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The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada

INTRODUCTION: Despite being more prevalent in developing countries, tuberculosis (TB) remains an important health problem in Canada. Long diagnosis delays of respiratory tuberculosis are associated with adverse consequences for the patient but also for the community. From a public health perspective...

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Autores principales: Lacroix, Caroline, Martin, Philippe, Turcotte, Sebastien, DeRoche, Steven, Magluilo, Vanessa, Lacroix, Christine
Formato: Texto
Lenguaje:English
Publicado: McGill University 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582667/
https://www.ncbi.nlm.nih.gov/pubmed/19148310
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author Lacroix, Caroline
Martin, Philippe
Turcotte, Sebastien
DeRoche, Steven
Magluilo, Vanessa
Lacroix, Christine
author_facet Lacroix, Caroline
Martin, Philippe
Turcotte, Sebastien
DeRoche, Steven
Magluilo, Vanessa
Lacroix, Christine
author_sort Lacroix, Caroline
collection PubMed
description INTRODUCTION: Despite being more prevalent in developing countries, tuberculosis (TB) remains an important health problem in Canada. Long diagnosis delays of respiratory tuberculosis are associated with adverse consequences for the patient but also for the community. From a public health perspective, identification of factors associated with long delays of diagnosis could help reduce these delays. OBJECTIVES: 1)To describe diagnosis delays of respiratory tuberculosis in Monteregie 2)To identify the characteristics of patients and factors associated with longer diagnosis delays 3)To identify consequences of these delays METHODS: The study is descriptive and transversal. Data were obtained from notifiable diseases files of the Public Health Department of the Health and Social Services Agency of Monteregie. The diagnosis delay was calculated using the first symptomatic date and the date of diagnosis. For continued variable analyses, Student t tests and an ANOVA test were done. For categorical variables, Pearson’s chi squared test and a Mann-Whitney test were done. RESULTS: The average delay of diagnosis for the 115 cases studied was 92.2 days (CI 80.6–103.8). Weight loss and/or non specific general malaise were associated with a longer diagnosis delay. No association was found between the diagnosis delay and possible consequences of longer delays. Discussion and conclusion: Most patients had a diagnosis delay longer than two months. A larger study that would divide the total diagnosis delay into a patient delay and a suspicion delay (health care system delay) could permit a better identification of factors that favour long delays.
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spelling pubmed-25826672009-01-15 The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada Lacroix, Caroline Martin, Philippe Turcotte, Sebastien DeRoche, Steven Magluilo, Vanessa Lacroix, Christine Mcgill J Med Original Articles INTRODUCTION: Despite being more prevalent in developing countries, tuberculosis (TB) remains an important health problem in Canada. Long diagnosis delays of respiratory tuberculosis are associated with adverse consequences for the patient but also for the community. From a public health perspective, identification of factors associated with long delays of diagnosis could help reduce these delays. OBJECTIVES: 1)To describe diagnosis delays of respiratory tuberculosis in Monteregie 2)To identify the characteristics of patients and factors associated with longer diagnosis delays 3)To identify consequences of these delays METHODS: The study is descriptive and transversal. Data were obtained from notifiable diseases files of the Public Health Department of the Health and Social Services Agency of Monteregie. The diagnosis delay was calculated using the first symptomatic date and the date of diagnosis. For continued variable analyses, Student t tests and an ANOVA test were done. For categorical variables, Pearson’s chi squared test and a Mann-Whitney test were done. RESULTS: The average delay of diagnosis for the 115 cases studied was 92.2 days (CI 80.6–103.8). Weight loss and/or non specific general malaise were associated with a longer diagnosis delay. No association was found between the diagnosis delay and possible consequences of longer delays. Discussion and conclusion: Most patients had a diagnosis delay longer than two months. A larger study that would divide the total diagnosis delay into a patient delay and a suspicion delay (health care system delay) could permit a better identification of factors that favour long delays. McGill University 2008-11 /pmc/articles/PMC2582667/ /pubmed/19148310 Text en Copyright © 2008 by MJM
spellingShingle Original Articles
Lacroix, Caroline
Martin, Philippe
Turcotte, Sebastien
DeRoche, Steven
Magluilo, Vanessa
Lacroix, Christine
The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title_full The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title_fullStr The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title_full_unstemmed The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title_short The Delay in Diagnosis of Tuberculosis in the Monteregie region of Quebec, Canada
title_sort delay in diagnosis of tuberculosis in the monteregie region of quebec, canada
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582667/
https://www.ncbi.nlm.nih.gov/pubmed/19148310
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