Evidence map›Paper›PMID 37072053›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2023

Epidemiology of extensively drug-resistant tuberculosis among patients with multidrug-resistant tuberculosis: A systematic review and meta-analysis.

Getu Diriba, Ayinalem Alemu, Bazezew Yenew, Habteyes Hailu Tola, Dinka Fikadu Gamtesa, Hilina Mollalign, Kirubel Eshetu, Shewki Moga, Saro Abdella, Getachew Tollera and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Comparison of characteristics of drug-resistantJournal of family medicine and primary care · 2026
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  8. Fluoroquinolone resistance and mutation profiles inFrontiers in public health · 2026
    Article
  9. Rapid screening of mutations for second-line-drug-resistant genes in Mycobacterium tuberculosis culture isolates by in-house developed DNA bio-chip.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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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

12 authors at 2 institutions in 1 country.

Getu DiribaEthiopian Public Health Institute, Addis Ababa, Ethiopia. Electronic address: getud2020@gmail.com.
Ayinalem AlemuEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Bazezew YenewEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Habteyes Hailu TolaSelale University, College of Health Sciences, Department of Public Health, Addis Ababa, Ethiopia.
Dinka Fikadu GamtesaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Hilina MollalignEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Kirubel EshetuUSAID Eliminate TB Project, Management Sciences for Health, Addis Ababa, Ethiopia.
Shewki MogaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Saro AbdellaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Getachew TolleraEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Abebaw KebedeAfrica Centers for Disease Control and Prevention, Addis Ababa, Ethiopia.
Mesay Hailu DangissoEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Ethiopian Public Health Institute · ETAfrica Centres for Disease Control and Prevention · ET

Funding

Ethiopia-Emory TB Research Training ProgramD43TW009127 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Kidist Bobosha · 2013 to 2026
$3.4M
FIC NIH HHS D43 TW009127
6 · The paper itself

Abstract

objectivesTo estimate the pooled proportion of extensively drug-resistant tuberculosis (XDR-TB) and pre-extensively drug-resistant tuberculosis (pre-XDR-TB) in patients with multidrug-resistant TB (MDR-TB).

methodsWe systematically searched articles from electronic databases: MEDLINE (PubMed), ScienceDirect, and Google Scholar. We also searched gray literature from the different literature sources main outcome of the review was either XDR-TB or pre-XDR-TB in patients with MDR-TB. We used the random-effects model, considering the substantial heterogeneity among studies. Heterogeneity was assessed by subgroup analyses. STATA version 14 was used for analysis.

resultsA total of 64 studies that reported on 12,711 patients with MDR-TB from 22 countries were retrieved. The pooled proportion of pre-XDR-TB was 26% (95% confidence interval [CI]: 22-31%), whereas XDR-TB in MDR-TB cases was 9% (95% CI: 7-11%) in patients treated for MDR-TB. The pooled proportion of resistance to fluoroquinolones was 27% (95% CI: 22-33%) and second-line injectable drugs was 11% (95% CI: 9-13%). Whereas the pooled resistance proportions to bedaquiline, clofazimine, delamanid, and linezolid were 5% (95% CI: 1-8%), 4% (95% CI: 0-10%), 5% (95% CI; 2-8%), and 4% (95% CI: 2-10%), respectively.

conclusionThe burden of pre-XDR-TB and XDR-TB in MDR-TB were considerable. The high burdens of pre-XDR-TB and XDR-TB in patients treated for MDR-TB suggests the need to strengthen TB programs and drug resistance surveillance.

Indexed as

Extensively Drug-Resistant TuberculosisMycobacterium tuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsClofazimineFluoroquinolonesHumansMicrobial Sensitivity TestsAntitubercular AgentsClofazimineFluoroquinolonesExtensively drug-resistant tuberculosisMultidrug-resistant tuberculosisPre-extensively drug-resistant tuberculosis

Identifiers

PMID37072053
PMCPMC10302157
OpenAlexW4366000562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.