An E-value analysis of potential unmeasured or residual confounding in systematic reviews of post-tuberculosis mortality, respiratory disease, and cardiovascular disease

Basham, C. Andrew; Karim, Mohammad Ehsanul

doi:10.1016/j.annepidem.2021.12.009

Cited by 2 publications

(1 citation statement)

References 54 publications

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“…It is well established that a significant proportion of successfully treated TB patients continue to suffer from TB-related functional disability [ 5 , 6 , 7 ]. A systematic review and meta-analysis of nearly 220,000 TB survivors estimated the prevalence of post-TB mental health disorder at 23%, respiratory dysfunction at 21% and musculoskeletal impairment at 17% [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Managing Comorbidities, Determinants and Disability at Start and End of TB Treatment under Routine Program Conditions in China

et al. 2023

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Many patients with tuberculosis (TB) have comorbidities, risk determinants and disability that co-exist at diagnosis, during and after TB treatment. We conducted an observational cohort study in 11 health facilities in China to assess under routine program conditions (i) the burden of these problems at the start and end of TB treatment and (ii) whether referral mechanisms for further care were functional. There were 603 patients registered with drug-susceptible TB who started TB treatment: 84% were symptomatic, 14% had diabetes, 14% had high blood pressure, 19% smoked cigarettes, 10% drank excess alcohol and in 45% the 6 min walking test (6MWT) was abnormal. Five patients were identified with mental health disorders. There were 586 (97%) patients who successfully completed TB treatment six months later. Of these, 18% were still symptomatic, 12% had diabetes (the remainder with diabetes failed to complete treatment), 5% had high blood pressure, 5% smoked cigarettes, 1% drank excess alcohol and 25% had an abnormal 6MWT. Referral mechanisms for the care of comorbidities and determinants worked well except for mental health and pulmonary rehabilitation for disability. There is need for more programmatic-related studies in other countries to build the evidence base for care of TB-related conditions and disability.

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