Evidence map›Paper›PMID 37712491›Full record

ArticleBritish journal of clinical pharmacology2024

No action is without its side effects: Adverse drug reactions and missed doses of antituberculosis therapy, a scoping review.

Eleanor G Dixon, Shaista Rasool, Brian Otaalo, Ashmika Motee, James W Dear, Derek Sloan, Helen R Stagg

Open access · hybridAbstract readScoping Review
In one paragraph

Article in British journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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 4 institutions in 2 countries.

Eleanor G DixonUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-9697-0068
Shaista RasoolUsher Institute, University of Edinburgh, Edinburgh, UK.
Brian OtaaloInfectious Disease Institute, Makerere University, College of Health Sciences, Kampala, Uganda.
Ashmika MoteeUsher Institute, University of Edinburgh, Edinburgh, UK.
James W DearNIHR RIGHT4 Centre for Poisoning, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-8630-8625
Derek SloanSchool of Medicine, University of St Andrews, St Andrews, UK.
Helen R StaggUsher Institute, University of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBLondon School of Hygiene & Tropical Medicine · GBMakerere University · UGUniversity of St Andrews · GB

Funding

Chief Scientist Office TCS/21/04Medical Research Council MR/N013166/1Medical Research Council MR/R008345/1Medical Research Council MR/R008345/2Medical Research Council MR/T044802/1Medical Research Council MR/V038303/1
6 · The paper itself

Abstract

aimsA key reason for the failure of antituberculosis (anti-TB) treatment is missed doses (instances where medication is not taken). Adverse drug reactions (ADRs) are 1 cause of missed doses, but the global evidence, their relative contribution to missed doses vs. other causes, the patterns of missed doses due to ADRs and the specific ADRs associated with missed doses have not been appraised. We sought to address these questions through a scoping review.

methodsMEDLINE, Embase and Web of Science were searched on 3 November 2021 using terms around active TB, missed doses and treatment challenges. Studies reporting both ADR and missed dose data were examined (PROSPERO: CRD42022295209).

resultsSearches identified 108 eligible studies: 88/108 (81%) studies associated ADRs with an increase in missed doses; 33/61 (54%) studies documenting the reasons for missed doses gave ADRs as a primary reason. No studies examined patterns of missed doses due to ADRs; 41/108 (38%) studies examined associations between 68 types of ADR (across 15 organ systems) and missed doses. Nuance around ADR-missed doses relations regarding drug susceptibility testing profile and whether the missed doses originated from the patient, healthcare professionals, or both were found.

conclusionThere is extensive evidence that ADRs are a key driver for missed doses of anti-TB treatment. Some papers examined specific ADRs and none evaluated the patterns of missed doses due to ADRs, demonstrating a knowledge deficit. Knowing why doses both are and are not missed is essential in providing targeted interventions to improve treatment outcomes.

Indexed as

Drug-Related Side Effects and Adverse ReactionsMycobacterium tuberculosisAdverse Drug Reaction Reporting SystemsAntitubercular AgentsHealth PersonnelHumansMicrobial Sensitivity TestsAntitubercular Agentsdrug-related side effects and adverse reactionslost to follow-upreviewtreatment adherence and compliancetuberculosis

Identifiers

PMID37712491
PMCPMC10952801
OpenAlexW4386758050

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.