{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T08:30:46Z","timestamp":1793694646871,"version":"4.5.1"},"reference-count":83,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,6,24]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Despite the implementation of a short-term direct observation treatment programme, HIV coinfection is one of the main determinants of tuberculosis (TB) treatment success. This meta-analysis was conducted to report the impact of HIV on TB treatment outcomes using inconsistent and variable study findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>The PubMed\/Medline, Web of Science and Google Scholar databases were used to access the articles. The Joanna Briggs Institute (JBI) Meta-Analysis of Statistics Assessment and Review Instrument was used for the critical appraisal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>All observational studies conducted in Ethiopia and reporting TB treatment outcomes in relation to HIV coinfection were included in the final analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>\n                      Two independent reviewers extracted the data using a standardised data extraction format. The JBI critical appraisal tool was used to assess the quality of primary studies. Stata V.14 was used for the data analysis. Cochran\u2019s Q statistic with inverse variance (I\n                      <jats:sup>2<\/jats:sup>\n                      ) and funnel plot are used to assess the presence of heterogeneity (I\n                      <jats:sup>2<\/jats:sup>\n                      =94.4%, p&lt;0.001) and publication bias, respectively. A random effect model was used to estimate TB treatment outcomes with a 95% CI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall success rate of TB treatment was 69.9% (95% CI 64% to 75%). The cure rate of TB among patients living with HIV was 19.3%. Furthermore, the odds of unsuccessful treatment among TB-HIV coinfected patients were 2.6 times greater than those among HIV nonreactive patients (OR 2.65; 95%\u2009CI 2.1 to 3.3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The success of TB treatment among patients living with HIV in Ethiopia was lower than the WHO standard threshold (85%). HIV coinfection hurts TB treatment success. Therefore, collaborative measurements and management, such as early treatment initiation, follow-up and the management of complications, are important.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-087218","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T11:04:55Z","timestamp":1720177495000},"page":"e087218","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["Impact of HIV coinfection on tuberculosis treatment outcomes in Ethiopia: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7660-1776","authenticated-orcid":false,"given":"Habitamu","family":"Mekonen","sequence":"first","affiliation":[{"name":"Human Nutrition, Debre Markos University College of Health Science, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-0700","authenticated-orcid":false,"given":"Ayenew","family":"Negesse","sequence":"additional","affiliation":[{"name":"Human Nutrition, Debre Markos University College of Health Science, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7276-0891","authenticated-orcid":false,"given":"Getenet","family":"Dessie","sequence":"additional","affiliation":[{"name":"Bahir Dar University College of Medical and Health Sciences, Bahir Dar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melaku","family":"Desta","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getachew Tilaye","family":"Mihiret","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0545-4573","authenticated-orcid":false,"given":"Yaregal Dessalew","family":"Tarik","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Health Sciences Assosa University, Asosa, Benishangul, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9513-2820","authenticated-orcid":false,"given":"Tebabere Moltot","family":"Kitaw","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temesgen","family":"Getaneh","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Markos University College of Health Science, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"key":"2025121512245779000_14.7.e087218.1","unstructured":"WHO . 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