Loss to follow-up among patients diagnosed with spinal tuberculosis at a tertiary hospital in Western Cape Province, South Africa: A retrospective cohort study
| Autor: | J H Davis, T. N. Mann, Robin E. Dyers |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Outpatient Clinics Hospital Tuberculosis Antitubercular Agents Cohort Studies Tertiary Care Centers South Africa Young Adult Residence Characteristics Risk Factors Interquartile range medicine Humans Outpatient clinic Orthopedic Procedures Lost to follow-up Survival analysis Retrospective Studies Travel Duration of Therapy business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Relative risk Female Lost to Follow-Up Tuberculosis Spinal business Cohort study |
| Zdroj: | South African Medical Journal. 110:284 |
| ISSN: | 2078-5135 0256-9574 |
| DOI: | 10.7196/samj.2020.v110i4.14179 |
| Popis: | Background. Patients diagnosed with spinal tuberculosis (TB) at a major tertiary hospital in Western Cape Province, South Africa, are required to attend regular follow-up at the hospital’s outpatient spine clinic and to remain on TB treatment for at least 9 months. This follow-up and lengthy treatment is intended to allow for specialist monitoring of TB treatment response and early identification of secondary complications, and to reduce the risk of recurrence. However, little is known about adherence to these recommendations. Objectives. The main objectives were to describe ( i ) loss to spine clinic follow-up (LTFU), and ( ii ) TB treatment duration among patients diagnosed with spinal TB at the hospital. Secondary objectives were to investigate ( i ) the association between LTFU and treatment duration, and ( ii ) factors associated with LTFU. Methods. This retrospective cohort study included 173 adults diagnosed with spinal TB between 2012 and 2015 and investigated follow-up within 2 years from diagnosis. Clinical, demographic and appointment data were obtained from hospital records and a dataset provided by the provincial Department of Health. LTFU was presented as frequency (%) and as a survival analysis. TB treatment duration was reported as frequency |
| Databáze: | OpenAIRE |
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