Evidence map›Paper›PMID 37431789›Full record

ArticleGlobal public health2023

Patients' priorities around drug-resistant tuberculosis treatment: A multi-national qualitative study from Mongolia, South Africa and Georgia.

Annabelle South, Parveen Dhesi, Conor D Tweed, Bazarragchaa Tsogt, Suzanne Staples, Nestani Tukvadze, Gantsetseg Dorj, Sindisiwe Zaca, Ekaterine Sanikidze, Nasanjargal Purev and 2 more

Abstract read
In one paragraph

Article in Global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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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.

Annabelle SouthMRC Clinical Trials Unit at UCL, UCL, London, UK.ORCID 0000-0001-8912-2001
Parveen DhesiMRC Clinical Trials Unit at UCL, UCL, London, UK.ORCID 0000-0002-4337-5430
Conor D TweedMRC Clinical Trials Unit at UCL, UCL, London, UK.ORCID 0000-0001-6021-8237
Bazarragchaa TsogtMongolian TB Coalition, Ulaanbaatar, Mongolia.
Suzanne StaplesTHINK: TB and HIV Investigative Network, Durban, South Africa.ORCID 0000-0002-9049-8070
Nestani TukvadzeTB Clinical Research Unit, National Centre for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
Gantsetseg DorjTB Research and Surveillance Department, National Center for Communicable Diseases, Ulaanbaatar, Mongolia.
Sindisiwe ZacaTHINK: TB and HIV Investigative Network, Durban, South Africa.
Ekaterine SanikidzeDavit Tvildiani Medical University, Tbilisi, Georgia.
Nasanjargal PurevTB Research and Surveillance Department, National Center for Communicable Diseases, Ulaanbaatar, Mongolia.
Hanif EsmailMRC Clinical Trials Unit at UCL, UCL, London, UK.ORCID 0000-0002-4278-9316
Rochelle BurgessInstitute for Global Health, UCL, London, UK.

Funding

Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
FIC NIH HHS D43 TW007124Medical Research Council MC_UU_00004/04
6 · The paper itself

Abstract

We conducted qualitative research exploring the treatment experience of people with DR-TB. We held nine focus group discussions with 57 adults undergoing/recently completed treatment for DR-TB in Georgia, Mongolia and South Africa. Translated transcripts were analysed using thematic analysis. We identified three higher order themes: (1) Treatment experience and the role of good relationships with healthcare providers: Treatment duration, pill burden and side-effects were challenging aspects of treatment. Side-effects/symptoms that were visible signs of illness were particularly troubling. Good relations with clinical staff helped combat fear and uncertainty regarding treatment. (2) Mental distress and opportunities for wellbeing: The shame, stigma and isolation people experienced as a result of their DR-TB diagnosis was an important cause of mental distress. No longer being infectious enabled people to resume work and socialising. Positive emotions emerged with good treatment outcomes. (3) Fear and worry along the treatment journey: Participants expressed fears about TB: infecting others; whether they would be able to endure treatment; side-effects; health consequences of treatment. Worries mostly disappeared with successful treatment. Alongside measuring side-effects, time to culture conversion and cure rates, future trials of DR-TB treatments should capture how quickly visible symptoms resolve, quality of life measures, and mental health outcomes.

Indexed as

Quality of LifeAdultGeorgiaHumansMongoliaQualitative ResearchSouth AfricaDrug-resistant tuberculosisQualitative researchTreatment experience

Identifiers

PMID37431789
PMCPMC7616316

What OpenQuestion holds

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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.