Evidence map›Paper›PMID 38435404›Full record

ArticleThe Pan African medical journal2023

Predictors of tuberculosis treatment outcomes in Antananarivo: a retrospective cohort study.

Sedera Radoniaina Rakotondrasoa, Antso Hasina Raherinandrasana, Norotiana Ramanarivo, Tantely Jenny Ramontalambo, Zina Antonio Randriananahirana, Lantonirina Ravaoarisoa, Julio Rakotonirina

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Sedera Radoniaina RakotondrasoaFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
Antso Hasina RaherinandrasanaFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
Norotiana RamanarivoFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
Tantely Jenny RamontalamboFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
Zina Antonio RandriananahiranaFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
Lantonirina RavaoarisoaNational Institute of Public and Community Health (INSPC), Antananarivo, Madagascar.
Julio RakotonirinaFaculty of Medicine of Antananarivo, Antananarivo, Madagascar.
University of Antananarivo · MG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Tuberculosis (TB) is a global public health issue, affecting Africa and Madagascar. Adverse outcomes following ineffective treatment are common. Previous studies conducted in similar settings have not adequately accounted for confounding factors. The objective of this study is to identify predictive factors that are associated with tuberculosis treatment outcomes in Madagascar. Methods: a retrospective cohort study was conducted using registries of 628 outpatients with tuberculosis at the Analakely Hospital (CHUSSPA) in 2019. Univariate and multivariate logistic regression analyses were performed. Results: the study included 628 patients with a mean age of 37.19 ± 15.86 years and a sex ratio of 1.57. These patients were followed up for a total of 2886 person-months. Out of the 628, 517 achieved treatment success, while 31 patients died and 31 discontinued their treatment. The rates of treatment success, death, failure, and default were 82.3%, 4.9%, 0.2%, and 8.3% respectively. Female gender was found to be a predictor of treatment success area of responsibility adjusted odds ratio(AOR 1.67 [1.07-2.66]; p=0.026). Smear-negative pulmonary tuberculosis (SNPTB) was associated with a lower likelihood of treatment success (AOR 0.38 [0.23-0.65]; p<0.001) and was a common factor for default (AOR 3.17 [1.60-6.21]; p=0.001) and death (AOR=8.03 [3.01-23.72; p<0.001]). Extra-pulmonary TB was identified as a predictor of death (AOR 5.15 [1.99-14.95]; p=0.001). Conclusion: the tuberculosis treatment indicators in this center have not yet met national and global targets. It is necessary to focus on early diagnosis, improving education, and implementing rigorous follow-up procedures for patients at high risk of adverse outcomes (SNPTB and extra-pulmonary tuberculosis(EPTB).

Indexed as

TuberculosisTuberculosis, PulmonaryAdultAfricaFemaleHumansMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultMadagascaroutpatientsPredictorstreatment outcomestuberculosis

Identifiers

PMID38435404
PMCPMC10908297
OpenAlexW4389678655

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.