Evidence map›Paper›PMID 40999320›Full record

ArticleBMC infectious diseases2025

Treatment outcomes for drug-resistant tuberculosis: a retrospective longitudinal study.

Ruslan Akhmedullin, Gulbanu Algazyeva, Аnar Rakisheva, Gulnaz Mussabekova, Gulnur Zhakhina, Aigul Tursynbayeva, Abduzhappar Gaipov, Malik Adenov, Kulahmet Erimbetov, Shakhimurat Ismailov

Abstract read
In one paragraph

Article in BMC infectious 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
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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

10 authors.

Ruslan AkhmedullinDepartment of Medicine, Nazarbayev University School of Medicine, Kerey and Zhanibek street 5/1, Astana, 010000, Kazakhstan. ruslan.akhmedullin@nu.edu.kz.
Gulbanu AlgazyevaNational Center of Phthisiopulmonology Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan.
Аnar RakishevaKazakh National Medical University named after S. D.Asfendiyarov, Almaty, Kazakhstan.
Gulnaz MussabekovaPublic Union "Kazakhstan Association of Phtisiopulmologists", Almaty, Kazakhstan.
Gulnur ZhakhinaDepartment of Medicine, Nazarbayev University School of Medicine, Kerey and Zhanibek street 5/1, Astana, 010000, Kazakhstan.
Aigul TursynbayevaPublic Union "Kazakhstan Association of Phtisiopulmologists", Almaty, Kazakhstan.
Abduzhappar GaipovDepartment of Medicine, Nazarbayev University School of Medicine, Kerey and Zhanibek street 5/1, Astana, 010000, Kazakhstan.
Malik AdenovNational Center of Phthisiopulmonology Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan.
Kulahmet ErimbetovNational Center of Phthisiopulmonology Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan.
Shakhimurat IsmailovPublic Union "Kazakhstan Association of Phtisiopulmologists", Almaty, Kazakhstan.

Funding

Global Fund to Fight AIDS, Tuberculosis and Malaria Grant Project KAZ-T-NCTP No. 3101
6 · The paper itself

Abstract

backgroundThis study examined the treatment outcomes of multidrug-resistant tuberculosis (MDR-TB) in Kazakhstan, where its burden is notably high.

methodsThe authors conducted a retrospective longitudinal study using the National Tuberculosis Registry, this study analyzed treatment outcomes in MDR-TB patients from 2018 to 2021, and included adult patients (≥ 18 years) who completed a specific treatment. Outcomes were categorized into successful and unsuccessful treatments. Bivariate and multivariate Poisson regression models with modified errors were employed to obtain crude and adjusted risk ratios (aRR).

resultsThe study cohort comprised 12,698 cases, of which 10, 306 (81.16%) completed treatment with a successful outcome, while 2,392 (18.84%) had unsuccessful outcomes. Male sex (aRR 1.35, 95% CI 1.24-1.45), urban residency (aRR 1.16, 95% 1.07-1.24), having both extrapulmonary and pulmonary tuberculosis (aRR 1.49, 95% 1.04-2.15), XDR-TB (aRR 1.31, 95% 1.08-1.59), excessive alcohol consumption (aRR 1.43, 95% 1.28-1.59), HIV-positive status (aRR 2.24, 95% 2.01-2.47), and drug abuse (aRR 1.37, 95% 1.10-1.71) significantly elevated the risk of the unsuccessful treatment.

conclusionOur findings underscore the need for focused strategies to reduce the MDR-TB burden, particularly among adults, male sex, relapsed cases, and XDR-TB. Despite the encouraging findings observed, further studies are necessary to update our estimates.

Indexed as

Antitubercular AgentsTuberculosis, Multidrug-ResistantAdolescentAdultAgedFemaleHumansKazakhstanLongitudinal StudiesMaleMiddle AgedMycobacterium tuberculosisRetrospective StudiesRisk FactorsTreatment OutcomeYoung AdultAntitubercular AgentsDrug-resistant TBExtensively drug-resistant tuberculosisMDR-TBMultidrug-resistant tuberculosisTreatment effectivenessXDR-TB

Identifiers

PMID40999320
PMCPMC12466029

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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.