Evidence map›Paper›PMID 39702126›Full record

SynthesisBMC infectious diseases2024

Prevalence, clinical characteristics, and treatment outcomes of childhood tuberculosis in Nigeria: a systematic review and meta-analysis.

Bonaventure Michael Ukoaka, Faithful Miebaka Daniel, Precious Miracle Wagwula, Mohamed Mustaf Ahmed, Ntishor Gabriel Udam, Olalekan John Okesanya, Adetola Babalola, Tajuddeen Adam Wali, Samson Afolabi, Raphael Augustine Udoh and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

12 authors.

Bonaventure Michael UkoakaCommunity and Clinical Research Division, First On-Call Initiative, Port Harcourt, Nigeria. bonaventureukoaka@gmail.com.
Faithful Miebaka DanielCommunity and Clinical Research Division, First On-Call Initiative, Port Harcourt, Nigeria.
Precious Miracle WagwulaCommunity and Clinical Research Division, First On-Call Initiative, Port Harcourt, Nigeria.
Mohamed Mustaf AhmedFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Ntishor Gabriel UdamUniversity of Calabar Teaching Hospital, Calabar, Nigeria.
Olalekan John OkesanyaFaculty of Medicine, Department of Public Health and Maritime Transport, University of Thessaly, Volos, Greece.
Adetola BabalolaFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Tajuddeen Adam WaliDepartment of Medicine and Surgery, Bayero University, Kano, Nigeria.
Samson AfolabiDepartment of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
Raphael Augustine UdohUniversity of Uyo Teaching Hospital, Uyo, Nigeria.
Iniubong Godswill PeterUniversity of Calabar Teaching Hospital, Calabar, Nigeria.
Lina Abdulhameed MaajiDepartment of Internal Medicine, Asokoro District Hospital, Abuja, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB), caused by Mycobacterium tuberculosis, is a leading cause of infection-related deaths worldwide. Children with underdeveloped immune systems are particularly vulnerable, experiencing symptoms akin to common childhood illnesses. Early diagnosis and treatment typically yield positive outcomes. In Nigeria, childhood TB is underreported, complicating accurate burden assessment. This review synthesises and presents evidence on the disease prevalence among children in Nigeria, identifies clinical characteristics, and evaluates the effectiveness of treatment regimens and outcomes. METHODOLOGY: A comprehensive systematic search across electronic databases was conducted to retrieve studies on the prevalence, characteristics, diagnostic criteria, and treatment outcomes of childhood tuberculosis in Nigeria. Study registration, data extraction and quality assessment followed standardized guidelines. The meta-analysis used a random-effects model to determine prevalence and mean treatment outcomes. Statistical heterogeneity was assessed using the I² statistic, and publication bias was evaluated with Egger's test (p = 0.127) and a funnel plot.

resultsThis review and meta-analysis of 22 studies, primarily retrospective (77%) and cross-sectional (18.20%), involving 1,162,936 participants aged 0-18 years, found a pooled prevalence of 20.82% (95% CI: 8.55-36.64)) with high heterogeneity (I

conclusionThe burden of childhood tuberculosis in Nigeria is significant, even as diagnostic limitations pose constraints. The findings highlight the need for stronger health system collaborations to improve the quality of care offered to children diagnosed with TB. Future research should standardize diagnostic criteria and methodologies for consistent and reliable prevalence estimates. More longitudinal studies are necessary to comprehend the trend and pattern for the heightened prevalence and subpar treatment outcomes of childhood tuberculosis in Nigeria. PROSPERO ID: CRD42024586765.

Indexed as

Antitubercular AgentsTuberculosisAdolescentChildChild, PreschoolHumansInfantMycobacterium tuberculosisNigeriaPrevalenceTreatment OutcomeAntitubercular AgentsChildhood tuberculosisNigeriaPrevalenceTreatment outcomeTuberculosis

Identifiers

PMID39702126
PMCPMC11656894

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.