Evidence map›Paper›PMID 38966688›Full record

ArticleIJTLD open2024

Evaluation of a short training course of chest X-ray interpretation for the diagnosis of paediatric TB.

B F Melingui, E Leroy-Terquem, M Palmer, J-V Taguebue, A P Wachinou, J Gaudelus, A Salomao, D Bunnet, T C Eap, L Borand and 15 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in IJTLD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

25 authors.

B F MelinguiRecherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier.
E Leroy-TerquemInternational Pulmonology Support, François Quesnay Hospital, Mantes-la-Jolie, France.
M PalmerDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
J-V TaguebueMother and Child Center, Chantal Biya Foundation, Yaoundé, Cameroon.
A P WachinouNational Teaching Hospital for Tuberculosis and Pulmonary Diseases, Akpakpa Abokicodji, Cotonou, Benin.
J GaudelusService de Pediatrie, Hôpital Jean Verdier, Hôpitaux Universitaires Paris Seine Saint Denis, Bondy, France.
A SalomaoIndependent Public Health Consultant, Maputo, Mozambique.
D BunnetEpidemiology and Public Health Unit, Pasteur Institute in Cambodia, Phnom Penh.
T C EapNational TB Programme, Phnom Penh.
L BorandEpidemiology and Public Health Unit, Clinical Research Group, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
C ChabalaChildren's Hospital, University Teaching Hospital, Lusaka, Zambia.
C KhosaInstituto Nacional de Saúde, Marracuene, Mozambique.
R MohProgramme ANRS Coopération Côte d'Ivoire, Centre hospitalière universitaire de Treichville, Abidjan, Côte d'Ivoire.
J Mwanga-AmumpereEpicentre Mbarara Research Centre, Mbarara, Uganda.
M T EangNational Center for Tuberculosis and Leprosy (CENAT/NTP), Ministry of Health, Phnom Penh, Cambodia.
I ManhiçaPrograma Nacional de Controlo da Tuberculose, Ministério da Saúde, Maputo, Mozambique.
A MustaphaOla During Children Hospital, Freetown, Sierra Leone.
S BeneteauRecherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier.
L FalzonInternational Pulmonology Support, Paris, France.
J A SeddonDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
L BertelootDepartment of Pediatric Radiology, University Hospital Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris, Paris, France.
E WobudeyaMakerere University-Johns Hopkins University Research Collaboration Care Ltd, Kampala, Uganda.
O MarcyUniversity of Bordeaux, INSERM Unité mixte de Recherche 1219, IRD Unité Mixte de Recherche 271, Bordeaux.
M BonnetRecherches Translationnelles sur le VIH et les Maladies Infectieuses, University of Montpellier, Institut de Recherche pour le Développement (IRD), Institut national de la santé et de la recherche médicale (INSERM) Unité 1175, Montpellier.
P Y NorvalTechnical Assistance for Management, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChest X-ray (CXR) interpretation is challenging for the diagnosis of paediatric TB. We assessed the performance of a three half-day CXR training module for healthcare workers (HCWs) at low healthcare levels in six high TB incidence countries.

methodsWithin the TB-Speed Decentralization Study, we developed a three half-day training course to identify normal CXR, CXR of good quality and identify six TB-suggestive features. We performed a pre-post training assessment on a pre-defined set of 20 CXR readings. We compared the proportion of correctly interpreted CXRs and the median reading score before and after the training using the McNemar test and a linear mixed model.

resultsOf 191 HCWs, 43 (23%) were physicians, 103 (54%) nurses, 18 (9.4%) radiology technicians and 12 (6.3%) other professionals. Of 2,840 CXRs with both assessment, respectively 1,843 (64.9%) and 2,277 (80.2%) were correctly interpreted during pre-training and post-training (

conclusionDespite some limitations of the course assessment that did not include abnormal non-TB suggestive CXR, study findings suggest that a short CXR training course could improve HCWs' interpretation skills in diagnosing paediatric TB.

Indexed as

chest X-raychildrendiagnosislimited-resources countriestuberculosis

Identifiers

PMID38966688
PMCPMC11221594

What OpenQuestion holds

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LicenceCC BY
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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.