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Tuberculosis is frequently diagnosed within 12 months of diabetes mellitus

Authors
 Heo, E. Y. ; Choi, N-K. ; Kang, Y. A. ; Lee, C-H. ; Hwang, S-S. ; Koo, B. K. ; Yang, B. R. 
Citation
 International Journal of Tuberculosis and Lung Disease, Vol.19(9) : 1098~1101, 2015 
Journal Title
 International Journal of Tuberculosis and Lung Disease 
ISSN
 1027-3719 
Issue Date
2015
Abstract
BACKGROUND: Evidence regarding the effects of tuberculosis (TB) screening among patients with diabetes mellitus (DM) in intermediate TB burden countries is insufficient, and the most appropriate time point for TB screening is unclear. OBJECTIVE: To investigate trends in TB incidence among newly diagnosed DM patients. DESIGN: A retrospective cohort study of the claims database of the Health Insurance Review and Assessment Service in Korea was performed. Participants were newly diagnosed with type 2 DM in 2009. The study outcome was TB incidence between 2009 and 2011 among participants according to duration of type 2 DM. RESULTS: A cohort of 331,601 patients with newly diagnosed type 2 DM in 2009 was identified. During the 3-year follow-up period, 1533 patients were diagnosed with TB. The estimated incidence of TB among newly diagnosed type 2 DM patients was 18/10,000 patient-years (py) (95%CI 17.5-19.4). TB incidence was 33/10,000 py (95%CI 30.0-35.6) in the first 6 months, and 19/10,000 py (95%CI 16.5-20.6) in the following 6-month period. CONCLUSIONS: The risk of developing TB was increased among DM patients, particularly during the first 12 months after DM diagnosis.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/141203
DOI
10.5588/ijtld.14.0772
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://www.ingentaconnect.com/content/iuatld/ijtld/2015/00000019/00000009/art00019
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