health Records.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  8. Article
  9. Article
  10. 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

7 authors at 1 institution in 1 country.

Md Belal HossainSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-4603-863X
James C JohnstonBritish Columbia Centre for Disease Control, Vancouver, BC, Canada.
Victoria J CookBritish Columbia Centre for Disease Control, Vancouver, BC, Canada.
Mohsen SadatsafaviFaculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.
Hubert WongSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Kamila RomanowskiBritish Columbia Centre for Disease Control, Vancouver, BC, Canada.
Mohammad Ehsanul KarimSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CA

Funding

CIHR PJT-153213
6 · The paper itself

Abstract

We investigated cardiovascular disease (CVD) risk associated with latent tuberculosis infection (LTBI) (Aim-1) and LTBI therapy (Aim-2) in British Columbia, a low-tuberculosis-incidence setting. 49,197 participants had valid LTBI test results. Cox proportional hazards model was fitted, adjusting for potential confounders. Compared with the participants who tested LTBI negative, LTBI positive was associated with an 8% higher CVD risk in complete case data (adjusted hazard ratio (HR): 1.08, 95% CI: 0.99-1.18), a statistically significant 11% higher risk when missing confounder values were imputed using multiple imputation (HR: 1.11, 95% CI: 1.02-1.20), and 10% higher risk when additional proxy variables supplementing known unmeasured confounders were incorporated in the highdimensional disease risk score technique to reduce residual confounding (HR: 1.10, 95% CI: 1.01-1.20). Also, compared with participants who tested negative, CVD risk was 27% higher among people who were LTBI positive but incomplete LTBI therapy (HR: 1.27, 95% CI: 1.04-1.55), whereas the risk was similar in people who completed LTBI therapy (HR: 1.04, 95% CI: 0.87-1.24). Findings were consistent in different sensitivity analyses. We concluded that LTBI is associated with an increased CVD risk in low-tuberculosis-incidence settings, with a higher risk associated with incomplete LTBI therapy and attenuated risk when therapy is completed.

Indexed as

Cardiovascular DiseasesEmigrants and ImmigrantsLatent TuberculosisBritish ColumbiaCohort StudiesHumansIncidenceBritish Columbiacardiovascular diseasehealth administrative databaseslatent tuberculosis infectionlow tuberculosis incidence

Identifiers

PMID37066967
PMCPMC10204137
OpenAlexW4366082691

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.