Evidence map›Paper›PMID 37673207›Full record

ArticleChest2024

Glycated Hemoglobin Trajectories and Their Association With Treatment Outcomes Among Patients With Pulmonary TB in India: A Prospective Cohort Study.

Geeta Pardeshi, Vidya Mave, Sanjay Gaikwad, Dileep Kadam, Madhusudan Barthwal, Nikhil Gupte, Sachin Atre, Sona Deshmukh, Jonathan E Golub, Akshay Gupte

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Chest, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-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

6 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Geeta PardeshiDepartment of Community Medicine, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, India.
Vidya MaveByramjee Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune, India; Johns Hopkins University School of Medicine, Baltimore, MD.
Sanjay GaikwadByramjee Jeejeebhoy Government Medical College, Pune, India.
Dileep KadamByramjee Jeejeebhoy Government Medical College, Pune, India.
Madhusudan BarthwalDr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India.
Nikhil GupteByramjee Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune, India; Johns Hopkins University School of Medicine, Baltimore, MD.
Sachin AtreDr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India.
Sona DeshmukhByramjee Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune, India.
Jonathan E GolubJohns Hopkins University School of Medicine, Baltimore, MD; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Akshay GupteDepartment of Global Health, Boston University School of Public Health, Boston, MA. Electronic address: agupte1@bu.edu.
Johns Hopkins University · USBoston University · USDr. D. Y. Patil Medical College, Hospital and Research Centre · INGovernment Medical College · INGrant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals · IN

Funding

The Johns Hopkins Baltimore-Washington-India Clinical Trials Unit (BWI CTU)UM1AI069465 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner, Amita Gupta · 2012 to 2026
$34.1M
The Impact of Diabetes on TB treatment outcomesR01AI097494 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GOLUB, JONATHAN E. · 2013 to 2017
$3.0M
Phenotype, Progression and Immune Correlates of Post-Tuberculosis Lung DiseaseR00AI151094 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GUPTE, AKSHAY NITIN · 2023 to 2024
$489k
Phenotype, Progression and Immune Correlates of Post-Tuberculosis Lung DiseaseK99AI151094 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GUPTE, AKSHAY NITIN · 2020 to 2021
$271k
NIAID NIH HHS K99 AI151094NIAID NIH HHS R00 AI151094NIAID NIH HHS R01 AI097494NIAID NIH HHS UM1 AI069465
6 · The paper itself

Abstract

backgroundTransient hyperglycemia is seen commonly during TB treatment, yet its association with unfavorable treatment outcomes is unclear. RESEARCH QUESTION: Does an association exist between glycated hemoglobin (HbA1c) trajectories and TB treatment outcomes? STUDY DESIGN AND

methodsAdults with pulmonary TB were evaluated prospectively for 18 months after the second HbA1c measurement. HbA1c trajectories during the initial 3 months of treatment were defined as follows: persistent euglycemia, HbA1c < 6.5% at baseline and 3-month follow-up; persistent hyperglycemia, HbA1c ≥ 6.5% at baseline and 3-month follow-up; transient hyperglycemia, HbA1c ≥ 6.5% at baseline and < 6.5% at 3-month follow-up; incident hyperglycemia, HbA1c < 6.5% at baseline and ≥ 6.5% at 3-month follow-up. Multivariable Poisson regression was used to measure the association between HbA1c trajectories and unfavorable treatment outcomes of failure, recurrence, and all-cause mortality.

resultsOf the 587 participants, 443 participants (76%) had persistent euglycemia, 118 participants (20%) had persistent hyperglycemia, and 26 participants (4%) had transient hyperglycemia. One participant had incident hyperglycemia and was excluded. Compared with participants with persistent euglycemia, those with transient hyperglycemia showed a twofold higher risk of experiencing an unfavorable treatment outcome (adjusted incidence rate ratio [aIRR], 2.07; 95% CI, 1.04-4.15) after adjusting for confounders including diabetes treatment, and BMI; we did not find a significant association with persistent hyperglycemia (aIRR, 1.64; 95% CI, 0.71-3.79). Diabetes treatment was associated with a significantly lower risk of unfavorable treatment outcomes (aIRR, 0.38; 95% CI, 0.15-0.95).

interpretationTransient hyperglycemia and lack of diabetes treatment was associated with a higher risk of unfavorable treatment outcomes in adults with pulmonary TB.

Indexed as

Diabetes MellitusHyperglycemiaTuberculosis, PulmonaryAdultBlood GlucoseGlycated HemoglobinHumansProspective StudiesTreatment OutcomeBlood GlucoseGlycated Hemoglobindiabetes mellitusglycemic statusTBtransient hyperglycemiatreatment outcomes

Identifiers

PMID37673207
PMCPMC10851276
OpenAlexW4386414800

What Socratic holds

Textmetadata
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.