Trends of Tuberculosis Case Notification and Treatment Outcomes in the Sidama Zone, Southern Ethiopia: Ten-Year Retrospective Trend Analysis in Urban-Rural Settings
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{"title"=>"Trends of tuberculosis case notification and treatment outcomes in the sidama zone, southern ethiopia: Ten-year retrospective trend analysis in urban-rural settings", "type"=>"journal", "authors"=>[{"first_name"=>"Mesay Hailu", "last_name"=>"Dangisso", "scopus_author_id"=>"55983936000"}, {"first_name"=>"Daniel Gemechu", "last_name"=>"Datiko", "scopus_author_id"=>"24922823900"}, {"first_name"=>"Bernt", "last_name"=>"Lindtjørn", "scopus_author_id"=>"7003541173"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"25460363", "doi"=>"10.1371/journal.pone.0114225", "sgr"=>"84918815043", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "scopus"=>"2-s2.0-84918815043", "issn"=>"19326203", "pui"=>"600627429"}, "id"=>"971e65bb-6f54-38ae-ba5f-f1477e59abe9", "abstract"=>"Background Ethiopia is one of the high tuberculosis (TB) burden countries. An analysis of trends and differentials in case notifications and treatment outcomes of TB may help improve our understanding of the performance of TB control services. Methods A retrospective trend analysis of TB cases was conducted in the Sidama Zone in southern Ethiopia. We registered all TB cases diagnosed and treated during 2003–2012 from all health facilities in the Sidama Zone, and analysed trends of TB case notification rates and treatment outcomes. Results The smear positive (PTB+) case notification rate (CNR) increased from 55 (95% CI 52.5–58.4) to 111 (95% CI 107.4–114.4) per 105 people. The CNRs of PTB+ in people older than 45 years increased by fourfold, while the mortality of cases during treatment declined from 11% to 3% for smear negative (PTB-) (X2trend, P<0.001) and from 5% to 2% for PTB+ (X2trend, P<0.001). The treatment success was higher in rural areas (AOR 1.11; CI 95%: 1.03–1.2), less for PTB- (AOR 0.86; CI 95%: 0.80–0.92) and higher for extra-pulmonary TB (AOR 1.10; CI 95%: 1.02–1.19) compared to PTB+. A higher lost-to-follow up was observed in men (AOR 1.15; CI 95%: 1.06–1.24) and among PTB- cases (AOR 1.14; CI 95%: 1.03–1.25). More deaths occurred in PTB-cases (AOR 1.65; 95% CI: 1.44–1.90) and among cases older than 65 years (AOR 3.86; CI 95%: 2.94–5.10). Lastly, retreatment cases had a higher mortality than new cases (6% vs 3%). Conclusion Over the past decade TB CNRs and treatment outcomes improved, whereas the disparities of disease burden by gender and place of residence reduced and mortality declined. Strategies should be devised to address higher risk groups for poor treatment outcomes.", "link"=>"http://www.mendeley.com/research/trends-tuberculosis-case-notification-treatment-outcomes-sidama-zone-southern-ethiopia-tenyear-retro-1", "reader_count"=>45, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>7, "Student > Master"=>7, "Other"=>3, "Student > Bachelor"=>5, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>7, "Student > Master"=>7, "Other"=>3, "Student > Bachelor"=>5, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Nursing and Health Professions"=>10, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>2, "Medicine and Dentistry"=>19, "Agricultural and Biological Sciences"=>2, "Social Sciences"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Social Sciences"=>{"Social Sciences"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>6}}, "reader_count_by_country"=>{"United States"=>1, "Brazil"=>1, "United Kingdom"=>1, "Ethiopia"=>1}, "group_count"=>2}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1813924"], "description"=>"<p>*Not evaluated = Transferred out cases + Cases for whom treatment outcome was unknown.</p><p>Fourteen new and 1 retreatment cases were excluded because the year of treatment was not mentioned.</p><p>One case recorded as treatment failure had no TB classification.