Evidence map›Paper›PMID 41438856›Full record

ArticleERJ open research2025

A multinational Delphi consensus on tuberculosis screening of migrants in Europe.

Marina Pinheiro, Ana Aguiar, David N Moreira, Onno W Akkerman, Zubaida Al-Suwaidi, Jan-Willem C Alffenaar, Irena Arandjelović, Ulisses Brito, Pierpaolo de Colombani, Radmila Curcic and 26 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

36 authors.

Marina PinheiroBarcelos/Esposende Local Health Unit, Public Health Unit, Barcelos/Esposende, Portugal.ORCID https://orcid.org/0000-0002-6931-1355
Ana AguiarEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto, Porto, Portugal.ORCID https://orcid.org/0000-0001-7643-8963
David N MoreiraBarcelos/Esposende Local Health Unit, Public Health Unit, Barcelos/Esposende, Portugal.ORCID https://orcid.org/0000-0002-7601-5810
Onno W AkkermanUMCG Department of Pulmonary Diseases and Tuberculosis, University of Groningen, Haren, The Netherlands.ORCID https://orcid.org/0000-0001-5638-9260
Zubaida Al-SuwaidiHead of National TB Reference Laboratory, Hamad Medical Corporation, Doha, Qatar.
Jan-Willem C AlffenaarSydney Institute for Infectious Diseases (Sydney ID), The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-6703-0288
Irena ArandjelovićInstitute of Microbiology and Immunology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Ulisses BritoPulmonology Department, Centro Hospitalar e Universitário do Algarve, Faro, Portugal.
Pierpaolo de ColombaniCentre for Multidisciplinary Research in Health Science (MACH), Università' di Milano, Milan, Italy.
Radmila CurcicMunicipal Institute for Lung Disease and TB, Belgrade, Serbia.
Alberto L Garcia-BasteiroCentro de Investigação em Saúde de Manhiça, Maputo Mozambique, ISGlobal (Hospital Clínic - Universitat de Barcelona) and Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Barcelona, Spain.
Delia GolettiDepartment of Pulmonology, Allergology and Clinical Immunology, National Institute for Infectious Diseases L. Spallanzani-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0001-8360-4376
Gunar GüntherInselspital, Bern University Hosptital, University of Bern, Bern, Switzerland.
Elmira IbraimMarius Nasta Institute of Pneumophtiziology in Bucharest, Bucharest, Romania.
Nathan KapataZambia National Public Health Institute, Lusaka, Zambia.
Christoph LangeClinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center, Borstel, Germany.ORCID https://orcid.org/0000-0002-9691-4741
Marc LipmanRoyal Free Hospital and University College London, London, UK.ORCID https://orcid.org/0000-0001-7501-4448
Mateja Jankovic MakekUniversity of Zagreb School of Medicine, Zagreb, Croatia.ORCID https://orcid.org/0000-0002-0171-764X
Ben J MaraisSydney ID and the WHO Collaborating Centre in Tuberculosis, The University of Sydney, Sydney, Australia.
Andrei MariandyshevNorthern State Medical University, Arkhangelsk, Russia.
Cecile Magis-EscurraDepartment of Pulmonary Diseases, Radboud University Medical Center-Dekkerswald, Nijmegen, The Netherlands.
Giovanni Battista MiglioriServizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy.ORCID https://orcid.org/0000-0002-2597-574X
Adrián Sánchez MontalváUnidad de Salud Internacional Vall d'Hebron-Drassanes, Servicio de Infecciosas, Hospital Universitário Vall d'Hebron, PROSICS Barcelona, Barcelona, Spain.
Zorica NanovicInstitute for Lung Diseases and Tuberculosis, Skopje, Republic of North Macedonia.
Domingo Juan PalmeroHospital Muñiz, Universidad de Buenos Aires, Buenos Aires, Argentina.
Martin PriwitzerPublic Health Department, Landeshauptstadt Stuttgart, Stuttgart, Germany.
Mario C B RaviglioneCentre for Multidisciplinary Research in Health Science (MACH), Università' di Milano, Milan, Italy.
Denise Rossato SilvaFaculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Helmut J F SalzerDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine 4 - Pneumology, Kepler University Hospital, Linz, Austria.
Christian SchwarzbachHamburg Tuberculosis Control Unit, District Public Health Department Hamburg-Mitte, Hamburg, Germany.
Ineke SpruijtKNCV Tuberculosis Foundation, The Hague, The Netherlands.ORCID https://orcid.org/0000-0002-9190-2696
Kevin L WinthropDivision of Infectious Diseases, Oregon Health and Science University, Portland, OR, USA.
Zarir UdwadiaHinduja Hospital and Research Centre, Mumbai, India.
Tuula VasankariFilha ry, Helsinki and University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-1413-8970
Cristina VilaplanaExperimental Tuberculosis Unit. Microbiology Department. Germans Trias i Pujol Research Institute (IGTP) and Hospital (HUGTIP), Badalona, Spain.
Raquel DuarteEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto, Porto, Portugal.ORCID https://orcid.org/0000-0003-2257-3099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The disproportionate burden of tuberculosis among migrants in the World Health Organization (WHO) European Region underscores the urgent need to address the public health challenges associated with global migration. Recommendations for screening of pulmonary tuberculosis (TB) and TB infection (TBI) are highly variable across European countries, highlighting the need for standardised practices and coordinated efforts to reduce TB risk more effectively. This study aims to produce a harmonised set of recommendations to contribute to elaboration for policy action using the Delphi method. It brings together a multidisciplinary panel of 33 TB experts from academia, healthcare, non-governmental organisations and government agencies across 22 countries to formulate consensus-based recommendations. The panel created 19 consensus statements and 36 recommendations for governments, health systems and other stakeholders. The recommendations span four key domains: 1) policy, 2) health systems and health professionals, 3) screening procedures and priority populations and 4) continued treatment and care. This study recommends a unified, evidence-based approach to TB screening in migrants, with free access to diagnosis and treatment, culturally sensitive care, use of digital tools and coordinated efforts across health systems to ensure effective and equitable TB control in Europe. Thus, the experts emphasised key recommendations that strike a balance between immediate health system interventions, screening procedures and cultural inclusivity to more effectively address TB among migrants. The findings of this study offer actionable policies to address gaps and weaknesses in Europe's response to tuberculosis among migrants, advancing efforts to eliminate TB as a public health threat.

Identifiers

PMID41438856
PMCPMC12720149

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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.