Evidence map›Paper›PMID 40599491›Full record

ArticleOpen forum infectious diseases2025

High Rates of Mortality During Drug-Resistant Tuberculosis Treatment Among Individuals With Diabetes Mellitus and Low Body Mass Index.

Lara D Veeken, Iceu D Kulsum, Bony W Lestari, Prayudi Santoso, Nanny N M Soetedjo, Raspati C Koesoemadinata, Adriana V Miranda, Wini Sukmawati, Argita D Salindri, Arto Y Soeroto and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Lara D VeekenDepartment of Internal Medicine and Radboud Community for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-2230-4884
Iceu D KulsumDepartment of Internal Medicine, Faculty of Medicine, Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0003-3710-8288
Bony W LestariDepartment of Internal Medicine and Radboud Community for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-6476-2034
Prayudi SantosoDepartment of Internal Medicine, Faculty of Medicine, Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0002-7182-386X
Nanny N M SoetedjoDepartment of Internal Medicine, Faculty of Medicine, Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0002-5735-2205
Raspati C KoesoemadinataTuberculosis Working Group, Research Center for Care and Control of Infectious Diseases, Universitas Padjadjaran (RC3ID Unpad), Bandung, Indonesia.ORCID https://orcid.org/0000-0002-3817-4589
Adriana V MirandaTuberculosis Working Group, Research Center for Care and Control of Infectious Diseases, Universitas Padjadjaran (RC3ID Unpad), Bandung, Indonesia.ORCID https://orcid.org/0000-0001-8548-1592
Wini SukmawatiTuberculosis Working Group, Research Center for Care and Control of Infectious Diseases, Universitas Padjadjaran (RC3ID Unpad), Bandung, Indonesia.
Argita D SalindriTuberculosis Working Group, Research Center for Care and Control of Infectious Diseases, Universitas Padjadjaran (RC3ID Unpad), Bandung, Indonesia.ORCID https://orcid.org/0000-0003-0962-0348
Arto Y SoerotoDepartment of Internal Medicine, Faculty of Medicine, Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, Indonesia.ORCID https://orcid.org/0000-0001-9027-2453
Reinout van CrevelDepartment of Internal Medicine and Radboud Community for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-6233-6410

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetes is a risk factor for mortality during rifampicin-resistant tuberculosis (RR-TB) treatment, but whether its impact differs by nutritional status is unknown. We estimated the effect of diabetes and its interaction with low body mass index (BMI) (ie, <18.5 kg/m Methods: We used medical record data of adults treated for RR-TB in Indonesia between March 2020 and May 2022. Diabetes was defined as glycated hemoglobin ≥6.5% or prior diabetes diagnosis by healthcare providers. Cox proportional hazards regression was used to estimate the hazard rates of mortality during treatment comparing those with and without diabetes. Multiplicative and additive interactions were evaluated to determine if the effect of diabetes on mortality during treatment was moderated by BMI status. Results: Among 345 individuals (57% male, 1.7% with human immunodeficiency virus, 59% with BMI <18.5 kg/m Conclusions: Having diabetes doubled the risk of mortality during RR-TB treatment. Highest mortality rates were observed among individuals with combined diabetes and low BMI.

Indexed as

diabetesdrug-resistant tuberculosislow BMImortalityrifampicin-resistant tuberculosis

Identifiers

PMID40599491
PMCPMC12207741

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.