Evidence map›Paper›PMID 38969385›Full record

SynthesisBMJ open2024

Impact of HIV coinfection on tuberculosis treatment outcomes in Ethiopia: a systematic review and meta-analysis.

Habitamu Mekonen, Ayenew Negesse, Getenet Dessie, Melaku Desta, Getachew Tilaye Mihiret, Yaregal Dessalew Tarik, Tebabere Moltot Kitaw, Temesgen Getaneh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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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

8 authors.

Habitamu MekonenHuman Nutrition, Debre Markos University College of Health Science, Debre Markos, Ethiopia habtamumekonen49@gmail.com habitamu_mekonen@dmu.edu.et.ORCID 0009-0007-7660-1776
Ayenew NegesseHuman Nutrition, Debre Markos University College of Health Science, Debre Markos, Ethiopia.ORCID 0000-0002-0131-0700
Getenet DessieBahir Dar University College of Medical and Health Sciences, Bahir Dar, Ethiopia.ORCID 0000-0001-7276-0891
Melaku DestaDepartment of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia.
Getachew Tilaye MihiretDepartment of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia.
Yaregal Dessalew TarikDepartment of Midwifery, College of Health Sciences Assosa University, Asosa, Benishangul, Ethiopia.ORCID 0000-0003-0545-4573
Tebabere Moltot KitawDepartment of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia.ORCID 0000-0001-9513-2820
Temesgen GetanehDepartment of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDespite the implementation of a short-term direct observation treatment programme, HIV coinfection is one of the main determinants of tuberculosis (TB) treatment success. This meta-analysis was conducted to report the impact of HIV on TB treatment outcomes using inconsistent and variable study findings.

designSystematic review and meta-analysis was performed. DATA SOURCES: The PubMed/Medline, Web of Science and Google Scholar databases were used to access the articles. The Joanna Briggs Institute (JBI) Meta-Analysis of Statistics Assessment and Review Instrument was used for the critical appraisal. ELIGIBILITY CRITERIA: All observational studies conducted in Ethiopia and reporting TB treatment outcomes in relation to HIV coinfection were included in the final analysis. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted the data using a standardised data extraction format. The JBI critical appraisal tool was used to assess the quality of primary studies. Stata V.14 was used for the data analysis. Cochran's Q statistic with inverse variance (I

resultsThe overall success rate of TB treatment was 69.9% (95% CI 64% to 75%). The cure rate of TB among patients living with HIV was 19.3%. Furthermore, the odds of unsuccessful treatment among TB-HIV coinfected patients were 2.6 times greater than those among HIV nonreactive patients (OR 2.65; 95% CI 2.1 to 3.3).

conclusionThe success of TB treatment among patients living with HIV in Ethiopia was lower than the WHO standard threshold (85%). HIV coinfection hurts TB treatment success. Therefore, collaborative measurements and management, such as early treatment initiation, follow-up and the management of complications, are important.

Indexed as

Antitubercular AgentsCoinfectionHIV InfectionsTuberculosisEthiopiaHumansTreatment OutcomeAntitubercular AgentsHIV & AIDSinfectious diseasespublic health

Identifiers

PMID38969385
PMCPMC11228389

What OpenQuestion holds

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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.