Evidence map›Paper›PMID 37794037›Full record

ArticleNature communications2023

Global burden of disease due to rifampicin-resistant tuberculosis: a mathematical modeling analysis.

Nicolas A Menzies, Brian W Allwood, Anna S Dean, Pete J Dodd, Rein M G J Houben, Lyndon P James, Gwenan M Knight, Jamilah Meghji, Linh N Nguyen, Andrea Rachow and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.2field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pharmacological assessment of drugs retained in the 1Naunyn-Schmiedeberg's archives of pharmacology · 2026
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  9. Article
  10. Tre-DST: A Drug Susceptibility Test forACS infectious diseases · 2026
    Article
  11. Article
  12. Article
  13. Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026
    Review
  14. Journal of clinical tuberculosis and other mycobacterial diseases · 2025
    Article
  15. Article
  16. Peptide-Based Strategies AgainstPharmaceuticals (Basel, Switzerland) · 2025
    Review
  17. Review
  18. Development and hepatotoxicity of rifamycin derivatives.Expert opinion on drug metabolism & toxicology · 2025
    Review
  19. Article
  20. 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

13 authors at 10 institutions in 5 countries.

Nicolas A MenziesDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, USA. nmenzies@hsph.harvard.edu.ORCID http://orcid.org/0000-0002-2571-016X
Brian W Allwood *Division of Pulmonology, Department of Medicine, Stellenbosch University & Tygerberg Hospital, Cape Town, South Africa.
Anna S Dean *Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-9539-7164
Pete J Dodd *School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.ORCID http://orcid.org/0000-0001-5825-9347
Rein M G J Houben *TB Modelling Group, TB Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Lyndon P James *Center for Health Decision Science, Harvard T. H. Chan School of Public Health, Boston, USA.
Gwenan M Knight *AMR Centre, Department of Infectious Disease Epidemiology, EPH, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID http://orcid.org/0000-0002-7263-9896
Jamilah Meghji *National Heart & Lung Institute, Imperial College London, London, United Kingdom.
Linh N Nguyen *Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.
Andrea Rachow *Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), Munich, Germany.
Samuel G Schumacher *Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.
Fuad MirzayevGlobal Tuberculosis Programme, World Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-6658-0325
Ted CohenDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8091-7198
World Health Organization · CHHarvard University · USHarvard University Press · USHelmholtz Zentrum München · DEImperial College London · GBLondon School of Hygiene & Tropical Medicine · GBStellenbosch University · ZAUniversity of London · GBUniversity of Sheffield · GBYale University · 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
PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
Optimal targeting for individual and population-level TB preventionR01AI146555 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI MENZIES, NICOLAS A · 2020 to 2024
$2.5M
Medical Research Council MR/S02042X/1Medical Research Council MR/W026643/1Medical Research Council MR/W029227/1NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI146555NIAID NIH HHS T32 AI007433World Health Organization 001
6 · The paper itself

Abstract

In 2020, almost half a million individuals developed rifampicin-resistant tuberculosis (RR-TB). We estimated the global burden of RR-TB over the lifetime of affected individuals. We synthesized data on incidence, case detection, and treatment outcomes in 192 countries (99.99% of global tuberculosis). Using a mathematical model, we projected disability-adjusted life years (DALYs) over the lifetime for individuals developing tuberculosis in 2020 stratified by country, age, sex, HIV, and rifampicin resistance. Here we show that incident RR-TB in 2020 was responsible for an estimated 6.9 (95% uncertainty interval: 5.5, 8.5) million DALYs, 44% (31, 54) of which accrued among TB survivors. We estimated an average of 17 (14, 21) DALYs per person developing RR-TB, 34% (12, 56) greater than for rifampicin-susceptible tuberculosis. RR-TB burden per 100,000 was highest in former Soviet Union countries and southern African countries. While RR-TB causes substantial short-term morbidity and mortality, nearly half of the overall disease burden of RR-TB accrues among tuberculosis survivors. The substantial long-term health impacts among those surviving RR-TB disease suggest the need for improved post-treatment care and further justify increased health expenditures to prevent RR-TB transmission.

Indexed as

TuberculosisTuberculosis, Multidrug-ResistantAntitubercular AgentsGlobal Burden of DiseaseHumansModels, TheoreticalRifampinAntitubercular AgentsRifampin

Identifiers

PMID37794037
PMCPMC10550952
OpenAlexW4387334063

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.