Evidence map›Paper›PMID 41437011›Full record

SynthesisBMC pulmonary medicine2025

Prevalence and associated factors of post-tuberculosis lung disease in Sub-Saharan Africa: a systematic review and meta-analysis.

Abraham Tekola Gebremedhn, Kidist Bobosha, Yeabsira Alemu Fantaye, Melese Yeshambaw Teferi, Ziad El-Khatib, Tsegab Alemayehu Bukate, Hawult Taye Adane, Minyahil Tadesse Boltena

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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

8 authors.

Abraham Tekola GebremedhnArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia. abratekola@gmail.com.ORCID http://orcid.org/0009-0006-2688-6198
Kidist BoboshaArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.
Yeabsira Alemu FantayeArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.
Melese Yeshambaw TeferiArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.
Ziad El-KhatibGlobal Public Health Department, Karolinska Institute, Stockholm, Sweden.
Tsegab Alemayehu BukateArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.
Hawult Taye AdaneArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.
Minyahil Tadesse BoltenaArmauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0002-5081-1480

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-tuberculosis lung disease (PTLD) is a major public health challenge in sub-Saharan Africa (SSA), where the burden of tuberculosis (TB) remains high. Only a few studies have reported the global burden of PTLD, and the associated factors of PTLD have been understudied. This systematic review and meta-analysis aimed to estimate the pooled prevalence and associated factors of PTLD in SSA.

methodsThis study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for systematic review and meta-analysis. We included studies reporting the prevalence and associated factors of PTLD among individuals with a history of pulmonary TB in SSA. A comprehensive literature search was conducted via PubMed, Embase, Google Scholar, and African Journal Online databases from February 25, 2025, to March 20, 2025. The pooled prevalence of PTLD was estimated using a random-effects model. Due to the lack of reports on adjusted odds ratios (aORs), the associated factors were analyzed using crude odds ratios (ORs).

resultsA total of 21 studies, consisting of 4,463 participants, were included. The overall pooled prevalence of PTLD in SSA was 43.26% (95% CI: 34.17%-52.34%). The key Factors significantly associated with PTLD included: female sex (OR: 1.57, 95% CI: 1.16, 2.11), smoking (OR: 1.64, 95% CI: 1.09, 2.46), Presence of cough (OR: 1.73, 95% CI: 1.03, 2.9) and fibrotic pattern (OR:3.94 (95% CI: 1.96, 7.92).

conclusionNearly half of prior TB patients in SSA develop PTLD. Being female, smoking, fibrosis, and post-treatment cough were key factors associated with PTLD. To effectively manage PTLD in SSA, it is important to implement targeted interventions for high-risk groups, strengthen screening and chronic care services, enhance healthcare system capacity, ensure equity in health resources and integrate PTLD management into national TB control programs.

Indexed as

Lung DiseasesTuberculosis, PulmonaryAfrica South of the SaharaFemaleHumansMalePrevalenceRisk FactorsMeta-analysisPost-tuberculosis lung diseasePrevalenceRespiratory diseaseRisk factorsSub-Saharan AfricaSystematic review

Identifiers

PMID41437011
PMCPMC12874953

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.