ArticlePublic health action2026
Cured but not healed: high burden of pulmonary disability and multimorbidity among TB survivors in India.
Article in Public health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
settingFive districts across five states of India.
objectiveTo assess the prevalence of TB-associated disability, comorbidities, risk determinants, and linkage to care among adults completing TB treatment between October 2024 and December 2025.
designA cohort study using primary data collection. Trained research staff conducted all the assessments. Pulmonary disability meant impaired lung function on spirometry and/or walking <400 m on 6-minute walk test. Linkage to care was assessed through telephonic follow-up after a month of referral.
resultsOf 780 participants, 85% had at least one comorbidity, risk determinant, or disability (multimorbidity). The prevalence of pulmonary disability was 60% (95% confidence interval: 56-64). Undernutrition (36%), diabetes (24%), and hypertension (19%) were the most common comorbidities, with 13% of diabetes and 55% of hypertension being newly detected. Pulmonary disability was associated with older age, pulmonary TB, undernutrition, mental health disorder, smoking, and silica exposure. Referral ranged from 12% to 100% for various conditions, with low rates for mental health disorders (12%) and recreational drug use (33%).
conclusionSuccessful completion of TB treatment and bacteriological cure does not imply restoration of health-related quality of life. Early integration of patient-centred care for multimorbidity is essential for restoring health among TB survivors.
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