Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study
Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Un...
Ausführliche Beschreibung
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Mundra, Anuj [verfasserIn] |
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Englisch |
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2017 |
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© Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 |
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Übergeordnetes Werk: |
Enthalten in: Journal of epidemiology and global health - Amsterdam [u.a.] : Elsevier, 2011, 7(2017), 2 vom: Jan., Seite 111-118 |
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volume:7 ; year:2017 ; number:2 ; month:01 ; pages:111-118 |
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DOI / URN: |
10.1016/j.jegh.2017.02.002 |
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SPR054272297 |
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520 | |a Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. | ||
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700 | 1 | |a Dawale, Ajay |4 aut | |
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10.1016/j.jegh.2017.02.002 doi (DE-627)SPR054272297 (SPR)j.jegh.2017.02.002-e DE-627 ger DE-627 rakwb eng Mundra, Anuj verfasserin aut Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. DOTS (dpeaa)DE-He213 Survival probability (dpeaa)DE-He213 Treatment adherence (dpeaa)DE-He213 Treatment outcomes (dpeaa)DE-He213 Deshmukh, Pradeep R. aut Dawale, Ajay aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 7(2017), 2 vom: Jan., Seite 111-118 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:7 year:2017 number:2 month:01 pages:111-118 https://dx.doi.org/10.1016/j.jegh.2017.02.002 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 2 01 111-118 |
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10.1016/j.jegh.2017.02.002 doi (DE-627)SPR054272297 (SPR)j.jegh.2017.02.002-e DE-627 ger DE-627 rakwb eng Mundra, Anuj verfasserin aut Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. DOTS (dpeaa)DE-He213 Survival probability (dpeaa)DE-He213 Treatment adherence (dpeaa)DE-He213 Treatment outcomes (dpeaa)DE-He213 Deshmukh, Pradeep R. aut Dawale, Ajay aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 7(2017), 2 vom: Jan., Seite 111-118 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:7 year:2017 number:2 month:01 pages:111-118 https://dx.doi.org/10.1016/j.jegh.2017.02.002 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 2 01 111-118 |
allfields_unstemmed |
10.1016/j.jegh.2017.02.002 doi (DE-627)SPR054272297 (SPR)j.jegh.2017.02.002-e DE-627 ger DE-627 rakwb eng Mundra, Anuj verfasserin aut Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. DOTS (dpeaa)DE-He213 Survival probability (dpeaa)DE-He213 Treatment adherence (dpeaa)DE-He213 Treatment outcomes (dpeaa)DE-He213 Deshmukh, Pradeep R. aut Dawale, Ajay aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 7(2017), 2 vom: Jan., Seite 111-118 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:7 year:2017 number:2 month:01 pages:111-118 https://dx.doi.org/10.1016/j.jegh.2017.02.002 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 2 01 111-118 |
allfieldsGer |
10.1016/j.jegh.2017.02.002 doi (DE-627)SPR054272297 (SPR)j.jegh.2017.02.002-e DE-627 ger DE-627 rakwb eng Mundra, Anuj verfasserin aut Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. DOTS (dpeaa)DE-He213 Survival probability (dpeaa)DE-He213 Treatment adherence (dpeaa)DE-He213 Treatment outcomes (dpeaa)DE-He213 Deshmukh, Pradeep R. aut Dawale, Ajay aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 7(2017), 2 vom: Jan., Seite 111-118 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:7 year:2017 number:2 month:01 pages:111-118 https://dx.doi.org/10.1016/j.jegh.2017.02.002 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 2 01 111-118 |
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10.1016/j.jegh.2017.02.002 doi (DE-627)SPR054272297 (SPR)j.jegh.2017.02.002-e DE-627 ger DE-627 rakwb eng Mundra, Anuj verfasserin aut Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. DOTS (dpeaa)DE-He213 Survival probability (dpeaa)DE-He213 Treatment adherence (dpeaa)DE-He213 Treatment outcomes (dpeaa)DE-He213 Deshmukh, Pradeep R. aut Dawale, Ajay aut Enthalten in Journal of epidemiology and global health Amsterdam [u.a.] : Elsevier, 2011 7(2017), 2 vom: Jan., Seite 111-118 (DE-627)683365576 (DE-600)2645324-1 2210-6014 nnns volume:7 year:2017 number:2 month:01 pages:111-118 https://dx.doi.org/10.1016/j.jegh.2017.02.002 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2017 2 01 111-118 |
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magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under revised national tuberculosis control program in a tuberculosis unit, wardha, central india: a record-based cohort study |
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Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study |
abstract |
Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 |
abstractGer |
Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 |
abstract_unstemmed |
Introduction Deaths, defaults, relapses, and treatment failures have made the control of TB difficult across the globe. Methodology This study is a record-based follow-up of a cohort of patients registered under Revised National Tuberculosis Control Program in the year 2014 in Wardha Tuberculosis Unit, India. Data was collected from the records available at the District Tuberculosis Office. Results Data of 510 patients was analyzed. The sputum conversion rate was 88%. The overall treatment success rate was 81.9%, and rates of any adverse outcome, deaths, defaults, failure, and shift to Category IV regimen were 32.60/100 person years at risk (PYAR), 16.88/100 PYAR, 11.12/100 PYAR, 3.45/100 PYAR, and 1.15/100 PYAR, respectively. The median times for the above outcomes were 81 days, 110 days, 66 days, 118 days, and 237 days, respectively. The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. Conclusion Appropriate interventions and program implementation to reduce the adverse treatment outcomes and interruptions will help in improving program performance. © Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. 2017 |
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Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study |
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The cumulative probability of occurrence at 6 months of any adverse outcome, deaths, default, failure, and shift to Category IV regimen was 0.145, 0.056, 0.088, 0.002, and 0.004, respectively. On multivariate analysis, the determinant of any adverse outcome was age >45 years, whereas extrapulmonary disease was protective. The hazard of defaulting was also significantly higher in male patients and those aged >45 years. 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