</p><p>Trends of treatment outcome among tuberculosis cases in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257472, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.t004", "stats"=>{"downloads"=>1, "page_views"=>35, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trends_of_treatment_outcome_among_tuberculosis_cases_in_the_Sidama_Zone_2003_8211_2012_/1257472", "title"=>"Trends of treatment outcome among tuberculosis cases in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813921"], "description"=>"<p>Trends of smear positive TB case notification rate per 10<sup>5</sup> people in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257470, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.t003", "stats"=>{"downloads"=>6, "page_views"=>27, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trends_of_smear_positive_TB_case_notification_rate_per_10_5_people_in_the_Sidama_Zone_2003_8211_2012_/1257470", "title"=>"Trends of smear positive TB case notification rate per 10<sup>5</sup> people in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813918"], "description"=>"<p>A total of 216 cases were cases from the study area, but treated at facilities outside the study area and included in the analysis. A total of 263 cases were excluded from analysis because they were from other districts, but treated in the study area. Therefore, 37,070 (37,333–263) cases from the study area were included in the study.</p><p>*Number of cases from other districts/number of cases corrected to true address.</p><p>**Number of cases of other districts/number of cases reported by BMU.</p><p>***Difference between number of cases reported by BMU and number of cases corrected to BMU.</p><p>Differences in cases notified after linking TB cases to their correct address in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257466, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.t001", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Differences_in_cases_notified_after_linking_TB_cases_to_their_correct_address_in_the_Sidama_Zone_2003_8211_2012_/1257466", "title"=>"Differences in cases notified after linking TB cases to their correct address in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813927"], "description"=>"<p>Various factors associated with treatment success, loss-to-follow up and mortality among 35,314 new tuberculosis cases in the Sidama Zone, 2003-2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257475, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.t005", "stats"=>{"downloads"=>4, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Various_factors_associated_with_treatment_success_loss_to_follow_up_and_mortality_among_35_314_new_tuberculosis_cases_in_the_Sidama_Zone_2003_2012_/1257475", "title"=>"Various factors associated with treatment success, loss-to-follow up and mortality among 35,314 new tuberculosis cases in the Sidama Zone, 2003-2012.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813920"], "description"=>"<p>*Age was not recorded for 297 (0.8%) cases.</p><p>Characteristics of study subjects in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257468, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.t002", "stats"=>{"downloads"=>4, "page_views"=>21, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_study_subjects_in_the_Sidama_Zone_2003_8211_2012_/1257468", "title"=>"Characteristics of study subjects in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813917"], "description"=>"<p>Trends of mortality among TB cases during treatment in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257465, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.g002", "stats"=>{"downloads"=>7, "page_views"=>74, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trends_of_mortality_among_TB_cases_during_treatment_in_the_Sidama_Zone_2003_8211_2012_/1257465", "title"=>"Trends of mortality among TB cases during treatment in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-12-02 03:35:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/1813914"], "description"=>"<p>Trends of TB case notification rates per 105 people by year and by TB category in the Sidama Zone, 2003–2012.</p>", "links"=>[], "tags"=>["Sidama Zone", "ptb", "TB control services.MethodsA retrospective trend analysis", "treatment outcomes.ResultsThe smear", "aor", "ci", "Tuberculosis Case Notification", "decade TB CNRs", "TB cases", "TB case notification rates", "treatment outcomes"], "article_id"=>1257462, "categories"=>["Biological Sciences"], "users"=>["Mesay Hailu Dangisso", "Daniel Gemechu Datiko", "Bernt Lindtjørn"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114225.g001", "stats"=>{"downloads"=>0, "page_views"=>27, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trends_of_TB_case_notification_rates_per_105_people_by_year_and_by_TB_category_in_the_Sidama_Zone_2003_8211_2012_/1257462", "title"=>"Trends of TB case notification rates per 105 people by year and by TB category in the Sidama Zone, 2003–2012.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-12-02 03:35:08"}

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