Evidence map›Paper›PMID 38821576›Full record

Observational studyBMJ open2024

Whole-course quality of tuberculosis (TB) care in rural China: a retrospective study based on chart abstraction.

Mingyue Li, Xiaotian Zhang, Haozhe Cheng, Baisong Zhang, Tiantian Wei, Xiaoran Cheng, Shiwen Jiang, Xiaoyun Liu

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2024. 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

8 authors.

Mingyue Li *Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.ORCID 0000-0001-8417-5665
Xiaotian Zhang *China Center for Health Development Studies, Peking University, Beijing, China.
Haozhe ChengChina Center for Health Development Studies, Peking University, Beijing, China.
Baisong ZhangChina Center for Health Development Studies, Peking University, Beijing, China.
Tiantian WeiChina Center for Health Development Studies, Peking University, Beijing, China.
Xiaoran ChengChina Center for Health Development Studies, Peking University, Beijing, China.
Shiwen JiangChinese Center for Disease Control and Prevention, Beijing, China.
Xiaoyun LiuChina Center for Health Development Studies, Peking University, Beijing, China xiaoyunliu@pku.edu.cn.ORCID 0000-0002-5483-0742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to assess the quality of tuberculosis (TB) care for the whole course and assess factors that affect completing treatment.

designThis is an observational retrospective study using chart abstraction for the whole course of TB care conducted at two underserved provinces in China.

settingThe study was conducted from June 2021 to July 2021. All medical records (outpatient and inpatient) for the whole course (6-8 months) of patients with TB newly registered from July 2020 to December 2020 were reviewed and abstracted using predetermined checklists.

participantsA total of 268 outpatient medical records and 126 inpatient records were included. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome included diagnostic quality, treatment quality and management quality. The secondary outcome was completing treatment.

resultsFor diagnostic quality, 94.2% of the diagnosis were based on adequate evidence. For treatment quality, 240 (91.6%) outpatients and 100 (85.5%) inpatients took the standard chemotherapy regimens. 234 (87.3%) patients completed treatment. 85.1% of the inpatients prescribed with second-line drugs were inappropriate. For management quality, 128 (47.9%) patients received midterm assessments, but only 47 (19.7%) received sufficient services for the whole course. Patients with TB symptoms were 1.8 times more likely to complete treatment (p=0.011).

conclusionPatients with TB received high-quality diagnosis and treatment services, but low-quality whole-course management. Integration of medical and public health services should be strengthened to improve whole-course quality.

Indexed as

Quality of Health CareTuberculosisAdolescentAdultAgedAntitubercular AgentsChinaFemaleHumansMaleMedical RecordsMiddle AgedRetrospective StudiesRural PopulationYoung AdultAntitubercular Agentshealth policyprimary health caretuberculosis

Identifiers

PMID38821576
PMCPMC11149154

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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.