Point of care HbA1c level for diabetes mellitus management and its accuracy among tuberculosis patients: a study in four countries

Autor: Huangfu, P., Laurence, Y.V., Alisjahbana, B., Ugarte-Gil, C., Riza, A.L., Walzl, G., Ruslami, R., Moore, D.A.J., Ioana, M., McAllister, S., Ronacher, K., Koesoemadinata, R.C., Grint, D., Kerry, S., Coronel, J., Malherbe, S.T., Griffiths, U., Dockrell, H.M., Hill, P.C., Crevel, R. van, Pearson, F., Critchley, J.A., Cliff, J.M., Eckold, C., Moore, D.A., Griffiths, U.K., Kerry, S.R., Anmontse, R., Netea, M.N., Ruesen, C., Lachmandas, E., Joosten, S.A., Ottenhoff, T.H.M., Vrieling, F., Haks, M.C., Kumar, V., Wijmenga, C., Kaufmann, S.H.E., Beigier, M., Golinski, R., Kleynhans, L., Smith, B., Stanley, K., Spuy, G.D. van der, Loxton, A.G., Chegou, N.N., Bosman, M., Thiart, L., Wagman, C., Tshivhula, H., Selamolela, M., Prins, N., Plessis, W.J. du, Rensburg, I.C. van, Toit, L. du, McAllister, S.M., Verrall, A.E., Cimpoeru, A., Ciocoiu, A., Dorobantu, S.C., Plesea, R.M., Popescu, E., Cucu, M.G., Streata, I., Burada, F., Serban-Sosoi, S., Nicoli, E.R., Panduru, M.N., Cioboata, R., Dudau, M.O., Nitu, F.M., Bazavan, I.C., Olteanu, M., Editoiu, C.D., Florescu, A., Ciontea, M.S., Capitanescu, I.D., Olaru, M., Tataru, T., Papurica, M.D., Valutanu, I., Dubreu, V., Stamatoiu, L., Enoiu, C., Mota, M., Popa, S., Firanescu, A.G., Popa, A., Gheonea, I.A., Bicuti, S., Lepadat, A., Streba, C., Demetrian, A.D., Ciurea, M., Vladu, I.M., Clenciu, D., Bicu, M.L., Lopez, S., Limascca, R., Villaizan, K., Castro, B., Flores, J., Solano, W., Soetedjo, N.N.M., Santoso, P., Chaidir, L., Susilawati, N., Annisa, J., Livia, R., Yunivita, V., Soeroto, A.Y., Permana, H., Imaculata, S., Gunawan, Y., Dewi, N.F., Apriani, L.A., TANDEM Consortium
Rok vydání: 2019
Předmět:
endocrine system diseases
Epidemiology
diagnostic error
0302 clinical medicine
middle aged
patient safety
DM
middle income country
030212 general & internal medicine
hemoglobin A1c
Public health
Human immunodeficiency virus
adult
public health
anemia
female
Infectious Diseases
TB
priority journal
tuberculosis
diabetes mellitus
diagnostic accuracy
disease severity
epidemiology
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Tuberculosis
HbA1c
high performance liquid chromatography
Anemia
Point-of-care testing
prevalence
030231 tropical medicine
purl.org/pe-repo/ocde/ford#3.03.08 [https]
Article
03 medical and health sciences
male
treatment refusal
Diabetes mellitus
Internal medicine
medicine
sex
human
infection risk
Point of care
point of care testing
hemoglobin blood level
business.industry
screening
nutritional and metabolic diseases
Likert scale
medicine.disease
major clinical study
body mass
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
age
purl.org/pe-repo/ocde/ford#3.02.07 [https]
hyperglycemia
business
Body mass index
Zdroj: International Journal of Tuberculosis and Lung Disease, 23, 283-292
International Journal of Tuberculosis and Lung Disease, 23, 3, pp. 283-292
International Journal of Tuberculosis and Lung Disease
International Journal of Tuberculosis and Lung Disease, 23(3), 283
ISSN: 1027-3719
Popis: Contains fulltext : 202938.pdf (Publisher’s version ) (Closed access) BACKGROUND: Diabetes mellitus (DM) is common among tuberculosis (TB) patients and often undiagnosed or poorly controlled. We compared point of care (POC) with laboratory glycated haemoglobin (HbA1c) testing among newly diagnosed TB patients to assess POC test accuracy, safety and acceptability in settings in which immediate access to DM services may be difficult. METHODS: We measured POC and accredited laboratory HbA1c (using high-performance liquid chromatography) in 1942 TB patients aged 18 years recruited from Peru, Romania, Indonesia and South Africa. We calculated overall agreement and individual variation (mean +/- 2 standard deviations) stratified by country, age, sex, body mass index (BMI), HbA1c level and comorbidities (anaemia, human immunodeficiency virus [HIV]). We used an error grid approach to identify disagreement that could raise significant concerns. RESULTS: Overall mean POC HbA1c values were modestly higher than laboratory HbA1c levels by 0.1% units (95%CI 0.1-0.2); however, there was a substantial discrepancy for those with severe anaemia (1.1% HbA1c, 95%CI 0.7-1.5). For 89.6% of 1942 patients, both values indicated the same DM status (no DM, HbA1c
Databáze: OpenAIRE