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Delayed detection of leprosy cases: A systematic review of healthcare-related factors
BACKGROUND: In new leprosy cases, grade 2 disability (G2D) is still a public health burden worldwide. It is often associated with the delayed leprosy diagnoses that healthcare systems should play a crucial role in preventing. The aim of this systematic review was to identify healthcare factors relat...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481154/ https://www.ncbi.nlm.nih.gov/pubmed/36067195 http://dx.doi.org/10.1371/journal.pntd.0010756 |
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author | Dharmawan, Yudhy Fuady, Ahmad Korfage, Ida J. Richardus, Jan Hendrik |
author_facet | Dharmawan, Yudhy Fuady, Ahmad Korfage, Ida J. Richardus, Jan Hendrik |
author_sort | Dharmawan, Yudhy |
collection | PubMed |
description | BACKGROUND: In new leprosy cases, grade 2 disability (G2D) is still a public health burden worldwide. It is often associated with the delayed leprosy diagnoses that healthcare systems should play a crucial role in preventing. The aim of this systematic review was to identify healthcare factors related to delays in case detection in leprosy. METHODS: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) was used as a guideline in this research. The study protocol was registered in the PROSPERO (International Prospective Register of Systematic Reviews) with reference code CRD42020189274. Data was collected from five electronic databases: Embase, Medline All Ovid, Web of Science, Cochrane CENTRAL, and the WHO Global Health Library. RESULTS: After applying the selection criteria for original empirical studies, and after removing duplicates, we included 20 papers from 4313 records. They had been conducted in ten countries and published between January 1, 2000, and January 31, 2021. We identified three categories of healthcare factors related to delayed case. 1) Structural factors, such as i) financial and logistic issues, and geographical circumstances (which we classified as barriers); ii) Health service organization and management including the level of decentralization (classified as facilitators). 2) Health service factors, such as problems or shortages involving referral centers, healthcare personnel, and case-detection methods. 3) Intermediate factors, such as misdiagnosis, higher numbers of consultations before diagnosis, and inappropriate healthcare services visited by people with leprosy. CONCLUSIONS: Delays in leprosy case detection are due mainly to misdiagnosis. It is crucial to improve the training and capacity of healthcare staff. To avoid misdiagnosis and reduce detection delays, national leprosy control programs should ensure the sustainability of leprosy control within integrated health services. |
format | Online Article Text |
id | pubmed-9481154 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-94811542022-09-17 Delayed detection of leprosy cases: A systematic review of healthcare-related factors Dharmawan, Yudhy Fuady, Ahmad Korfage, Ida J. Richardus, Jan Hendrik PLoS Negl Trop Dis Research Article BACKGROUND: In new leprosy cases, grade 2 disability (G2D) is still a public health burden worldwide. It is often associated with the delayed leprosy diagnoses that healthcare systems should play a crucial role in preventing. The aim of this systematic review was to identify healthcare factors related to delays in case detection in leprosy. METHODS: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) was used as a guideline in this research. The study protocol was registered in the PROSPERO (International Prospective Register of Systematic Reviews) with reference code CRD42020189274. Data was collected from five electronic databases: Embase, Medline All Ovid, Web of Science, Cochrane CENTRAL, and the WHO Global Health Library. RESULTS: After applying the selection criteria for original empirical studies, and after removing duplicates, we included 20 papers from 4313 records. They had been conducted in ten countries and published between January 1, 2000, and January 31, 2021. We identified three categories of healthcare factors related to delayed case. 1) Structural factors, such as i) financial and logistic issues, and geographical circumstances (which we classified as barriers); ii) Health service organization and management including the level of decentralization (classified as facilitators). 2) Health service factors, such as problems or shortages involving referral centers, healthcare personnel, and case-detection methods. 3) Intermediate factors, such as misdiagnosis, higher numbers of consultations before diagnosis, and inappropriate healthcare services visited by people with leprosy. CONCLUSIONS: Delays in leprosy case detection are due mainly to misdiagnosis. It is crucial to improve the training and capacity of healthcare staff. To avoid misdiagnosis and reduce detection delays, national leprosy control programs should ensure the sustainability of leprosy control within integrated health services. Public Library of Science 2022-09-06 /pmc/articles/PMC9481154/ /pubmed/36067195 http://dx.doi.org/10.1371/journal.pntd.0010756 Text en © 2022 Dharmawan et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Dharmawan, Yudhy Fuady, Ahmad Korfage, Ida J. Richardus, Jan Hendrik Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title | Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title_full | Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title_fullStr | Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title_full_unstemmed | Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title_short | Delayed detection of leprosy cases: A systematic review of healthcare-related factors |
title_sort | delayed detection of leprosy cases: a systematic review of healthcare-related factors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481154/ https://www.ncbi.nlm.nih.gov/pubmed/36067195 http://dx.doi.org/10.1371/journal.pntd.0010756 |
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