Disability, comorbidities and risk determinants at end of TB treatment in Kenya, Uganda, Zambia and Zimbabwe

BACKGROUND We examined the feasibility of assessing and referring adults successfully completing TB treatment for comorbidities, risk determinants and disability in health facilities in Kenya, Uganda, Zambia and Zimbabwe. METHODS This was a cross-sectional study within national TB programmes. RESULT...

Full description

Saved in:

Bibliographic Details
Published in:	IJTLD open Vol. 1; no. 5; pp. 197 - 205
Main Authors:	Adakun, S.A., Banda, F.M., Bloom, A., Bochnowicz, M., Chakaya, J., Chansa, A., Chiguvare, H., Chimzizi, R., Colvin, C., Dongo, J.P., Durena, A., Duri, C., Edmund, R., Harries, A.D., Kathure, I., Kavenga, F.N., Lin, Y., Luzze, H., Mbithi, I., Mputu, M., Mubanga, A., Nair, D., Ngwenya, M., Okotu, B., Owiti, P., Owuor, A., Thekkur, P., Timire, C., Turyahabwe, S., Tweyongyere, E., YaDiul, M., Zachariah, R., Zimba, K.
Format:	Journal Article
Language:	English
Published:	International Union Against Tuberculosis and Lung Disease 01-05-2024
Subjects:	Real-Time Operational Research Sort It Tb-Associated Disability Tb-Associated Lung Disease Universal Health Coverage
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	BACKGROUND We examined the feasibility of assessing and referring adults successfully completing TB treatment for comorbidities, risk determinants and disability in health facilities in Kenya, Uganda, Zambia and Zimbabwe. METHODS This was a cross-sectional study within national TB programmes. RESULTS Health workers assessed 1,063 patients (78% of eligible) in a median of 22 min [IQR 16-35] and found it useful and feasible to accomplish in addition to other responsibilities. For comorbidities, 476 (44%) had HIV co-infection, 172 (16%) had high blood pressure (newly detected in 124), 43 (4%) had mental health disorders (newly detected in 33) and 36 (3%) had diabetes mellitus. The most common risk determinants were 'probable alcohol dependence' (15%) and malnutrition (14%). Disability, defined as walking <400 m in 6 min, was found in 151/882 (17%). Overall, 763 (72%) patients had at least one comorbidity, risk determinant and/or disability. At least two-thirds of eligible patients were referred for care, although 80% of those with disability needed referral outside their original health facility. CONCLUSIONS Seven in 10 patients completing TB treatment had at least one comorbidity, risk determinant and/or disability. This emphasises the need for offering early patient-centred care, including pulmonary rehabilitation, to improve quality of life, reduce TB recurrence and increase long-term survival.
Bibliography:	3005-7590(20240501)1:5L.197;1-
ISSN:	3005-7590 3005-7590
DOI:	10.5588/ijtldopen.24.0082