Evidence map›Paper›PMID 38379811›Full record

ArticleSAGE open medicine2024

Facilitators and barriers to implementing chest radiography in tuberculosis systematic screening of clinically high-risk groups in Ethiopia: A qualitative study.

Yishak Abraham, Tsegahun Manyazewal, Zekarias Amdemariam, Hezkiel Petros, Firehiwot Ayenadis, Hana Mekonen, Firehiwot Workneh

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in SAGE open medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06409780 (Comparative Efficacy of Chest Ultrasound, Chest X-Ray and Computer-aided Diagnostic), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 25% 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.

NCT06409780 naunknown statusnot on this map

Comparative Efficacy of Chest Ultrasound, Chest X-Ray and Computer-aided Diagnostic (CAD) for Tuberculosis Diagnosis in Low-Resource Setting: A Cross-Sectional Study From Ethiopia (CUSTB)

TypeinterventionalSponsorUniversity of BariRan2024 to 2025Enrolled136ConditionsTuberculosis, PulmonaryArmsComparative analysis of CUS, CAD and CXR in pulmonary TB
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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 1 country.

Yishak AbrahamCollege of Health Sciences, Center for Innovative Drug Development and Therapeutic Trials for Africa, Addis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0009-0008-5546-3906
Tsegahun ManyazewalCollege of Health Sciences, Center for Innovative Drug Development and Therapeutic Trials for Africa, Addis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0002-8360-7574
Zekarias AmdemariamZewditu Memorial Hospital, Addis Ababa, Ethiopia.ORCID https://orcid.org/0009-0002-4793-6626
Hezkiel PetrosInternational Center for AIDS Care and Treatment Programs, Addis Ababa, Ethiopia.
Firehiwot AyenadisAddis Ababa Burn, Emergency, and Trauma Hospital, St. Paul's Hospital Millennium Medical Collage, Addis Ababa, Ethiopia.
Hana MekonenZewditu Memorial Hospital, Addis Ababa, Ethiopia.
Firehiwot WorknehAddis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Addis Continental Institute of Public Health · ETAddis Ababa University · ETInternational Trachoma Initiative · ETSt. Paul's Hospital Millennium Medical College · ET

Funding

Ethiopia-Emory TB Research Training ProgramD43TW009127 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Kidist Bobosha · 2013 to 2026
$3.4M
FIC NIH HHS D43 TW009127
6 · The paper itself

Abstract

Background: Chest X-ray has been included in national tuberculosis screening algorithms as a sensitive tuberculosis screening tool among high-risk groups. However, the implementation was influenced by multiple factors. We aimed to explore facilitators and barriers to implementing chest X-ray in systematic tuberculosis screening of clinically high-risk groups in Addis Ababa, Ethiopia. Methods: We conducted face-to-face, in-depth interviews with purposively selected participants at tertiary-level hospitals and a tuberculosis program coordinator at the Ethiopian Ministry of Health, who coordinates chest X-ray-guided systematic tuberculosis screening. A framework analysis was conducted using the consolidated framework for implementation research. Results: We identified 11 constructs that influenced the implementation of the chest X-ray intervention. Facilitators included the relative sensitivity of chest X-ray over symptom-based screening, its potential integration into existing systems, technological advancements in the area, policies and laws supporting the screening intervention, and the quality of the evidence of the screening intervention. Barriers included implementation complexity, high costs of the intervention, knowledge gaps among healthcare providers, training gaps, low priority for chest X-ray screening at the healthcare facility level, and a lack of external support from the Ministry of Health and stakeholders. Conclusion: This study identified contextual factors that influence the implementation of chest X-ray guided systematic tuberculosis screening among clinically high-risk groups that healthcare facilities and health ministries may use for decision-making. Addressing the barriers identified by the study would help to improve the implementation of chest X-rays for improved tuberculosis case detection and prompt treatment in clinically high-risk groups.

Indexed as

Chest X-rayEthiopiahigh-risk groupssystematic screeningtuberculosis

Identifiers

PMID38379811
PMCPMC10878208
OpenAlexW4391973921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.