Evidence map›Paper›PMID 38560601›Full record

ArticleOpen forum infectious diseases2024

Prevalence, Clinical Features, and Predictors of Adrenal Insufficiency in Adults With Tuberculosis or HIV: A Systematic Review and Meta-analysis.

Davis Kibirige, Noela Owarwo, Andrew Peter Kyazze, Bethan Morgan, Ronald Olum, Felix Bongomin, Irene Andia-Biraro

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Review
  8. 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 5 institutions in 2 countries.

Davis KibirigeDepartment of Medicine, Uganda Martyrs Hospital Lubaga, Kampala, Uganda.ORCID https://orcid.org/0000-0001-5127-3031
Noela OwarwoInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Andrew Peter KyazzeDepartment of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Bethan MorganEducation and Research Centre, Wythenshawe Hospital, Manchester, UK.
Ronald OlumSchool of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0003-1289-0111
Felix BongominDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.ORCID https://orcid.org/0000-0003-4515-8517
Irene Andia-BiraroDepartment of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Makerere University · UGGulu University · UGInfectious Diseases Institute · UGRubaga Hospital · UGWythenshawe Hospital · GB

Funding

Addressing the Research Capacity Gap in Global Child and Adolescent Health Disparities Utilizing Implementation and Data Sciences among Vulnerable Populations in Resource-limited Settings (ACHIEVE)D43TW012275 · FIC · WASHINGTON UNIVERSITY · PI Theresa Stichick Betancourt, Mary McKernan McKay · 2022 to 2026
$7.2M
FIC NIH HHS D43 TW012275
6 · The paper itself

Abstract

Background: Despite the high frequency of adrenal insufficiency (AI) in patients with tuberculosis or HIV, its diagnosis is often missed or delayed resulting in increased mortality. This systematic review and meta-analysis aimed to document the prevalence, significant clinical features, and predictors of AI in adult patients with tuberculosis or HIV. Methods: We systematically searched databases (Medline, Embase, CINAHL, Cochrane Library, and Africa Journal Online) for published studies on AI in adult patients with tuberculosis or HIV. The pooled prevalence of AI was determined by a random-effect model meta-analysis. A narrative review was used to describe the significant clinical features and predictors of AI in adult patients with tuberculosis or HIV. Results: A total of 46 studies involving 4044 adults were included: 1599 with tuberculosis and 2445 with HIV. The pooled prevalence of AI was 33% (95% CI, 22%-45%; Conclusions: AI is relatively common in adults with tuberculosis or HIV. Its timely screening, diagnosis, and management in patients with these 2 conditions should be encouraged to avert mortality.

Indexed as

adrenal insufficiencyclinical features and predictorsHIVprevalencetuberculosis

Identifiers

PMID38560601
PMCPMC10981394
OpenAlexW4392024003

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.