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Table 2 Sensitivity analysis to identify sources of heterogeneity in the association between DM and TB

From: The impact of diabetes on tuberculosis treatment outcomes: A systematic review

TB Outcome

Variables

Study Characteristics

(No. of studies)

Summary effect estimates

95% CI

I2

95% CI I2

P Value Heterogeneity

P Value

Meta-

regression

Sputum culture conversion at 2-3 months

Background TB incidence

≥ 100,000 (2)

0.87

0.50-1.51

0%

NA

0.77

0.53

  

≥ 10,000 and < 100,000 (6)

2.22

1.85-2.66

0%

0%-75%

0.70

 
  

< 10,000 (1)

0.98

0.54-1.77

NA

NA

NA

 
 

Type of TB

Pulmonary (7)

1.91

1.41-2.59

52%

0%-79%

0.05

0.18

  

Pulmonary and extrapulmonary (2)

1.08

0.67-1.76

0%

NA

0.56

 
 

DM diagnosis

Patient or medical report (6)

2.22

1.85-2.66

0%

0%-75%

0.71

< 0.01

  

Laboratory test (3)

0.92

0.62-1.38

0%

0%-90%

0.92

 
 

Loss to follow-up

< 10% (1)

1.33

0.58-3.04

NA

NA

NA

0.84

  

≥ 10% (2)

1.75

0.51-5.95

84%

NA

0.01

 

Failure and Death

Background TB incidence

≥ 100,000 (3)

2.11

1.26-3.53

20%

0%-92%

0.29

0.63

  

≥ 10,000 and < 100,000 (6)

1.49

1.23-1.80

0%

0%-75%

0.51

 
  

< 10,000 (3)

1.80

0.63-5.13

55%

0%-87%

0.11

 
 

Type of TB

Pulmonary (7)

1.62

1.26-2.07

26%

0%-68%

0.23

0.49

  

Pulmonary and extrapulmonary (5)

2.08

1.27-3.42

6%

0%-80%

0.38

 
 

DM diagnosis

Patient or medical report (8)

1.51

1.25-1.82

0%

0%-68%

0.49

0.10

  

Laboratory diagnosis (4)

1.97

1.12-3.46

42%

0%-80%

0.16

 
 

Loss to follow-up

< 10% (4)

1.72

1.25-2.37

52%

0%-84%

0.10

0.98

  

≥ 10% (8)

1.77

1.21-2.59

3%

0%-69%

0.41

 

Death

Background TB incidence

≥ 100,000 (3)

2.63

0.86-8.02

62%

0%-89%

0.07

0.98

  

≥ 10,000 and < 100,000 (13)

1.62

1.33-1.97

8%

0%-60%

0.37

 
  

< 10,000 (7)

1.95

1.12-3.40

74%

45%-88%

< 0.01

 
 

Type of TB

Pulmonary (11)

1.97

1.46-2.65

52%

5%-76%

0.02

0.59

  

Pulmonary and extrapulmonary (12)

1.84

1.28-2.64

41%

0%-70%

0.07

 
 

DM diagnosis

Patient or medical report (18)

1.82

1.42-2.32

50%

15%-71%

< 0.01

0.33

  

Laboratory diagnosis (5)

2.37

1.49-3.78

1%

0%-79%

0.40

 
 

Loss to follow-up

< 10% (9)

1.43

1.19-1.72

16%

0%-58%

0.30

0.12

  

≥ 10% (7)

2.22

1.24-3.98

21%

0%-64%

0.27

 
 

Survival analysis

Survival analysis (1)

4.8

2.0-11.6

NA

NA

NA

0.18

  

Alternative analysis (22)

1.81

1.45-2.26

42%

4%-65%

0.02

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