ArticleBMC public health2018
Nationwide surveillance algorithms for tuberculosis among immigrant workers from highly endemic countries following pre-entry screening in Taiwan.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Mandatory, voluntary, repetitive, or one-off post-migration follow-up for tuberculosis prevention and control: A systematic review.PLoS medicine · 2023Pooled it
- Risk Factors for Pulmonary Tuberculosis in Patients with Lung Cancer: A Retrospective Cohort Study.Journal of Cancer · 2023Article
- Demographic Control Measure Implications of Tuberculosis Infection for Migrant Workers across Taiwan Regions.International journal of environmental research and public health · 2022Article
- Article
- Tuberculosis in migrants - screening, surveillance and ethics.Pneumonia (Nathan Qld.) · 2020Review
- Ultrasonographic Features and Diagnostic Challenges of Hepatic Tuberculosis: Insights from Taiwan and Southeast Asia.Journal of medical ultrasoundReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis cross-sectional study was retrospectively performed to assess the trend of tuberculosis (TB) among Taiwan's immigrant workers from highly TB-endemic countries under an intervention of conducting a 4-round follow-up (at 0-3 days and 6, 18, and 30 months post-migration) screening program with initial chest X-ray (CXR) following an overseas, pre-entry normal CXR.
methodsThe immigrant workers with TB disease enrolled in the Taiwan TB registry database in 2011-2014 were analyzed and linked to an immigrant worker physical exam database to stratify TB case categories of actively screened or not for comparison.
resultsFollowing pre-entry screening for the admission of CXR-normal immigrant workers from highly endemic countries, the overall TB incidence of 70.6-128.6/100,000 person-years resulted either from a subsequent series of 4-round post-entry active screenings or misalliance algorithms, including passive diagnostics for the illness. Overall, the TB relative risk based on incidence in the immigrant working population was 2.2- to 5.5-fold greater than that among corresponding age Taiwanese, with 14.3% (15.5/100,000 person-years) sputum-smear-positive pulmonary TB (SS+ PTB), 74.2% (80.8/100,000 person-years) sputum-smear-negative (SS-) PTB, and 7.8% (8.5/100,000 person-years) only extra-pulmonary TB (EPTB). Regarding the clinical characteristics, 55.5% TB cases - identified through passive illness diagnostics vs. 44.5% TB cases actively identified through mandatory screenings, were higher in SS+ PTB (adjusted odds Ratio (aOR): 1.5, 95% CI: 1.1-2.0, P = 0.008), higher in SC+ PTB (aOR: 1.4, 95% CI: 1.1-1.7, P = 0.004), higher in concurrent extra-pulmonary TB (aOR: 8.9, CI: 4.5-7.4, P < 0.001), and higher in normal CXR TB (aOR: > 100, CI: 0- > 100, P = 0.908). The TB yields of 3rd- to 4th-round screenings were higher than those of 1st- and 2nd-round screenings and ranged from 52.6-65.3 cases per 100,000 screenings in 2013-2014.
conclusionsThe multiple post-entry TB screenings with initial CXR for high-risk immigrants could actively reduce TB transmission by finding SS- TB cases at early stages. The TB yields at post-entry 3rd- to 4th-round screenings might imply a persistent reactivation of latent TB. Adding more sensitive, economical screenings and preventive treatments for latent TB infection is a comprehensive approach for accelerating TB elimination.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.