Evidence map›Paper›PMID 40660500›Full record

ArticleEpidemiology and infection2025

Trend and forecast analysis of the changing disease burden of tuberculosis in China, 1990-2021.

Shun-Xian Zhang, Jin-Xin Zheng, Yu Wang, Wen-Wen Lv, Jian Yang, Ji-Chun Wang, Zhen-Hui Lu

Abstract read
In one paragraph

Article in Epidemiology and infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
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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

7 authors.

Shun-Xian ZhangLonghua Hospital, https://ror.org/00z27jk27Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Jin-Xin Zhenghttps://ror.org/04wktzw65National 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, https://ror.org/00z27jk27Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Wen-Wen Lvhttps://ror.org/0220qvk04Clinical Research Institute, Shanghai Jiao Tong University School of Medicine, Shanghai200025, China.
Jian YangDepartment of Science and Technology, https://ror.org/04wktzw65Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Ji-Chun WangDepartment of Science and Technology, https://ror.org/04wktzw65Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Zhen-Hui LuLonghua Hospital, https://ror.org/00z27jk27Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.

Funding

International Joint Laboratory on Tropical Diseases Control in Greater Mekong Subregion from Shanghai Municipality Government 21410750200Medical Innovation Research Special Project of the Shanghai 2021 “Science and Technology Innovation Action Plan” 21Y11922500Shanghai Municipal Science and Technology Commission 22Y11920200Talent Fund of Longhua Hospital LH001.007Three-year Action Plan for Promoting Clinical Skills and Innovation Ability of Municipal Hospitals SHDC2022CRS039Three-Year Action Plan for Strengthening the Construction of the Public Health System in Shanghai GWVI-11.1-08Traditional Chinese Medicine Innovation Team of Shanghai Municipal Health Commission 2022CX010
6 · The paper itself

Abstract

Tuberculosis (TB) remains a significant public health concern in China. Using data from the Global Burden of Disease (GBD) study 2021, we analyzed trends in age-standardized incidence rate (ASIR), prevalence rate (ASPR), mortality rate (ASMR), and disability-adjusted life years (DALYs) for TB from 1990 to 2021. Over this period, HIV-negative TB showed a marked decline in ASIR (AAPC = -2.34%, 95% CI: -2.39, -2.28) and ASMR (AAPC = -0.56%, 95% CI: -0.62, -0.59). Specifically, drug-susceptible TB (DS-TB) showed reductions in both ASIR and ASMR, while multidrug-resistant TB (MDR-TB) showed slight decreases. Conversely, extensively drug-resistant TB (XDR-TB) exhibited upward trends in both ASIR and ASMR. TB co-infected with HIV (HIV-DS-TB, HIV-MDR-TB, HIV-XDR-TB) showed increasing trends in recent years. The analysis also found an inverse correlation between ASIRs and ASMRs for HIV-negative TB and the Socio-Demographic Index (SDI). Projections from 2022 to 2035 suggest continued increases in ASIR and ASMR for XDR-TB, HIV-DS-TB, HIV-MDR-TB, and HIV-XDR-TB. The rising burden of XDR-TB and HIV-TB co-infections presents ongoing challenges for TB control in China. Targeted prevention and control strategies are urgently needed to mitigate this burden and further reduce TB-related morbidity and mortality.

Indexed as

Cost of IllnessTuberculosisAdolescentAdultAgedChildChild, PreschoolChinaDisability-Adjusted Life YearsFemaleForecastingHIV InfectionsHumansIncidenceMaleMiddle AgedBayesian age-period-cohort analysisChinadisease burdenepidemiologytuberculosis

Identifiers

PMID40660500
PMCPMC12322781

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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.