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Risk of loss to follow-up among tuberculosis patients in South Korea: whom should we focus on?
DC Field | Value | Language |
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dc.contributor.author | 이은혜 | - |
dc.date.accessioned | 2024-03-22T06:13:31Z | - |
dc.date.available | 2024-03-22T06:13:31Z | - |
dc.date.issued | 2023-10 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/198461 | - |
dc.description.abstract | Introduction: In South Korea, public-private mix (PPM) has been a key strategy in national tuberculosis (TB) control program. This study aimed to identify rate of loss to follow-up (LTFU) among TB patients in nationwide PPM institutions and their risk factors. Methods: A nationwide prospective observational study including drug susceptible TB patients diagnosed from the 1st day to the 10th day of every month between July 2018 and December 2020 in PPM institutions was designed. Multivariable survival models in which death and failure were designated as events with competing risk were used to investigate risk factors for LTFU. Results: A total of 14,942 patients were included. Of them, 356 (2.4%) had an LTFU. Risk factors for LTFU were: underweight patients (adjusted hazard ratio (aHR): 1.47, 95% CI: 1.12–1.92), patients living alone (aHR: 1.43, 95% CI: 1.16–1.76), heavy drinkers (aHR: 1.67, 95% CI: 1.16–2.39), those with malignancy (aHR: 1.49, 95% CI: 1.07–2.05), foreigners (aHR: 5.96, 95% CI: 4.51–7.89), and those with previous TB history reported as an unfavorable outcome (aHR: 4.43, 95% CI: 2.77–7.08). Effect of age on LTFU was not significant. Brief interruption of anti-TB treatment (less than two months) in current session was associated with subsequent LTFU [adjusted odds ratio: 13.09 (10.29–16.66)]. Conclusion: Identifying vulnerability of patients such as living alone, being heavy alcoholics, being foreigners or having previous TB history reported as an unfavorable outcome is required. Thorough case management for these vulnerable groups could be feasible with collaboration between public and private sectors. Copyright © 2023 Kim, Min, Ko, Oh, Jeong, Lee, Yang, Koo, Lee, Park, Park, Chang, Joh, Lee and Kim. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Frontiers Editorial Office | - |
dc.relation.isPartOf | FRONTIERS IN PUBLIC HEALTH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | HIV Infections* / complications | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Republic of Korea / epidemiology | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Tuberculosis* / complications | - |
dc.subject.MESH | Tuberculosis* / epidemiology | - |
dc.title | Risk of loss to follow-up among tuberculosis patients in South Korea: whom should we focus on? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Hyung Woo Kim | - |
dc.contributor.googleauthor | Jinsoo Min | - |
dc.contributor.googleauthor | Yousang Ko | - |
dc.contributor.googleauthor | Jee Youn Oh | - |
dc.contributor.googleauthor | Yun-Jeong Jeong | - |
dc.contributor.googleauthor | Eun Hye Lee | - |
dc.contributor.googleauthor | Bumhee Yang | - |
dc.contributor.googleauthor | Hyeon-Kyoung Koo | - |
dc.contributor.googleauthor | Sung-Soon Lee | - |
dc.contributor.googleauthor | Jae Seuk Park | - |
dc.contributor.googleauthor | Kwang Joo Park | - |
dc.contributor.googleauthor | Jung Hyun Chang | - |
dc.contributor.googleauthor | Joonsung Joh | - |
dc.contributor.googleauthor | Min Ki Lee | - |
dc.contributor.googleauthor | Ju Sang Kim | - |
dc.identifier.doi | 10.3389/fpubh.2023.1247772 | - |
dc.contributor.localId | A03053 | - |
dc.relation.journalcode | J03763 | - |
dc.identifier.eissn | 2296-2565 | - |
dc.identifier.pmid | 37927864 | - |
dc.subject.keyword | loss to follow-up | - |
dc.subject.keyword | public-private mix | - |
dc.subject.keyword | risk factors | - |
dc.subject.keyword | tuberculosis | - |
dc.subject.keyword | vulnerability | - |
dc.contributor.alternativeName | Lee, Eun Hye | - |
dc.contributor.affiliatedAuthor | 이은혜 | - |
dc.citation.volume | 11 | - |
dc.citation.startPage | 1247772 | - |
dc.identifier.bibliographicCitation | FRONTIERS IN PUBLIC HEALTH, Vol.11 : 1247772, 2023-10 | - |
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