Evidence map›Paper›PMID 40607270›Full record

ArticleThe Pan African medical journal2025

Tuberculosis treatment adherence and associated factors in the Butha-Buthe district, Lesotho: a retrospective cohort study.

Motlatsi Rangoanana, Veranyuy Ngah, Jacques Lukenze Tamuzi, Sele Maphalale, Mabatho Molete, Retselisitsoe Ratikoane, Llang Maama, Isaac Fwemba, Olawande Daramola, Modupe Ogunrombi and 1 more

Abstract read
In one paragraph

Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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.

Motlatsi RangoananaDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Veranyuy NgahDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Jacques Lukenze TamuziDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Sele MaphalaleDistrict Health Management Team of Butha-Buthe, Ministry of Health Lesotho, Maseru, Lesotho.
Mabatho MoleteDistrict Health Management Team of Butha-Buthe, Ministry of Health Lesotho, Maseru, Lesotho.
Retselisitsoe RatikoaneDistrict Health Management Team of Butha-Buthe, Ministry of Health Lesotho, Maseru, Lesotho.
Llang MaamaNational Tuberculosis Program, Ministry of Health Lesotho, Maseru, Lesotho.
Isaac FwembaSchool of Public Health, University of Zambia, and Vanderbilt Medical Center University of Zambia, Lusaka, Zambia.
Olawande DaramolaDepartment of Informatics, Faculty of Engineering, Built Environment and IT, University of Pretoria, Pretoria, South Africa.
Modupe OgunrombiDepartment of Clinical Pharmacology, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Peter Suwirakwenda NyasuluDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Lesotho remains one of the world's 30 high-tuberculosis (TB) burden countries. In Butha-Buthe district, unfavourable TB treatment outcomes were higher than those set forth by the WHO. This study's objective was to evaluate TB treatment adherence and treatment resistance among patients enrolled in the 12 health facilities in Butha-Buthe. Methods: data were collected from the medical records of patients with sputum smear-positive TB and extra-pulmonary forms of TB between January 2015 and December 2020. Results were presented in frequencies and percentages. Univariate and multivariable logistic regression analyses were conducted to identify factors associated with treatment adherence. Results: among 1,792 patients who were enrolled, 1,320 were included in the study. The overall mean TB treatment adherence rate was estimated at 37.20%. Factors found to be associated with treatment adherence in multivariate analysis were age ≥60 years (aOR: 0.59, 95%CI: 0.54- 0.66; P<0.001), being a mine worker (aOR 1.09, 95%CI: 1.03-1.14; P<0.001), having pulmonary TB (aOR: 1.23, 95%CI: 1.17-1.29, P<0.001), being in the continuation phase of the treatment (aOR 1.38, 95%CI: 1.33, 1.45; P<0.001) and category 2 (aOR 0.93, 95%CI: 0.88-0.99; P = 0.016). Regarding TB contact support, family members (aOR: 1.08, 95%CI: 1.03-1.14; P<0.001), friends (aOR 1.30, 95%CI: 1.19-1.41; P<0.001), spouses (aOR: 1.24, 95%CI 1.16-1.34; P<0.001), and unreported contacts (aOR 1.18, 95%CI: 1.09-1.27; P = 0.015) all showed increased TB adherence. Conclusion: the overall adherence to TB therapy was poor in Butha-Buthe district. Lesotho urgently needs district-level strategies to improve TB treatment adherence and reduce treatment resistance.

Indexed as

Antitubercular AgentsTuberculosisTuberculosis, PulmonaryAdolescentAdultAgedAge FactorsCohort StudiesFemaleHumansLesothoMaleMiddle AgedRetrospective StudiesRisk FactorsYoung AdultAntitubercular Agentsdrug resistanceLesothorural populationtreatment adherenceTuberculosis burden

Identifiers

PMID40607270
PMCPMC12220024

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.