Evidence map›Paper›PMID 38739637›Full record

SynthesisPLoS neglected tropical diseases2024

Systematic review and meta-analysis of Tuberculosis and COVID-19 Co-infection: Prevalence, fatality, and treatment considerations.

Quan Wang, Yanmin Cao, Xinyu Liu, Yaqun Fu, Jiawei Zhang, Yeqing Zhang, Lanyue Zhang, Xiaolin Wei, Li Yang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  9. Review
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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

9 authors.

Quan WangSchool of Public Health, Peking University, Beijing, China.ORCID 0000-0003-3501-9513
Yanmin CaoJinan Municipal Center for Disease Control and Prevention, Jinan, Shandong Province, China.
Xinyu LiuJinan Municipal Center for Disease Control and Prevention, Jinan, Shandong Province, China.
Yaqun FuSchool of Public Health, Peking University, Beijing, China.
Jiawei ZhangSchool of Public Health, Peking University, Beijing, China.ORCID 0009-0000-0866-2154
Yeqing ZhangCentre for Global Health Economics, University College London, London, United Kingdom.
Lanyue ZhangSchool of Public Health, Peking University, Beijing, China.
Xiaolin WeiDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Li YangSchool of Public Health, Peking University, Beijing, China.ORCID 0000-0003-0640-2003

Funding

National Natural Science Foundation of ChinaNatural Science Foundation of Beijing Municipality
6 · The paper itself

Abstract

backgroundTuberculosis (TB) and COVID-19 co-infection poses a significant global health challenge with increased fatality rates and adverse outcomes. However, the existing evidence on the epidemiology and treatment of TB-COVID co-infection remains limited.

methodsThis updated systematic review aimed to investigate the prevalence, fatality rates, and treatment outcomes of TB-COVID co-infection. A comprehensive search across six electronic databases spanning November 1, 2019, to January 24, 2023, was conducted. The Joanna Briggs Institute Critical Appraisal Checklist assessed risk of bias of included studies, and meta-analysis estimated co-infection fatality rates and relative risk.

resultsFrom 5,095 studies screened, 17 were included. TB-COVID co-infection prevalence was reported in 38 countries or regions, spanning both high and low TB prevalence areas. Prevalence estimates were approximately 0.06% in West Cape Province, South Africa, and 0.02% in California, USA. Treatment approaches for TB-COVID co-infection displayed minimal evolution since 2021. Converging findings from diverse studies underscored increased hospitalization risks, extended recovery periods, and accelerated mortality compared to single COVID-19 cases. The pooled fatality rate among co-infected patients was 7.1% (95%CI: 4.0% ~ 10.8%), slightly lower than previous estimates. In-hospital co-infected patients faced a mean fatality rate of 11.4% (95%CI: 5.6% ~ 18.8%). The pooled relative risk of in-hospital fatality was 0.8 (95% CI, 0.18-3.68) for TB-COVID patients versus single COVID patients.

conclusionTB-COVID co-infection is increasingly prevalent worldwide, with fatality rates gradually declining but remaining higher than COVID-19 alone. This underscores the urgency of continued research to understand and address the challenges posed by TB-COVID co-infection.

Indexed as

CoinfectionCOVID-19SARS-CoV-2TuberculosisHumansPrevalence

Identifiers

PMID38739637
PMCPMC11090343

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.