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2018 ; 13
(3
): e0193432
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Private sector tuberculosis prevention in the US: Characteristics associated with
interferon-gamma release assay or tuberculin skin testing
#MMPMID29590130
Stockbridge EL
; Miller TL
; Carlson EK
; Ho C
PLoS One
2018[]; 13
(3
): e0193432
PMID29590130
show ga
OBJECTIVE: To determine whether latent tuberculosis infection risk factors are
associated with an increased likelihood of latent tuberculosis infection testing
in the US private healthcare sector. DATA SOURCE: A national sample of medical
and pharmacy claims representing services rendered January 2011 through December
2013 for 3,997,986 commercially insured individuals in the US who were 0 to 64
years of age. STUDY DESIGN: We used multivariable logistic regression models to
determine whether TB/LTBI risk factors were associated with an increased
likelihood of Interferon-Gamma Release Assay (IGRA) or Tuberculin Skin Test (TST)
testing in the private sector. PRINCIPAL FINDINGS: 4.31% (4.27-4.34%) received at
least one TST/IGRA test between 2011 and 2013 while 1.69% (1.67-1.72%) received a
TST/IGRA test in 2013. Clinical risk factors associated with a significantly
increased likelihood of testing included HIV, immunosuppressive therapy, exposure
to tuberculosis, a history of tuberculosis, diabetes, tobacco use, end stage
renal disease, and alcohol use disorder. Other significant variables included
gender, age, asthma, the state tuberculosis rate, population density, and percent
of foreign-born persons in a county. CONCLUSIONS: Private sector TST/IGRA testing
is not uncommon and testing varies with clinical risk indicators. Thus, the
private sector can be a powerful resource in the fight against tuberculosis.
Analyses of administrative data can inform how best to leverage private sector
healthcare toward tuberculosis prevention activities.
|*Interferon-gamma Release Tests
[MESH]
|*Tuberculin Test
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Child
[MESH]
|Child, Preschool
[MESH]
|Delivery of Health Care/*statistics & numerical data
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Infant
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Private Sector/*statistics & numerical data
[MESH]
|Risk Factors
[MESH]
|Tuberculosis/*diagnosis/*prevention & control
[MESH]