Evidence map›Paper›PMID 29258383›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

The Use of a Shared Services Model for Mycobacteriology Testing: Lessons Learned.

Cortney Stafford, Robyn Atkinson-Dunn, Sarah N Buss, Tracy Dalton, Debbie Gibson, Stephanie Johnston, Ewa King, Shou-Yean Grace Lin, Kara K Mitchell, William A Murtaugh and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Cortney Stafford1 Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Robyn Atkinson-Dunn2 Utah Public Health Laboratory, Taylorsville, UT, USA.
Sarah N Buss3 Wyoming Public Health Laboratory, Cheyenne, WY, USA.
Tracy Dalton1 Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Debbie Gibson4 Montana Public Health Laboratory, Helena, MT, USA.
Stephanie Johnston1 Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Ewa King5 Rhode Island Department of Health, State Health Laboratories, Providence, RI, USA.
Shou-Yean Grace Lin6 California Department of Public Health, Microbial Diseases Laboratory, Richmond, CA, USA.
Kara K Mitchell7 New York State Department of Health, Wadsworth Center, Albany, NY, USA.
William A Murtaugh8 Association of Public Health Laboratories, Silver Spring, MD, USA.
Heather Sease9 North Dakota Department of Health, Bismarck, ND, USA.
Timothy R Southern10 South Dakota Public Health Laboratory, Pierre, SD, USA.
Julie L Tans-Kersten11 Wisconsin State Laboratory of Hygiene, Madison, WI, USA.
Emily A Travanty12 Laboratory Services Division, Colorado Department of Public Health and Environment, Denver, CO, USA.
Laura R Triplett13 Denver Health Medical Center, Denver, CO, USA.
Kelly Wroblewski8 Association of Public Health Laboratories, Silver Spring, MD, USA.
Angela M Starks1 Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Funding

NCHM CDC HHS U60 HM000803
6 · The paper itself

Abstract

objectivesPublic health laboratories (PHLs) provide essential services in the diagnosis and surveillance of diseases of public health concern, such as tuberculosis. Maintaining access to high-quality laboratory testing is critical to continued disease detection and decline of tuberculosis cases in the United States. We investigated the practical experience of sharing tuberculosis testing services between PHLs through the Shared Services Project.

methodsThe Shared Services Project was a 9-month-long project funded through the Association of Public Health Laboratories and the Centers for Disease Control and Prevention during 2012-2013 as a one-time funding opportunity to consortiums of PHLs that proposed collaborative approaches to sharing tuberculosis laboratory services. Submitting PHLs maintained testing while simultaneously sending specimens to reference laboratories to compare turnaround times.

resultsDuring the 9-month project period, 107 Mycobacterium tuberculosis complex submissions for growth-based drug susceptibility testing and molecular detection of drug resistance testing occurred among the 3 consortiums. The median transit time for all submissions was 1.0 day. Overall, median drug susceptibility testing turnaround time (date of receipt in submitting laboratory to result) for parallel testing performed in house by submitting laboratories was 31.0 days; it was 43.0 days for reference laboratories. The median turnaround time for molecular detection of drug resistance results was 1.0 day (mean = 2.8; range, 0-14) from specimen receipt at the reference laboratories.

conclusionsThe shared services model holds promise for specialized tuberculosis testing. Sharing of services requires a balance among quality, timeliness, efficiency, communication, and fiscal costs.

Indexed as

Public Health PracticeBacteriological TechniquesCenters for Disease Control and Prevention, U.S.Cooperative BehaviorHumansLaboratoriesPublic Health SurveillanceTuberculosisUnited StateslaboratoriesMycobacterium tuberculosispublic health laboratoriesreferral of testingtuberculosis

Identifiers

PMID29258383
PMCPMC5805101

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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.