Evidence map›Paper›PMID 38350875›Full record

ArticleBMC public health2024

Landscaping tuberculosis multimorbidity: findings from a cross-sectional study in India.

A Chauhan, M Parmar, J D Rajesham, S Shukla, K C Sahoo, S Chauhan, S Chitiboyina, A Sinha, G Srigana, M Gorla and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 16 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

11 authors at 4 institutions in 1 country.

A ChauhanPublic Health Foundation of India, New Delhi, India.ORCID 0000-0003-2439-7666
M ParmarWorld Health Organization, Country Office for India, New Delhi, India.
J D RajeshamState Tuberculosis Cell, Hyderabad, Telangana, India.
S ShuklaWorld Health Organization, National Tuberculosis Elimination Programme - Technical Support Network, New Delhi, India.
K C SahooIndian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India.
S ChauhanWorld Health Organization, National Tuberculosis Elimination Programme - Technical Support Network, New Delhi, India.
S ChitiboyinaState TB Training and Demonstration Centre, Hyderabad, Telangana, India.
A SinhaIndian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India.
G SriganaWorld Health Organization, National Tuberculosis Elimination Programme - Technical Support Network, New Delhi, India.
M GorlaWorld Health Organization, National Tuberculosis Elimination Programme - Technical Support Network, New Delhi, India.
Sanghamitra PatiIndian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, Odisha, India. drsanghamitra12@gmail.com.ORCID 0000-0002-7717-5592
World Health Organization - India · INIndian Council of Medical Research · INNational Tuberculosis Institute · INPublic Health Foundation of India · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundMultimorbidity, the concurrent presence of two or more chronic conditions is an emerging public health challenge. Till date, most of the research have focused on the presence and interaction of selected co-morbidities in tuberculosis (TB). There exist a critical knowledge gap on the magnitude of multimorbidity among TB patients and its impact on health outcomes.

methodsWe undertook a cross-sectional study to assess the prevalence and patterns of multimorbidity among newly diagnosed TB patients in two states of India. A total of 323 patients were interviewed using a structured multimorbidity assessment questionnaire for primary care (MAQ-PC). MAQ-PC is already validated for Indian population and elicits 22 chronic conditions. We defined TB multimorbidity as the co-existence of TB with one or more chronic conditions and identified commonly occurring dyads (TB + single condition) and triads (TB + two conditions).

resultsMore than half (52%) of TB patients reported multimorbidity. Among dyads, depression, diabetes mellitus (DM), acid peptic disease (APD), hypertension, chronic alcoholism, arthritis and chronic back ache (CBA) were the most common co-occurring conditions while 'DM + arthritis', 'depression + APD', 'depression + DM' were the most commonly occurring triads among TB patients. Factors such as increasing age, low levels of education, alcohol abusers, drug-resistant TB and having health insurance were significantly associated with multimorbidity among TB patients.

conclusionsOur findings suggest high prevalence of multimorbidity among newly diagnosed TB patients in India. The presence of concordant and discordant conditions with TB may increase the health complexity, thus necessitating appropriate care protocols. Given, the current situation, wherein TB and non-communicable diseases (NCD) services are delivered through collaborative framework between programmes, there is a need for addressing multimorbidity at the healthcare delivery level.

Indexed as

ArthritisDiabetes MellitusTuberculosisChronic DiseaseCross-Sectional StudiesHumansIndiaMultimorbidityPrevalenceChronic conditionsMultimorbidityPrevalenceTuberculosis

Identifiers

PMID38350875
PMCPMC10863254
OpenAlexW4391786125

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Registered trials

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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.