Tuberculosis in Greenland - Time from first contact to diagnosis and treatment
Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for pa...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2022
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Online Access: | https://doi.org/10.1080/22423982.2022.2069220 https://doaj.org/article/0d23536a95114778b2b671cd4c7acee2 |
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ftdoajarticles:oai:doaj.org/article:0d23536a95114778b2b671cd4c7acee2 2023-05-15T15:07:34+02:00 Tuberculosis in Greenland - Time from first contact to diagnosis and treatment Jens Lind Gleerup Peter Vedsted 2022-12-01T00:00:00Z https://doi.org/10.1080/22423982.2022.2069220 https://doaj.org/article/0d23536a95114778b2b671cd4c7acee2 EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2022.2069220 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2022.2069220 2242-3982 https://doaj.org/article/0d23536a95114778b2b671cd4c7acee2 International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) Tuberculosis Greenland contact diagnosis treatment interval Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1080/22423982.2022.2069220 2022-12-31T00:24:02Z Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for patients with active TB in the cities and settlements of Greenland. A total of 153 cases were included and divided according to place of residence and whether the diagnosis was based on symptomatic presentation or contact tracing. The median time from first contact to diagnosis was 19 days for the total population. The symptomatic settlement population waited longer (median = 88.5 days) than the symptomatic city population (median = 19 days) (p = 0.018). The system interval was longer for the symptomatic settlement population than for the symptomatic city population with a median of 49.5 days vs. 3 days for chest imaging (p < 0.001) and 66.5 days vs. 10 days for expectorate sample (p = 0.008). The diagnostic, system, and total intervals were significantly longer for symptomatic patients in settlements than in cities. This may explain a higher TB incidence in the settlements and calls for the development of better diagnostic pathways. Article in Journal/Newspaper Arctic Circumpolar Health Greenland International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic Greenland International Journal of Circumpolar Health 81 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Tuberculosis Greenland contact diagnosis treatment interval Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Tuberculosis Greenland contact diagnosis treatment interval Arctic medicine. Tropical medicine RC955-962 Jens Lind Gleerup Peter Vedsted Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
topic_facet |
Tuberculosis Greenland contact diagnosis treatment interval Arctic medicine. Tropical medicine RC955-962 |
description |
Tuberculosis (TB) is a persistent health issue in Greenland. While rapid diagnosis is crucial to reducing transmission of the disease, remote settlements have limited access to healthcare services. We aimed to assess and compare the time intervals from first contact to diagnosis and treatment for patients with active TB in the cities and settlements of Greenland. A total of 153 cases were included and divided according to place of residence and whether the diagnosis was based on symptomatic presentation or contact tracing. The median time from first contact to diagnosis was 19 days for the total population. The symptomatic settlement population waited longer (median = 88.5 days) than the symptomatic city population (median = 19 days) (p = 0.018). The system interval was longer for the symptomatic settlement population than for the symptomatic city population with a median of 49.5 days vs. 3 days for chest imaging (p < 0.001) and 66.5 days vs. 10 days for expectorate sample (p = 0.008). The diagnostic, system, and total intervals were significantly longer for symptomatic patients in settlements than in cities. This may explain a higher TB incidence in the settlements and calls for the development of better diagnostic pathways. |
format |
Article in Journal/Newspaper |
author |
Jens Lind Gleerup Peter Vedsted |
author_facet |
Jens Lind Gleerup Peter Vedsted |
author_sort |
Jens Lind Gleerup |
title |
Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
title_short |
Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
title_full |
Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
title_fullStr |
Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
title_full_unstemmed |
Tuberculosis in Greenland - Time from first contact to diagnosis and treatment |
title_sort |
tuberculosis in greenland - time from first contact to diagnosis and treatment |
publisher |
Taylor & Francis Group |
publishDate |
2022 |
url |
https://doi.org/10.1080/22423982.2022.2069220 https://doaj.org/article/0d23536a95114778b2b671cd4c7acee2 |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health Greenland International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2022.2069220 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2022.2069220 2242-3982 https://doaj.org/article/0d23536a95114778b2b671cd4c7acee2 |
op_doi |
https://doi.org/10.1080/22423982.2022.2069220 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1766339043175432192 |