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 relate...
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ftdoajarticles:oai:doaj.org/article:cb7bd85f8f18499b9c4362835fb3d0da 2023-05-15T15:11:57+02:00 Delayed detection of leprosy cases: A systematic review of healthcare-related factors. Yudhy Dharmawan Ahmad Fuady Ida J Korfage Jan Hendrik Richardus 2022-09-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0010756 https://doaj.org/article/cb7bd85f8f18499b9c4362835fb3d0da EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0010756 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010756 https://doaj.org/article/cb7bd85f8f18499b9c4362835fb3d0da PLoS Neglected Tropical Diseases, Vol 16, Iss 9, p e0010756 (2022) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1371/journal.pntd.0010756 2022-12-30T21:56:25Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Prisma ENVELOPE(-58.767,-58.767,-69.200,-69.200) PLOS Neglected Tropical Diseases 16 9 e0010756 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Yudhy Dharmawan Ahmad Fuady Ida J Korfage Jan Hendrik Richardus Delayed detection of leprosy cases: A systematic review of healthcare-related factors. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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 |
Article in Journal/Newspaper |
author |
Yudhy Dharmawan Ahmad Fuady Ida J Korfage Jan Hendrik Richardus |
author_facet |
Yudhy Dharmawan Ahmad Fuady Ida J Korfage Jan Hendrik Richardus |
author_sort |
Yudhy Dharmawan |
title |
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_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_sort |
delayed detection of leprosy cases: a systematic review of healthcare-related factors. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2022 |
url |
https://doi.org/10.1371/journal.pntd.0010756 https://doaj.org/article/cb7bd85f8f18499b9c4362835fb3d0da |
long_lat |
ENVELOPE(-58.767,-58.767,-69.200,-69.200) |
geographic |
Arctic Prisma |
geographic_facet |
Arctic Prisma |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 16, Iss 9, p e0010756 (2022) |
op_relation |
https://doi.org/10.1371/journal.pntd.0010756 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010756 https://doaj.org/article/cb7bd85f8f18499b9c4362835fb3d0da |
op_doi |
https://doi.org/10.1371/journal.pntd.0010756 |
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PLOS Neglected Tropical Diseases |
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16 |
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9 |
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e0010756 |
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