Evidence map›Paper›PMID 39155365›Full record

ArticleInfectious diseases of poverty2024

Global, regional, and national burden of HIV-negative tuberculosis, 1990-2021: findings from the Global Burden of Disease Study 2021.

Shun-Xian Zhang, Feng-Yu Miao, Jian Yang, Wen-Ting Zhou, Shan Lv, Fan-Na Wei, Yu Wang, Xiao-Jie Hu, Ping Yin, Pei-Yong Zheng and 7 more

Abstract read
In one paragraph

Article in Infectious diseases of poverty, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

36 citing papers in PubMed.

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  6. The diagnostic yield of brushing versus non-brushing bronchoalveolar lavage fluid for Xpert MTB/RIF in patients with suspected tuberculosis: a prospective self-controlled study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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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

17 authors.

Shun-Xian Zhang *Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Feng-Yu Miao *Beijing Municipal Health Big Data and Policy Research Center, Beijing Institute of Hospital Management, Beijing, 101100, China.
Jian YangDepartment of Science and Technology, Chinese Center for Disease Control and Prevention;, National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Beijing, 102206, China.
Wen-Ting ZhouNational Health Commission (NHC) Key Laboratory of Biosafety, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Beijing, 102206, China.
Shan LvNational Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research On Tropical Diseases; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Shanghai, 200025, China.
Fan-Na WeiNational Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research On Tropical Diseases; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Shanghai, 200025, China.
Yu WangLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Xiao-Jie HuLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Ping YinLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Pei-Yong ZhengLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Ming YangLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Mei-Ti WangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200032, China.
Xin-Yu FengNational Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research On Tropical Diseases; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Shanghai, 200025, China.
Lei DuanNational Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research On Tropical Diseases; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Shanghai, 200025, China.
Guo-Bing YangGansu Provincial Center for Disease Control and Prevention, Lanzhou, 730000, China.
Ji-Chun WangDepartment of Science and Technology, Chinese Center for Disease Control and Prevention;, National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Beijing, 102206, China. wangjc@chinacdc.cn.ORCID http://orcid.org/0009-0002-0862-2704
Zhen-Hui LuLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China. Dr_luzh@shutcm.edu.cn.

Funding

Medical Innovation Research Special Project of the Shanghai 2021 21Y11922500
6 · The paper itself

Abstract

backgroundTuberculosis (TB) is a major infectious disease with significant public health implications. Its widespread transmission, prolonged treatment duration, notable side effects, and high mortality rate pose severe challenges. This study examines the epidemiological characteristics of TB globally and across major regions, providing a scientific basis for enhancing TB prevention and control measures worldwide.

methodsThe ecological study used data from the Global Burden of Disease (GBD) Study 2021. It assessed new incidence cases, deaths, disability-adjusted life years (DALYs), and trends in age-standardized incidence rates (ASIRs), mortality rates (ASMRs), and DALY rates for drug-susceptible tuberculosis (DS-TB), multidrug-resistant tuberculosis (MDR-TB), and extensively drug-resistant tuberculosis (XDR-TB) from 1990 to 2021. A Bayesian age-period-cohort model was applied to project ASIR and ASMR.

resultsIn 2021, the global ASIR for all HIV-negative TB was 103.00 per 100,000 population [95% uncertainty interval (UI): 92.21, 114.91 per 100,000 population], declining by 0.40% (95% UI: - 0.43, - 0.38%) compared to 1990. The global ASMR was 13.96 per 100,000 population (95% UI: 12.61, 15.72 per 100,000 population), with a decline of 0.44% (95% UI: - 0.61, - 0.23%) since 1990. The global age-standardized DALY rate for HIV-negative TB was 580.26 per 100,000 population (95% UI: 522.37, 649.82 per 100,000 population), showing a decrease of 0.65% (95% UI: - 0.69, - 0.57 per 100,000 population) from 1990. The global ASIR of MDR-TB has not decreased since 2015, instead, it has shown a slow upward trend in recent years. The ASIR of XDR-TB has exhibited significant increase in the past 30 years. The projections indicate MDR-TB and XDR-TB are expected to see significant increases in both ASIR and ASMR from 2022 to 2035, highlighting the growing challenge of drug-resistant TB.

conclusionsThis study found that the ASIR of MDR-TB and XDR-TB has shown an upward trend in recent years. To reduce the TB burden, it is essential to enhance health infrastructure and increase funding in low-SDI regions. Developing highly efficient, accurate, and convenient diagnostic reagents, along with more effective therapeutic drugs, and improving public health education and community engagement, are crucial for curbing TB transmission.

Indexed as

Global Burden of DiseaseGlobal HealthTuberculosisAdultBayes TheoremDisability-Adjusted Life YearsFemaleHumansIncidenceMaleMiddle AgedTuberculosis, Multidrug-ResistantEpidemiologyGlobal burden of diseaseSociodemographic IndexTuberculosis

Identifiers

PMID39155365
PMCPMC11331668

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.