Evidence map›Paper›PMID 38966407›Full record

ArticleIJTLD open2024

Operational research as a mechanism to improve treatment outcomes for drug-resistant TB in the WHO European Region.

G B Migliori, O Korotych, J Achar, A Ciobanu, G Dravniece, M Germanovych, E Gurbanova, A Hovhannesyan, N Khachatryan, L Kuksa and 4 more

Abstract read
In one paragraph

Article in IJTLD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Update onIJTLD open · 2024
    Article
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

14 authors.

G B MiglioriServizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri, Istituto di Ricovero e Cura a Carattere Scientifico, Tradate, Italy.
O KorotychJoint Infectious Diseases Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
J AcharDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
A CiobanuJoint Infectious Diseases Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
G DravniecePATH, Kyiv, Ukraine.
M GermanovychJoint Infectious Diseases Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
E GurbanovaLung Clinic, University of Tartu, Tartu, Estonia.
A HovhannesyanJoint Infectious Diseases Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
N KhachatryanNational Center of Pulmonology, Ministry of Health, Abovyan, Armenia.
L KuksaTuberculosis and Lung Disease Clinic, Riga East Univesity Hospital, Riga, Latvia.
N LomtadzeNational Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
M L RichDivision of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
A SkrahinaRepublican Scientific and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus.
A YedilbayevJoint Infectious Diseases Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark.

Funding

Emory-Georgia TB Research Training ProgramD43TW007124 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Nestani Tukvadze · 2004 to 2026
$4.6M
World Health Organization 001
6 · The paper itself

Abstract

In 2022, the WHO European Region accounted for 15.1% of all incident rifampicin-resistant/multidrug-resistant TB (RR/MDR-TB) cases. Most occurred in 18 high-priority countries of eastern Europe and central Asia, many of which joined an initiative led by the WHO Regional Office for Europe. The aim was to introduce three, fully oral, 9-month modified shorter treatment regimens (mSTR) to treat RR/MDR-TB under operational research conditions. The three regimens were: 1) bedaquiline + linezolid + levofloxacin + clofazimine + cycloserine (BdqLzdLfxCfzCs); 2) BdqLzdLfxCfz + delamanid (Dlm) for children over 6 years of age and adults; and 3) DlmLzdLfxCfz for children under 6 years of age. The project aimed to enhance treatment success, facilitate mSTR implementation, promote quality of care and build research capacity, while also contributing to global knowledge on all-oral mSTR use. Between April 2020 and June 2022, >2,800 patients underwent mSTR treatment in the WHO European Region. This unique experience promoted further collaboration with national tuberculosis programmes, health authorities, experts and donors within and outside Europe, with a focus on implementing operational research and improving the quality of care in high TB burden countries of the region. In the hope of encouraging others to adopt this model, we have described the principles of the initiative, its strengths and weaknesses and next steps.

Indexed as

MDR-TBmSTRrifampicin resistantshorter regimenstuberculosis

Identifiers

PMID38966407
PMCPMC11221584

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.