Evidence map›Paper›PMID 35202214›Full record

ArticleTropical medicine and infectious disease2022

Evaluating the Quality of Latent Tuberculosis Infection Screening in Ireland: A Single-Centre Retrospective Cohort Study.

James O'Connell, Joy Oguntuase, Brian Li, Cora McNally, Debbi Stanistreet, Samuel McConkey, Eoghan de Barra

Abstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Infection Prevention and Control: Practical and Educational Advances.Tropical medicine and infectious disease · 2022
    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

7 authors.

James O'ConnellDepartment of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, D02 DH60 Dublin, Ireland.
Joy OguntuaseSchool of Postgraduate Studies, Royal College of Surgeons in Ireland, D02 YN77 Dublin, Ireland.
Brian LiSchool of Medicine, Royal College of Surgeons in Ireland, D09 YD60 Dublin, Ireland.
Cora McNallyDepartment of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, D02 DH60 Dublin, Ireland.
Debbi StanistreetDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, D02 DH60 Dublin, Ireland.ORCID 0000-0003-3738-1727
Samuel McConkeyDepartment of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, D02 DH60 Dublin, Ireland.
Eoghan de BarraDepartment of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, D02 DH60 Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ireland is a country with a low incidence of tuberculosis (TB) (5.6 cases per 100,000 population in 2019) that should be aiming for TB elimination (fewer than 1 case per million of population). To achieve TB elimination in low-incidence countries, programmatic latent tuberculosis infection (LTBI) management is important. This requires high-quality latent tuberculosis infection (LTBI) screening.

aimTo assess the quality of LTBI screening in a tertiary centre in Ireland using a framework.

methodsA retrospective review of the health care records of patients screened for TB in a tertiary centre in Ireland using an interferon-gamma release assay (IGRA) between 2016 and 2018 was performed. Three domains from the Institute of Medicine framework for health care quality, effectiveness, efficiency, and equity, were applied to measure the quality of LTBI screening.

resultsForty patients had LTBI and an indication for treatment, of whom 20% (8/40) were not offered treatment by the health care provider, 2.5% (1/40) did not accept treatment, and 10% (4/40) did not complete treatment. Seventy-five percent (6/8) of patients not offered treatment were non-Irish. The cost of screening per LTBI case identified was EUR 2048.

conclusionsThis study evaluated the quality of LTBI screening using a framework and identified that LTBI screening in this tertiary centre needs to be scaled and expanded, and that treatment initiation needs to be improved, particularly among non-Irish nationals.

Indexed as

cost analysiseffectivenessequitylatent tuberculosis infectionquality of care

Identifiers

PMID35202214
PMCPMC8880574

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