SynthesisRevista brasileira de enfermagem2026
Tuberculosis and social aspects in a Brazilian state of high vulnerability: a systematic review.
Synthesis in Revista brasileira de enfermagem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Authors and funding
4 authors.
Funding
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Abstract
objectivesto synthesize evidence on social, economic, territorial, and healthcare access factors associated with the occurrence and outcomes of tuberculosis in Maranhão.
methodsa mixed-methods systematic review, registered in PROSPERO and conducted in accordance with PRISMA 2020. The search was carried out in May 2025 using the SPIDER strategy. Original studies published between 2014 and 2025, in Portuguese, English, or Spanish, were included; duplicates and studies not focused on the target population were excluded. Methodological quality and risk of bias were assessed using the Mixed.
methodsAppraisal Tool.
resultsof the 94 studies identified, 12 were included. Four thematic axes were identified: spatial distribution and risk areas; sociodemographic vulnerabilities; organization and access to health services; and treatment conditions and social protection. Structural inequalities were associated with higher incidence, treatment abandonment, and barriers to diagnosis.
conclusionsthe persistence of tuberculosis in Maranhão is related to social and territorial vulnerabilities, requiring intersectoral policies, strengthening of primary healthcare, and monitoring of social indicators.
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