Feasibility and yield of screening for non-communicable diseases among treated tuberculosis patients in Peru.
Int J Tuberc Lung Dis
; 22(1): 86-92, 2018 01 01.
Article
em En
| MEDLINE
| ID: mdl-29297431
ABSTRACT
INTRODUCTION:
The increasing prevalence of non-communicable diseases (NCDs) poses a major challenge to low- and middle-income countries. Patients' engagement with health services for anti-tuberculosis treatment provides an opportunity for screening for NCDs and for linkage to care.METHODS:
We explored the feasibility and yield of screening for NCDs in patients treated for tuberculosis (TB) in Lima, Peru, as part of a study focused on chronic respiratory sequelae. A representative sample of community controls was recruited from the same geographical area. Screening entailed taking a medical history and performing ambulatory blood pressure measurement and urinalysis.RESULTS:
A total of 177 participants with previous TB (33 with multidrug-resistant TB) and 161 community controls were evaluated. There was an almost four-fold increased prevalence of self-reported diabetes mellitus (DM) in the TB group (adjusted prevalence ratio 3.66, 95%CI 1.68-8.01). Among those without self-reported DM, 3.3% had glycosuria, with a number needed to screen (NNS) of 31. The NNS to find one (new) case of hypertension or proteinuria in the TB group was respectively 24 and 5.CONCLUSION:
Patient-centred care that includes pragmatic NCD screening is feasible in TB patients, and the treatment period provides a good opportunity to link patients to ongoing care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Programas de Rastreamento
/
Diabetes Mellitus
/
Doenças não Transmissíveis
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do sul
/
Peru
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article