Evidence map›Paper›PMID 31469869›Full record

ArticlePloS one2019

Association of iron deficiency anemia with tuberculosis in Taiwan: A nationwide population-based study.

Kuo-An Chu, Chun-Hsiang Hsu, Mei-Chen Lin, Yi-Hsin Chu, Yao-Min Hung, James Cheng-Chung Wei

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% of its field
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Diabetes as a risk factor for tuberculosis disease.The Cochrane database of systematic reviews · 2024
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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

6 authors at 4 institutions in 2 countries.

Kuo-An ChuDivision of Chest Medicine, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chun-Hsiang HsuDivision of Chest Medicine, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Mei-Chen LinManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
Yi-Hsin ChuDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Yao-Min HungSchool of Medicine, National Yang Ming University, Taipei, Taiwan.ORCID 0000-0001-6920-8799
James Cheng-Chung WeiDepartment of Rheumatology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, China.
China Medical University · TWNational Yang Ming Chiao Tung University · TWKaohsiung Veterans General Hospital · TWNational Cheng Kung University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency is associated with decreased cellular immunity, which may predispose patients with iron deficiency anemia (IDA) to increased risk of developing tuberculosis (TB). This study investigated the relationship between newly diagnosed IDA and TB infection in Taiwan.

methodsThe study included data on 21,946 patients with incident IDA and 87,555 non-IDA controls from a national database covering the period 2000-2012. IDA and non-IDA subjects were matched 1:4 on age, gender, and index year. The follow-up period was defined as the time from the initial IDA diagnosis to the date of developing TB or 31 December 2013. Cox proportional hazards models were used to estimate hazard ratios and 95% confidence intervals, with the control group as the reference.

resultsThe adjusted hazard ratio of TB for the IDA group was 1.99 (95% confidence interval, 1.77-2.25) compared with the control group. The subgroup analysis showed that for both genders, all age groups, and patients with diabetes mellitus, hyperlipidemia, hypertension, cancer, chronic obstructive pulmonary disease, and hepatitis B virus infection, the IDA group had significantly higher TB incidence. The association was significantly stronger within the 5 years after new IDA diagnosis for both genders and all age groups.

conclusionsHigher TB incidence was discovered in the IDA group, especially for patients with comorbidities.

Indexed as

AdultAgedAged, 80 and overAnemia, Iron-DeficiencyComorbidityFemaleHumansIncidenceMaleMiddle AgedPopulation SurveillanceProportional Hazards ModelsPublic Health SurveillanceRetrospective StudiesRisk FactorsTaiwan

Identifiers

PMID31469869
PMCPMC6716659
OpenAlexW2970708605

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.