Evidence map›Paper›PMID 25566523›Full record

ArticleFrontiers in public health2014

Patient Reported Delays in Seeking Treatment for Tuberculosis among Adult and Pediatric TB Patients and TB Patients Co-Infected with HIV in Lima, Peru: A Qualitative Study.

Valerie A Paz-Soldan, Rebecca E Alban, Christy Dimos Jones, Amy R Powell, Richard A Oberhelman

Abstract read
In one paragraph

Article in Frontiers in public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Uncovering reasons for treatment initiation delays among children with TB in Lima, Peru.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2020
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  17. Delays and barriers to early treatment initiation for childhood tuberculosis in India.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2019
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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.

Valerie A Paz-SoldanTulane University School of Public Health and Tropical Medicine , New Orleans, LA , USA ; Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia , Lima , Peru.
Rebecca E AlbanTulane University School of Public Health and Tropical Medicine , New Orleans, LA , USA.
Christy Dimos JonesTulane University School of Public Health and Tropical Medicine , New Orleans, LA , USA.
Amy R PowellTulane University School of Public Health and Tropical Medicine , New Orleans, LA , USA.
Richard A OberhelmanTulane University School of Public Health and Tropical Medicine , New Orleans, LA , USA.

Funding

Tulane-Xavier Minority Training in International HealthT37MD001424 · NIMHD · TULANE UNIVERSITY OF LOUISIANA · PI OBERHELMAN, RICHARD A, THEALL, KATHERINE P · 2005 to 2022
$3.4M
Practical Diagnostics for AIDS-Related Pediatric TB,PeruR01AI049139 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI OBERHELMAN, RICHARD A · 2001 to 2006
$1.2M
Examining Human Behavior in Dengue Prevention Efforts in Iquitos, PeruK01TW008414 · FIC · TULANE UNIVERSITY OF LOUISIANA · PI PAZ-SOLDAN, VALERIE ANDREA · 2010 to 2013
$412k
FIC NIH HHS K01 TW008414NIAID NIH HHS R01 AI049139NIMHD NIH HHS T37 MD001424
6 · The paper itself

Abstract

introductionTuberculosis (TB) remains a significant public health challenge worldwide, and particularly in Peru with one of the highest incidence rates in Latin America. TB patient behavior has a direct influence on whether a patient will receive timely diagnosis and successful treatment of their illness.

objectivesThe objective was to understand the complex factors that can impact TB patient health seeking behavior.

methodsIn-depth interviews were conducted with adult and parents of pediatric patients receiving TB treatment (n = 43), within that group a sub-group was also co-infected with HIV (n = 11).

resultsAlmost all of the study participants recognized delays in seeking either their child's or their own diagnosis of their TB symptoms. The principal reasons for treatment-seeking delays were lack of knowledge and confusion of TB symptoms, fear and embarrassment of receiving a TB diagnosis, and a patient tendency to self-medicate prior to seeking formal medical attention.

conclusionHealth promotion activities that target patient delays have the potential to improve individual patient outcomes and mitigate the spread of TB at a community level.

Indexed as

delayed diagnosisHIVLatin Americaqualitative researchtuberculosis

Identifiers

PMID25566523
PMCPMC4273630

What OpenQuestion holds

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Registered trials

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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.