Evidence map›Paper›PMID 32316963›Full record

ArticleBMC health services research2020

Resource implications of the latent tuberculosis cascade of care: a time and motion study in five countries.

H Alsdurf, O Oxlade, M Adjobimey, F Ahmad Khan, M Bastos, N Bedingfield, A Benedetti, D Boafo, T N Buu, L Chiang and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
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  12. Active screening for tuberculosis in high-incidence Inuit communities in Canada: a cost-effectiveness analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
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

31 authors.

H AlsdurfDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
O OxladeMcGill International TB Centre, McGill University, 5252 Boulevard de Maisonneuve, Room 3D.58, Montreal, QC, Canada.
M AdjobimeyProgramme National contre la Tuberculose-Bénin, Centre National Hospitalier Universitaire de Pneumo-Phtisiologie-Cotonou, Cotonou, Benin.
F Ahmad KhanMcGill International TB Centre, McGill University, 5252 Boulevard de Maisonneuve, Room 3D.58, Montreal, QC, Canada.
M BastosRespiratory Epidemiology and Clinical Research Unit (RECRU), McGill University, Montreal, QC, Canada.
N BedingfieldUniversity of Calgary, Calgary, AB, Canada.
A BenedettiDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
D BoafoChest Clinic, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
T N BuuWoolcock Institute of Medical Research, Hanoi, Vietnam.
L ChiangProvincial Tuberculosis Services, British Columbia Centre for Disease Control, Vancouver, BC, Canada.
V CookProvincial Tuberculosis Services, British Columbia Centre for Disease Control, Vancouver, BC, Canada.
D FisherDivision of Respiratory Medicine, University of Calgary, Calgary, AB, Canada.
G J FoxThe Faculty of Medicine and Health, The University of Sydney Central Clinical School, The University of Sydney, Sydney, NSW, Australia.
F FregoneseMcGill International TB Centre, McGill University, 5252 Boulevard de Maisonneuve, Room 3D.58, Montreal, QC, Canada.
P HadisoemartoDepartment of Public Health, Faculty of Medicine, TB-HIV Research Center, Universitas Padjadjaran, Bandung, Indonesia.
J C JohnstonProvincial Tuberculosis Services, British Columbia Centre for Disease Control, Vancouver, BC, Canada.
F KassaProgramme National contre la Tuberculose-Bénin, Centre National Hospitalier Universitaire de Pneumo-Phtisiologie-Cotonou, Cotonou, Benin.
R LongDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
S Moayedi NiaDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada.
T A NguyenWoolcock Institute of Medical Research, Hanoi, Vietnam.
J ObengChest Clinic, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
C PaulsenDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
K RomanowskiProvincial Tuberculosis Services, British Columbia Centre for Disease Control, Vancouver, BC, Canada.
R RuslamiDepartment of Biomedical Sciences, Division of Pharmacology & Therapy, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
K SchwartzmanDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
H SohnDepartment of Epidemiology, John Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
E StrumpfDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
A TrajmanSocial Medicine Institute, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
C ValiquetteMcGill International TB Centre, McGill University, 5252 Boulevard de Maisonneuve, Room 3D.58, Montreal, QC, Canada.
L YahaProgramme National contre la Tuberculose-Bénin, Centre National Hospitalier Universitaire de Pneumo-Phtisiologie-Cotonou, Cotonou, Benin.
D MenziesDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada. dick.menzies@mcgill.ca.

Funding

CIHR FDN-143350
6 · The paper itself

Abstract

backgroundThe End TB Strategy calls for global scale-up of preventive treatment for latent tuberculosis infection (LTBI), but little information is available about the associated human resource requirements. Our study aimed to quantify the healthcare worker (HCW) time needed to perform the tasks associated with each step along the LTBI cascade of care for household contacts of TB patients.

methodsWe conducted a time and motion (TAM) study between January 2018 and March 2019, in which consenting HCWs were observed throughout a typical workday. The precise time spent was recorded in pre-specified categories of work activities for each step along the cascade. A linear mixed model was fit to estimate the time at each step.

resultsA total of 173 HCWs in Benin, Canada, Ghana, Indonesia, and Vietnam participated. The greatest amount of time was spent for the medical evaluation (median: 11 min; IQR: 6-16), while the least time was spent on reading a tuberculin skin test (TST) (median: 4 min; IQR: 2-9). The greatest variability was seen in the time spent for each medical evaluation, while TST placement and reading showed the least variability. The total time required to complete all steps along the LTBI cascade, from identification of household contacts (HHC) through to treatment initiation ranged from 1.8 h per index TB patient in Vietnam to 5.2 h in Ghana.

conclusionsOur findings suggest that the time requirements are very modest to perform each step in the latent TB cascade of care, but to achieve full identification and management of all household contacts will require additional human resources in many settings.

Indexed as

Case ManagementHealth PersonnelHealth ResourcesLatent TuberculosisAdultBeninCanadaFemaleGhanaHumansIndonesiaLinear ModelsMaleMiddle AgedTime and Motion StudiesVietnamCascade-of-careLatent tuberculosis infectionTime and motion study

Identifiers

PMID32316963
PMCPMC7175545

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.