Spatial analysis of tuberculosis treatment outcomes in Shanghai: implications for tuberculosis control

• DOI: 10.4178/epih.e2022045
• Publication Date: 2022-05-10T03:55:36Z
• Authors: Jing Zhang; Xin Shen; Chongguang Yang; Yue Chen; Juntao Guo; Decheng Wang; Jun Zhang; Henry Lynn; Yi Hu; Qichao Pan; Zhijie Zhang
• Keywords: China; Physical accessibility; spatial analysis; hospital effect; 03 medical and health sciences; 0302 clinical medicine; Humans; Tuberculosis; Treatment outcome; Tuberculosis, Pulmonary; Spatial Analysis; Spatial analysis; R; 1. No poverty; Pulmonary; physical accessibility; 3. Good health; Treatment Outcome; tuberculosis; treatment outcome; Medicine; Original Article; Hospital effect; china

OBJECTIVES: Tuberculosis (TB) treatment outcomes are a key indicator in the assessment of TB control programs. We aimed to identify spatial factors associated with outcomes, and provide additional insights into from geographical perspective.METHODS: collected data electronic surveillance system Shanghai, China included pulmonary patients registered January 1, 2009 December 31, 2016. examined associations physical accessibility hospitals, an autoregression term, random hospital effects logistic regression models after adjusting for demographic, clinical, factors.RESULTS: Of 53,475 patients, 49,002 (91.6%) had successful outcomes. The success rate increased 89.3% 94.4% outcome varied among hospitals 78.6% 97.8%, there were 12 clusters poor during 8-year study period. best-fit model incorporated factors. Both terms significant impacts on ranking 6th 10th, respectively, statistical importance 14 number bus stations around home was least important variable model.CONCLUSIONS: Spatial autocorrelation Shanghai. In highly-integrated cities like not related Governments need pay more attention mobility different rates hospitals.