Evidence map›Paper›PMID 37354752›Full record

Observational studyDiabetes & metabolic syndrome2023

Effect of prediabetes on tuberculosis treatment outcomes: A study from South India.

Vijay Viswanathan, Arutselvi Devarajan, Satyavani Kumpatla, Mythili Dhanasekaran, Subash Babu, Hardy Kornfeld

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Diabetes & metabolic syndrome, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
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 3 institutions in 2 countries.

Vijay ViswanathanProf. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, India. Electronic address: drvijay@mvdiabetes.com.
Arutselvi DevarajanProf. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, India. Electronic address: epidemiologyresearch@mvdiabetes.com.
Satyavani KumpatlaProf. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, India. Electronic address: adresearch@mvdiabetes.com.
Mythili DhanasekaranProf. M. Viswanathan Diabetes Research Centre, Royapuram, Chennai, India. Electronic address: smedots@mvdiabetes.com.
Subash BabuNational Institutes of Health-International Centre for Excellence in Research, National Institute for Research in Tuberculosis, Chennai, India. Electronic address: sbabu@icerindia.org.
Hardy KornfeldDepartment of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA. Electronic address: hardy.kornfeld@umassmed.edu.
India Diabetes Research Foundation · INInternational Centers for Excellence in Research · INUniversity of Massachusetts Chan Medical School · US

Funding

India International Center for Excellence in ResearchZIAAI001065 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NUTMAN, THOMAS · 2009 to 2025
$19.0M
Intramural NIH HHS Z99 AI999999
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe aim was to assess the effect of prediabetes on tuberculosis(TB) treatment outcomes.

methodsThis is a prospective observational cohort study of 569 eligible new smear positive cases screened for DM between 2014 and 2018 in TB units in North Chennai, South India. Based on study criteria, a total of 187 subjects were included and categorised into two groups: TB with normoglycaemia (groupI) (HbA1c<5.7%) and TB with prediabetes (group II) (HbA1c = 5.7-6.4%) and followed them at 3

resultsTotal cure rate was 72.7% with no significant difference between the groups. Higher proportion of deaths occurred in group II (6.3%) compared to group I (1.3%) (p = 0.09). At the end of intensive phase of directly observed therapy (DOTS) treatment, about 23.8% were observed to have positive sputum smear in group II compared to 8.6% in group I(p = 0.019). The estimated relative risk to remain as sputum smear positive among people with prediabetes at the end of intensive phase was 3.0(95% CI: 1.2-7.6). There was a significant association found with HbA1c at enrollment and unfavourable TB treatment outcomes (β = 1.38, [odds ratio (95% CI) 3.98(1.65-9.64); p = 0.007].

conclusionDeath rate was high and there was a delay in sputum conversion among TB patients with prediabetes at the end of the intensive phase of TB treatment. HbA1c at the time of diagnosis of prediabetes was significantly associated with unfavourable TB treatment outcomes.

Indexed as

Prediabetic StateTuberculosisTuberculosis, PulmonaryAntitubercular AgentsCohort StudiesGlycated HemoglobinHumansIndiaAntitubercular AgentsGlycated HemoglobinPrediabetesSouth IndiaTreatment outcomesTuberculosis

Identifiers

PMID37354752
PMCPMC10528008
OpenAlexW4379803088

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.