Evidence map›Paper›PMID 38516197›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2024

Missed opportunities for TB diagnostic testing among people living with HIV in Zimbabwe: Cross-sectional analysis of the Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) survey 2015-16.

Mayuko Takamiya, Kudawashe Takarinda, Shrish Balachandra, Godfrey Musuka, Elizabeth Radin, Avi Hakim, Michele L Pearson, Regis Choto, Charles Sandy, Talent Maphosa and 1 more

Abstract read
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

11 authors.

Mayuko TakamiyaPHI/CDC Global Health Fellowship, Harare, Zimbabwe.
Kudawashe TakarindaMinistry of Health and Child Care, Harare, Zimbabwe.
Shrish BalachandraU.S. Centers for Disease Control and Prevention (CDC), Harare, Zimbabwe.
Godfrey MusukaICAP, Harare, Zimbabwe.
Elizabeth RadinICAP, New York, NY, United States.
Avi HakimU.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States.
Michele L PearsonU.S. Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States.
Regis ChotoMinistry of Health and Child Care, Harare, Zimbabwe.
Charles SandyMinistry of Health and Child Care, Harare, Zimbabwe.
Talent MaphosaU.S. Centers for Disease Control and Prevention (CDC), Harare, Zimbabwe.
John H RogersU.S. Centers for Disease Control and Prevention (CDC), Harare, Zimbabwe.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Using data from the Zimbabwe Population-based HIV Impact Assessment survey 2015-2016, we examined the TB care cascade and factors associated with not receiving TB diagnostic testing among adult PLHIV with TB symptoms. Methods: Statistical Analysis was limited to PLHIV aged 15 years and older in HIV care. Weighted logistic regression with not receiving TB testing as outcome was adjusted for covariates with crude odd ratios (ORs) with p < 0.25. All analyses accounted for multistage survey design. Results: Among 3507 adult PLHIV in HIV care, 2288 (59.7 %, 95 % CI:58.1-61.3) were female and 2425 (63.6 %, 95 % CI:61.1-66.1) lived in rural areas. 1197(48.7 %, 95 % CI:46.5-51.0) reported being screened for TB symptoms at their last HIV care visit. In the previous 12 months, 639 (26.0 %, 95 % CI:23.9-28.1) reported having symptoms and of those, 239 (37.8 %, 95 % CI:33.3-42.2) received TB testing. Of PLHIV tested for TB, 36 (49.5 %, 95 % CI:35.0-63.1) were diagnosed with TB; 32 (90.3 %, 95 % CI:78.9-100) of those diagnosed with TB received treatment. Never having used IPT was associated with not receiving TB testing. Conclusion: The results suggest suboptimal utilization of TB screening and diagnostic testing among PLHIV. New approaches are needed to reach opportunities missed in the HIV/TB integrated services.

Indexed as

Care cascadeHIVSub-Saharan AfricaTuberculosis

Identifiers

PMID38516197
PMCPMC10955630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.