Evidence map›Paper›PMID 40235620›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2025

Hematochemical hallmarks as markers of pulmonary TB severity: A multicenter cross-sectional study.

Francesco Di Gennaro, Giacomo Guido, Sergio Cotugno, Francesco Cavallin, Mariantonietta Pisaturo, Lorenzo Onorato, Federica Zimmerhofer, Luca Pipitò, Giuseppina De Iaco, Giuseppe Bruno and 29 more

Abstract read
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial diseases, 2025. 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

39 authors.

Francesco Di GennaroClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Giacomo GuidoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Sergio CotugnoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Francesco CavallinIndependent Statistician, Solagna, Italy.
Mariantonietta PisaturoDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Lorenzo OnoratoDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Federica ZimmerhoferInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Luca PipitòInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Giuseppina De IacoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Giuseppe BrunoInfectious disease, Saint Giuseppe Moscati Hospital, Taranto, Italy.
Massimo FasanoUOC Malattie Infettive - ASL BA PO Della Murgia Altamura (BA), Italy.
Agostina PontarelliRespiratory Infectious Disease Unit, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Annarita BottaRespiratory Infectious Disease Unit, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Tiziana IacovazziUOC Malattie Infettive - ASL BA PO Della Murgia Altamura (BA), Italy.
Rossana LattanzioClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Virginia Di BariRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Gianfranco PanicoUOC Malattie Infettive, Osp. V. Emanuele II, ASL BT, Bisceglie, BT, Italy.
Raffaella LibertoneRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Caterina MonariDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Alessia MustoUOC Malattie Infettive P.O. Perrino Brindisi, Italy.
Mariangela NiglioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Federica De GregorioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Gaetano BrindicciClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Carmen Rita SantoroClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Luigi RongaClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Roberta PapagniClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Elda De VitaClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Francesco Rosario Paolo IevaDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Loredana AlessioDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Gina GualanoRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Salvatore MinnitiUOC Malattie Infettive P.O. Perrino Brindisi, Italy.
Giovanni Battista BuccolieroInfectious disease, Saint Giuseppe Moscati Hospital, Taranto, Italy.
Sergio Lo CaputoDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Sergio CarbonaraUOC Malattie Infettive, Osp. V. Emanuele II, ASL BT, Bisceglie, BT, Italy.
Antonio CascioInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Roberto ParrellaRespiratory Infectious Disease Unit, AORN dei Colli, Cotugno Hospital, Naples, Italy.
Fabrizio PalmieriRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Nicola CoppolaDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Annalisa SaracinoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Identifying accessible and reliable biomarkers for tuberculosis (TB) severity is crucial for improving patient management. This study evaluates hematological findings as potential indicators of TB severity in a large multicenter Italian cohort. Methods: This retrospective, multicenter, cross-sectional study analyzed hematological parameters (hemoglobin, white blood cells, inflammatory indices, hepatorenal function, albuminuria) in 577 TB patients from 10 Italian centers (2018-2023). Severe TB was defined by at least two criteria: TIMIKA score > 60, sputum conversion time > 21 days, or need for oxygen supplementation. Statistical analyses included receiver operating characteristic curve (AUC) evaluation, calibration curves, and clinical utility. Results: Of the patients, 30.3 % were classified as severe, 60.2 % as non-severe, and 9.5 % as uncertain. AUC values for predicting severe TB ranged from 0.51 to 0.56 across hematological variables. Anemia and elevated CRP demonstrated sensitivities of 0.71 and 0.74, respectively. Models using continuous or categorical hematological variables achieved AUCs of 0.61 and 0.65, showing poor calibration and limited clinical utility in the 30-60 % threshold range. Conclusions: Hematological markers, while rapid and cost-effective, demonstrated limited discriminative ability for TB severity. Further studies are required to develop reliable predictive models, integrating additional clinical and molecular data.

Indexed as

AnemiaDisease progressionHematochemical markersPrognostic factorsTB control

Identifiers

PMID40235620
PMCPMC11999573

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.