Digital chest X-ray through a mobile van: public private partnership to detect sputum negative pulmonary TB

Datta, Bornali; Hazarika, Ankita; Shewade, Hemant Deepak; Ayyagari, Kavita; Kumar, Ajay

doi:10.1186/s13104-017-2420-4

Cited by 21 publications

(13 citation statements)

References 2 publications

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“…Still it is used, when patients are too fragile to be transported to the radiology department [ 2 – 4 ]. Also mobile examinations have shown to be cost effective in the hard to reach populations for instance when screening for tuberculosis or in low or middle income countries [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile X-ray outside the hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

BMC Health Serv Res

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Background: For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside the hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to provide insights into the breadth, depth and gaps in a body of literature. Methods: The scoping review was performed by searching PubMed, Cinahl, Embase, EconLit and Health Technology Assessment. English-, Danish-, Norwegian-, German-, Italian-, French-and Swedish-language studies, published 1.1.2009-1.5.2020 about mobile X-ray outside the hospital were included. Participants were patients examined using mobile X-ray as the intervention. PRISMA was used when eligible to build up the review. To extract data from the selected articles, we used a structured summary table. Results: We included 12 studies in this scoping review. The results were divided into four topics:1. Target population 2. Population health 3. Experience of care and 4. Cost effectiveness. The main findings are that target population could be larger for instance including hospice patients for palliative care, group dwelling for people with intellectual disabilities, or psychiatric patients, population health may be improved, image quality seems to be good and mobile X-ray may be cost effective. Limitations of language, databases and grey literature may have resulted in studies being missed. Conclusions: Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to draw a final conclusion if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and societal consequences and therefore the topic mobile X-ray needs more research.

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Section: Introductionmentioning

confidence: 99%

Mobile X-ray outside the hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

BMC Health Serv Res

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“…CXR examination, during the period 2013–2016, provided a presumptive diagnosis of 16 cases with concomitant negative AFB test and Xpert MTB/RIF, thus confirming the importance of CXR even if burdened by high cost (maintenance and films) in rural areas [ 21 , 22 ]. In fact, while Xpert is free of charge, CXR has still to be paid by patients at HCD.…”

Section: Discussionmentioning

confidence: 87%

Implementing TB control in a rural, resource-limited setting: the stop-TB Italia project in Senegal

Diaw¹,

Ndiaye²,

Riccardi

et al. 2018

Multidiscip Respir Med

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BackgroundSince 2013 StopTB Italia Onlus supports the Senegalese National Tuberculosis Programme by improving diagnostic capability with technological interventions, ameliorating educational programs for health care personnel, rising awareness among civil society and providing economical support for patients during treatment. The purpose of our study was to assess the preliminary results of an interventional cooperation project in a peripheral health care facility in Senegal.MethodsAn observational, retrospective, pre-post study was conducted to compare Tuberculosis (TB) retention in care and outcome between a one-year period before and a four-year period after.ResultsOverall, 239 patients with active TB were included, 196 (82%) of whom after the starting of the collaboration project. At diagnosis 35/43(81.4%) vs 151/196 (77%) patients were smear sputum positive before and after the beginning of the project, respectively.At 2 months follow up 23/35 (65.7%) patients in 2012 vs. 139/151 (92%) patients in 2013–2016 had negative control AFB stain (p = 0.249), 4/35 (11.4%) vs 12/151 (8%) patients remained AFB stain positive (p = 0.17), 7/35 (20%) vs 0/151 died before the 2 months follow up (p < 0.0001). TB treatment outcome was more frequently favourable after the beginning of cooperation 29/43 (67.4%) vs. 176/196 (89.8%) patients, (p < 0.0001). Patients’ mortality during treatment decreased from 8/43 (18.6%) in 2012 to 11/196 (5.6%) patients in the following years (p = 0.009).ConclusionThe implementation of diagnostic procedures, if integrated in a socio-economical intervention, impacts favourably on TB retention in care and treatment outcomes.

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“…44 45 Importantly, the collaboration between various actors has been described as key for sustainable ACF implementation. The latter includes collaboration between public health practitioners and clinicians, 46 district TB teams and government health staff, 47 healthcare staff and community health workers. 30 44 Moreover, collaboration between HIV and TB sectors, 48 with laboratory staff 44 and with community organisations 48 49 has been described as important.…”

Section: Open Accessmentioning

confidence: 99%

‘Power plays plus push’: experts’ insights into the development and implementation of active tuberculosis case-finding policies globally, a qualitative study

et al. 2020

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ObjectiveTo explore experts’ views on factors influencing national and global active case-finding (ACF) policy development and implementation, and the use of evidence in these processes.DesignThis is an exploratory study based on semistructured expert interviews. Framework analysis was applied.ParticipantsThe study involved a purposive sample of 39 experts from international, non-governmental and non-profit organisations, funders, government institutions, international societies, think tanks, universities and research institutions worldwide.ResultsThis study highlighted the perceived need among experts for different types of evidence for ACF policy development and implementation, and for stakeholder engagement including researchers and policymakers to foster evidence use. Interviewees stressed the influence of government, donor and non-governmental stakeholders in ACF policy development. Such key stakeholders also influence ACF policy implementation, in addition to available systems and processes in a given health system, and implementers’ motivation and incentives. According to the interviewees, the World Health Organization (WHO) guidelines for systematic screening face the innate challenge of providing guidance to countries across the broad area of ACF in terms of target groups, settings and screening algorithms. The guidelines could be improved by focusing on what should be done rather than what can be done in ACF, and by providing howto examples. Leadership, integration into health systems and long-term financing are key for ACF to be sustainable.ConclusionsWe provide new insights into ACF policy processes globally, particularly regarding facilitators for and barriers to ACF policy development, evidence need and use, and donor organisations’ influence. According to expert participants, national and global ACF policy development and implementation can be improved by broadening stakeholder engagement. Meanwhile, using diverse evidence to inform ACF policy development and implementation could mitigate the ‘power plays plus push’ that might otherwise disrupt and mislead these policy processes.

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Digital chest X-ray through a mobile van: public private partnership to detect sputum negative pulmonary TB

Cited by 21 publications

References 2 publications

Mobile X-ray outside the hospital: a scoping review

Mobile X-ray outside the hospital: a scoping review

Implementing TB control in a rural, resource-limited setting: the stop-TB Italia project in Senegal

‘Power plays plus push’: experts’ insights into the development and implementation of active tuberculosis case-finding policies globally, a qualitative study

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