The challenge of estimating tuberculosis mortality accurately in England and Wales.
Int J Tuberc Lung Dis
; 22(5): 572-578, 2018 05 01.
Article
en En
| MEDLINE
| ID: mdl-29663964
ABSTRACT
BACKGROUND:
Accurate estimates of tuberculosis (TB) mortality are required to monitor progress towards the World Health Organization End TB goal of reducing TB deaths by 95% by 2035. We compared TB death data for England and Wales from the national surveillance system (Enhanced Tuberculosis Surveillance System [ETS]) and the vital registration system from the Office for National Statistics (ONS).METHODS:
TB cases notified in ETS were matched to deaths in ONS (dONS) with International Classification of Diseases, Tenth Revision (ICD-10) codes indicating that TB caused/contributed to the death (A15-A19). Deaths captured in one but not both systems were assessed to identify if ONS captured all TB deaths and if there was under-notification of TB in ETS. We stratified deaths into active TB, TB sequelae, incidental deaths and not TB.RESULTS:
Between 2005 and 2015, there were fewer deaths in ETS (dETS) than dONS with ICD-10 codes A15-A19 (n = 4207 vs. n = 6560); 57% of dETS were recorded as dONS and 53% of dONS were notified to ETS. A total of 9289 deaths were identified from dETS and dONS 64% were due to active TB, 23% were TB sequelae, 6% were incidental and 7% were not TB.CONCLUSIONS:
TB deaths in ETS and ONS differ substantially. Almost one third of TB deaths recorded by ONS are not due to active TB; this can be amended through coding changes.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
/
3_ND
/
4_TD
Problema de salud:
2_cobertura_universal
/
2_enfermedades_transmissibles
/
2_muertes_prevenibles
/
3_neglected_diseases
/
3_tuberculosis
/
4_tuberculosis
Asunto principal:
Tuberculosis
/
Modelos Estadísticos
Tipo de estudio:
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Año:
2018
Tipo del documento:
Article
País de afiliación:
Reino Unido