Association between treatment outcome and age in tuberculosis and diabetes patients: a population analysis
https://doi.org/10.14341/probl13252
Abstract
Background. The undoubted importance of this work lies in the fact that for the first time in the Republic of Kazakhstan, an analysis is being made of the relationship between age and treatment outcome in patients with a comorbid diagnosis of tuberculosis and diabetes mellitus.
Purpose of the study. Identification of the correlation between the age of patients with tuberculosis with diabetes mellitus and the outcome of treatment.
Materials and methods. Cross-sectional retrospective study of 2,125 patients with TB and diabetes mellitus out of a total of 43,807 of all patients diagnosed with TB (2017-2019). The study analyzed the data of patients with comorbidity from all regions of Kazakhstan (data from 14 regions and 3 cities of republican significance) (2017-2019).
Results. A high prevalence of tuberculosis morbidity with a concomitant diagnosis of diabetes mellitus in the age group from 45 to 64 years was revealed. This group consisted of 1193 patients out of 2115 (56.4% of the total number of patients with tuberculosis and diabetes mellitus). The average age of all studied patients with DM was 54.7±13.4 years. There is a positive correlation between age and treatment outcome in TB patients. Mortality was higher in the age group over 45 years old – OR95%CI = 0.213 [0.019–2.362], p – 0.0000015 (p < 0.05).
About the Authors
L. T. YeraliyevaKazakhstan
Lyazzat T. Yeraliyeva, DMedSc, professor
Scopus Author ID: 57809431200
SPIN-код: 1166-3710
Almaty city, Bekkhozhin street, 5, 050010
Competing Interests:
None
A. M. Issayeva
Kazakhstan
Assiya M. Issayeva, MD
SPIN-код: 7085-4977
Almaty
Competing Interests:
None
References
1. World Health Organization (WHO) Global Tuberculosis Report 2019. Geneva: 2020. Access: https://apps.who.int/iris/bitstream/handle/10665/274453/9789241565646-eng.pdf?ua=1. Retrieved April 14, 2020.
2. A. Davis, A. Terlikbayeva, A. Aifah. Risks for tuberculosis in Kazakhstan: implications for prevention. Int J Tuberc Lung Dis. 2017 Jan 1; 21(1): 86–92. doi: 10.5588/ijtld.15.0838
3. International Diabetes Federation. Diabetes atlas. idf. 9th. 2019. Accessed: https://www.diabetesatlas.org/upload/resources/2019/IDF_Atlas_9th_Edition_2019.pdf. Retrieved April 14, 2020.
4. Mukasheva, Assel et al. “Forecasting the Prevalence of Diabetes Mellitus Using Econometric Models.” Diabetes therapy: research, treatment and education of diabetes and related disorders vol. 10.6 (2019): 2079-2093. doi:10.1007/s13300-019-00684-1
5. Cesar Ugarte-Gil, Bachti Alisjahbana, Katharina Ronacher, et al. Diabetes Mellitus Among Pulmonary Tuberculosis Patients From 4 Tuberculosis-endemic Countries: The TANDEM Study, Clinical Infectious Diseases, Volume 70, Issue 5, 1 March 2020, Pages 780–788, https://doi.org/10.1093/cid/ciz284
6. Lee MR, Huang YP, Kuo YT, et al. Diabetes Mellitus and Latent Tuberculosis Infection: A Systematic Review and Metaanalysis [published correction appears in Clin Infect Dis. 2017 Jul 15;65(2):356]. Clin Infect Dis. 2017;64(6):719-727. doi:10.1093/cid/ciw836
7. Alebel A, Wondemagegn AT, Tesema C, et al. Prevalence of diabetes mellitus among tuberculosis patients in Sub-Saharan Africa: a systematic review and meta-analysis of observational studies. BMC Infect Dis. 2019;19(1):254. Published 2019 Mar 13. doi:10.1186/s12879-019-3892-8
8. Workneh MH, Bjune GA, Yimer SA. Prevalence and associated factors of tuberculosis and diabetes mellitus comorbidity: A systematic review. PLOS One. 2017;12(4):e0175925. Published 2017 Apr 21. doi:10.1371/journal.pone.0175925
9. Sane Schepisi M, Navarra A, Altet Gomez MN, et al. Burden and Characteristics of the Comorbidity Tuberculosis-Diabetes in Europe: TBnet Prevalence Survey and Case-Control Study. Open Forum Infect Dis. 2018;6(1):ofy337. Published 2018 Dec 19. doi:10.1093/ofid/ofy337
10. Nasa JN, Brostrom R, Ram S, et al. Screening adult tuberculosis patients for diabetes mellitus in Ebeye, Republic of the Marshall Islands. public health action. 2014;4(Suppl 1):S50-S52. doi:10.5588/pha.13.0079
11. Ade S, Affolabi D, Agokpessi G, et al. Low prevalence of diabetes mellitus in patients with tuberculosis in Cotonou, Benin. public health action. 2015;5(2):147-149. doi:10.5588/pha.14.0110
12. Hoa NB, Phuc PD, Hien NT, et al. Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam. BMC Infect Dis. 2018;18(1):603. Published 2018 Nov 29. doi:10.1186/s12879-018-3519-5
13. Workneh MH, Bjune GA, Yimer SA. Prevalence and Associated Factors of Diabetes Mellitus among Tuberculosis Patients in South-Eastern Amhara Region, Ethiopia: A Cross Sectional Study. PLOS One. 2016;11(1):e0147621. Published 2016 Jan 25. doi:10.1371/journal.pone.0147621
14. Ncube RT, Dube SA, Machekera SM, et al. Feasibility and yield of screening for diabetes mellitus among tuberculosis patients in Harare, Zimbabwe. public health action. 2019;9(2):72-77. doi:10.5588/pha.18.0105
15. Song WM, Shao Y, Liu JY, et al. Primary drug resistance among tuberculosis patients with diabetes mellitus: a retrospective study among 7223 cases in China. Infect Drug Resist. 2019;12:2397-2407. Published 2019 Aug 2. doi:10.2147/IDR.S217044 tuberculosis. Pulm Med 2013; 2013: 828939
Supplementary files
|
1. Figure 1. Step-by-step method for compiling a database of patients with comorbid diagnoses for further use in statistical software | |
Subject | ||
Type | Исследовательские инструменты | |
View
(191KB)
|
Indexing metadata ▾ |
|
2. Figure 2. Distribution of patients with tuberculosis and diabetes mellitus by age structure, categorized by years of treatment (absolute numbers) | |
Subject | ||
Type | Исследовательские инструменты | |
View
(224KB)
|
Indexing metadata ▾ |
|
3. Figure 3. Treatment outcomes of patients with diabetes and TB for all age groups studied (percentages) | |
Subject | ||
Type | Исследовательские инструменты | |
View
(233KB)
|
Indexing metadata ▾ |
Review
For citations:
Yeraliyeva L.T., Issayeva A.M. Association between treatment outcome and age in tuberculosis and diabetes patients: a population analysis. Problems of Endocrinology. 2023;69(5):93-98. (In Russ.) https://doi.org/10.14341/probl13252

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).