Evidence map›Paper›PMID 25163673›Full record

ArticleEmerging health threats journal2014

Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk.

Vladimir N Kuznetsov, Andrej M Grjibovski, Andrej O Mariandyshev, Eva Johansson, Gunnar A Bjune

Open access · hybridAbstract read
In one paragraph

Article in Emerging health threats journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Vladimir N KuznetsovInstitute of Health and Society, University of Oslo, Oslo, Norway; vnkuznetsov@gmail.com.
Andrej M GrjibovskiDepartment of International Public Health, Norwegian Institute of Public Health, Oslo, Norway.
Andrej O MariandyshevDepartment of Tuberculosis, Northern State Medical University, Arkhangelsk, Russia.
Eva JohanssonKarolinska Institute, Stockholm, Sweden.
Gunnar A BjuneInstitute of Health and Society, University of Oslo, Oslo, Norway.
University of Oslo · NOKarolinska Institutet · SENorthern State Medical University · RUNorwegian Institute of Public Health · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingDelay in tuberculosis (TB) diagnosis increases the infectious pool in the community and the risk of development of resistance of mycobacteria, which results in an increased number of deaths.

objectiveTo describe patients' and doctors' perceptions of diagnostic delay in TB patients in the Arkhangelsk region and to develop a substantive model to better understand the mechanisms of how these delays are linked to each other.

designA grounded theory approach was used to study the phenomenon of diagnostic delay. Patients with TB diagnostic delay and doctors-phthisiatricians were interviewed.

resultsA model named 'sickness trajectory in health-seeking behaviour among tuberculosis patients' was developed and included two core categories describing two vicious circles of diagnostic delay in patients with TB: 'limited awareness of the importance to contact the health system' and 'limited resources of the health system' and the categories: 'factors influencing health-seeking behaviour' and 'factors influencing the health system effectiveness'. Men were more likely to report patient delay, while women were more likely to report health system delay.

conclusionsTo involve people in early medical examinations, it is necessary to increase alertness on TB among patients and to improve health systems in the districts.

Indexed as

Delayed DiagnosisPatient Acceptance of Health CareAdultAgedFemaleFocus GroupsGrounded TheoryHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleMiddle AgedQualitative ResearchRussiaTuberculosisYoung Adultgrounded theoryhealth system delaypatient delaytuberculosis

Identifiers

PMID25163673
PMCPMC4147085
OpenAlexW1998886132

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.