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Tuberculosis retreatment ‘others’ in comparison with classical retreatment cases; a retrospective cohort review

Overview of attention for article published in BMC Public Health, September 2015
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  • Above-average Attention Score compared to outputs of the same age and source (60th percentile)

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Title
Tuberculosis retreatment ‘others’ in comparison with classical retreatment cases; a retrospective cohort review
Published in
BMC Public Health, September 2015
DOI 10.1186/s12889-015-2195-2
Pubmed ID
Authors

Mary G. Nabukenya-Mudiope, Herman Joseph Kawuma, Miranda Brouwer, Peter Mudiope, Anna Vassall

Abstract

Many of the countries in sub-Saharan Africa are still largely dependent on microscopy as the mainstay for diagnosis of tuberculosis (TB) including patients with previous history of TB treatment. The available guidance in management of TB retreatment cases is focused on bacteriologically confirmed TB retreatment cases leaving out those classified as retreatment 'others'. Retreatment 'others' refer to all TB cases who were previously treated but with unknown outcome of that previous treatment or who have returned to treatment with bacteriologically negative pulmonary or extra-pulmonary TB. This study was conducted in 11 regional referral hospitals (RRHs) serving high burden TB districts in Uganda to determine the profile and treatment success of TB retreatment 'others' in comparison with the classical retreatment cases. A retrospective cohort review of routinely collected National TB and Leprosy Program (NTLP) facility data from 1 January to 31 December 2010. This study uses the term classical retreatment cases to refer to a combined group of bacteriologically confirmed relapse, return after failure and return after loss to follow-up cases as a distinct group from retreatment 'others'. Distribution of categorical characteristics were compared using Chi-squared test for difference between proportions. The log likelihood ratio test was used to assess the independent contribution of type of retreatment, human immunodeficiency virus (HIV) status, age group and sex to the models. Of the 6244 TB cases registered at the study sites, 733 (11.7 %) were retreatment cases. Retreatment 'others' constituted 45.5 % of retreatment cases. Co-infection with HIV was higher among retreatment 'others' (70.9 %) than classical retreatment cases (53.5 %). Treatment was successful in 410 (56.2 %) retreatment cases. Retreatment 'others' were associated with reduced odds of success (AOR = 0.44, 95 % CI 0.22,0.88) compared to classical cases. Lost to follow up was the commonest adverse outcome (38 % of adverse outcomes) in all retreatment cases. Type of retreatment case, HIV status, and age were independently associated with treatment success. TB retreatment 'others' constitute a significant proportion of retreatment cases, with higher HIV prevalence and worse treatment success. There is need to review the diagnosis and management of retreatment 'others'.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 105 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 105 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 15%
Researcher 14 13%
Student > Postgraduate 11 10%
Student > Bachelor 10 10%
Student > Ph. D. Student 8 8%
Other 17 16%
Unknown 29 28%
Readers by discipline Count As %
Medicine and Dentistry 35 33%
Nursing and Health Professions 13 12%
Immunology and Microbiology 7 7%
Biochemistry, Genetics and Molecular Biology 4 4%
Agricultural and Biological Sciences 3 3%
Other 8 8%
Unknown 35 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 April 2017.
All research outputs
#6,371,272
of 23,504,694 outputs
Outputs from BMC Public Health
#6,577
of 15,300 outputs
Outputs of similar age
#72,993
of 268,394 outputs
Outputs of similar age from BMC Public Health
#128
of 328 outputs
Altmetric has tracked 23,504,694 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
So far Altmetric has tracked 15,300 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.1. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,394 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.
We're also able to compare this research output to 328 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 60% of its contemporaries.