Evidence map›Paper›PMID 40696296›Full record

ArticleBMC infectious diseases2025

Factors associated with post-treatment resorption of lung cavities in individuals with first episodes of drug-sensitive cavitary pulmonary tuberculosis in China.

Xue Li, Jing Ye, Sisi Wang, Zhen Wan, Lijia Xie, Zuokuan He, Hongxia Shao, Shuo Zhang, Zhili Hou, Yi Xie and 4 more

Abstract read
In one paragraph

Article in BMC 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.

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
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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

14 authors.

Xue Li *Department of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Jing Ye *Department of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Sisi Wang *Department of Respiratory, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, 300121, China.
Zhen Wan *Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China.
Lijia Xie *Department of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Zuokuan He *Department of Basic Medicine, Haihe Clinical School, Tianjin Medical University, Tianjin, 300350, China.
Hongxia Shao *Department of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Shuo ZhangDepartment of Radiology, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Zhili HouDepartment of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Yi XieKey Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China.
Zhiheng XingDepartment of Radiology, Haihe Hospital, Tianjin University, Tianjin, 300350, China. 18920696025@189.cn.
Junping WuDepartment of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China. wujp0618@126.com.
Wanjie YangKey Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China. yangwanjie0709@126.com.
Huaiyong ChenDepartment of Tuberculosis, Haihe Hospital, Tianjin University, Tianjin, 300350, China. huaiyong.chen@foxmail.com.

Funding

Natural Science Foundation of Tianjin, China 23JCYBJC01370Natural Science Foundation of Tianjin, China 24JCYBJC01420Tianjin Health Research Project TJWJ2022XK035
6 · The paper itself

Abstract

backgroundIn patients with pulmonary tuberculosis (TB), the persistence of the lung cavities leads to opportunistic infections and increases the risk of person-to-person Mycobacterium tuberculosis (Mtb) transmission. However, factors that associated with cavity resorption remain unknown.

methodsIn this retrospective study, 588 patients with drug-sensitive pulmonary tuberculosis and cavitary lesions on chest imaging were enrolled. All patients completed a standard 6-month anti-tuberculosis drug treatment regimen. They were randomly divided into a training set (n = 412) and a validation set (n = 176) in a 7:3 ratio. Clinical variables including demographic data, radiological findings, laboratory test results, and anti-tuberculosis drug usage were collected. Univariate and multivariate logistic regression analyses were performed to identify factors associated with cavity absorption.

resultsMultivariate logistic regression identified several factors independently associated with poor cavity resorption: older age (odds ratio [OR] 1.029, 95% confidence interval [CI]: 1.012-1.047), male sex (OR 2.599, CI: 1.349-5.009), serum total protein (OR 0.963, CI: 0.931-0.997), presence of multiple cavities (OR 1.791, CI: 1.115-2.876) and absence of fever (OR 1.729, CI: 1.032-2.893). The predictive model constructed using these six variables showed good discrimination, with an area under the curve (AUC) of 0.749 (95% CI: 0.699-0.798) in the training set and 0.746 (95% CI: 0.670-0.822) in the validation set (n = 176).

conclusionsOur findings indicate that older age, male sex, lower serum total protein, presence of multiple cavities, and absence of fever are independently associated with poor cavity resorption in patients with pulmonary tuberculosis. These variables may help identify high-risk patients and guide personalized management. Therefore, for better control of Mtb infection and improved outcomes, greater clinical attention should be paid to these associated factors.

Indexed as

Antitubercular AgentsLungTuberculosis, PulmonaryAdultAgedChinaFemaleHumansMaleMiddle AgedMycobacterium tuberculosisRetrospective StudiesRisk FactorsYoung AdultAntitubercular AgentsAnti-tuberculosis drug treatmentCavitary resorptionComputed tomography imagesMycobacterium tuberculosisPulmonary tuberculosis

Identifiers

PMID40696296
PMCPMC12285060

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.