Evidence map›Paper›PMID 37736583›Full record

ArticlePublic health action2023

Geographic distribution and predictors of diagnostic delays among possible TB patients in Uganda.

E Ochom, K O Robsky, A J Gupta, A Tamale, J Kungu, P Turimumahoro, S Nakasendwa, I B Rwego, W Muttamba, M Joloba and 3 more

Open access · diamondAbstract read
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Article in Public health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

13 authors at 4 institutions in 2 countries.

E OchomUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
K O RobskyUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
A J GuptaUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
A TamaleDepartments of Veterinary Medicine and Animal Resources.
J KunguBiotechnical and Biolab Sciences, and.
P TurimumahoroUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
S NakasendwaUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
I B RwegoBiosecurity, Ecosystem and Veterinary Public Health, College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.
W MuttambaLung Institute, and.
M JolobaDepartment of Medical Microbiology, College of Health Sciences, Makerere University, Kampala, Uganda.
W SsengoobaDepartment of Medical Microbiology, College of Health Sciences, Makerere University, Kampala, Uganda.
J L DavisUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
A KatambaUganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
Makerere University · UGYale University · USJohns Hopkins University · USLung Institute · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundUnderstanding the geographic distribution and factors associated with delayed TB diagnosis may help target interventions to reduce delays and improve patient outcomes.

methodsWe conducted a secondary analysis of adults undergoing TB evaluation within a public health demonstration project in Uganda. Using Global Moran's I (GMI) and Getis-Ord GI* statistics, we evaluated for residential clustering and hotspots associated with patient-related and health system-related delays. We performed multivariate logistic regression to identify individual predictors of both types of delays.

resultsOf 996 adults undergoing TB evaluation (median age: 37 years, IQR 28-49), 333 (33%) experienced patient delays, and 568 (57%) experienced health system delays. Participants were clustered (GMI 0.47-0.64,

conclusionsWe did not identify geographic hotspots for TB diagnostic delays. Instead, delays were associated with individual factors such as age, marital status and TB knowledge.

Indexed as

Africadelayed diagnosisGIStuberculosis

Identifiers

PMID37736583
PMCPMC10446659
OpenAlexW4386183727

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.