Evidence map›Paper›PMID 37090436›Full record

ArticleEClinicalMedicine2023

Global prevalence of hepatitis B or hepatitis C infection among patients with tuberculosis disease: systematic review and meta-analysis.

Ioana D Olaru, Mina Beliz Meier, Fuad Mirzayev, Nevena Prodanovic, Philip J Kitchen, Samuel G Schumacher, Claudia M Denkinger

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
8.0field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  4. HBV/HCV coinfection and anti-tuberculosis drug-induced liver injury: from risk assessment and exploration of mechanisms to preventive considerations.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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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

7 authors at 3 institutions in 3 countries.

Ioana D OlaruDivision of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, 324 Im Neuenheimer Feld, 69120, Heidelberg, Germany.
Mina Beliz MeierDivision of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, 324 Im Neuenheimer Feld, 69120, Heidelberg, Germany.
Fuad MirzayevGlobal TB Programme, World Health Organization, 20 Avenue Appia, 1211, Geneva, Switzerland.
Nevena ProdanovicDivision of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, 324 Im Neuenheimer Feld, 69120, Heidelberg, Germany.
Philip J KitchenDivision of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, 324 Im Neuenheimer Feld, 69120, Heidelberg, Germany.
Samuel G SchumacherGlobal TB Programme, World Health Organization, 20 Avenue Appia, 1211, Geneva, Switzerland.
Claudia M DenkingerDivision of Infectious Disease and Tropical Medicine, Heidelberg University Hospital, 324 Im Neuenheimer Feld, 69120, Heidelberg, Germany.
Heidelberg University · DEWorld Health Organization · CHUniversity of London · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: There is a substantial overlap in the epidemiology of chronic hepatitis B (HBV), hepatitis C (HCV) and tuberculosis (TB) due to overlapping risk factors. Testing for viral hepatitis is not widely recommended for patients with TB. The aim of this systematic review was to evaluate the global prevalence of chronic viral hepatitis infection among patients with TB. Methods: MEDLINE, EMBASE, Web of Science, Cochrane Library, African Journals Online, LILACS, and country TB reports were searched for studies published between January 1st, 2011 and June 17th 2021. Random-effects meta-analyses for proportions were conducted to obtain pooled prevalences. The prevalence of chronic HBV/HCV infection among patients with TB was also compared to that in the general population. The protocol was registered on PROSPERO (CRD42021276468). Findings: This analysis included 127 studies (83 for both HBV and HCV, 28 for HBV only, and 25 for HCV only) and data from 94,936 patients. The global pooled seroprevalence was 5.8% (95% CI 5.0-6.8) for HBs-antigen and 10.3% (95% CI 8.4-12.3) for HCV-antibodies. Pooled prevalence was highest in the WHO African Region for HBV at 7.8% (95% CI 5.2-10.9) and in the WHO European Region at 17.5% (95% CI 12.2-23.5) for HCV. In studies among TB patients who inject drugs, HCV prevalence was 92.5% (95% CI 80.8-99.0). Pooled HCV-antibody seroprevalence among patients with TB was higher than in the general population in all six WHO regions while HBs-antigen seroprevalence was higher in 3/6 regions. Interpretation: This review highlights the syndemicity of chronic viral hepatitis and TB and suggests that routine testing for hepatitis upon TB diagnosis may be justified. The prevalence of chronic HBV and HCV infections was higher among patients with TB than in the general population. Funding: This study was study was funded by the Global Tuberculosis Programme, World Health Organization.

Indexed as

HBVHCVMDR-TBPWIDTuberculosis

Identifiers

PMID37090436
PMCPMC10113747
OpenAlexW4362668676

What OpenQuestion holds

Textmetadata
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.