Impact of COVID-19 on extrapulmonary TB and the benefit of decentralised TB services

Tinoco, Eduarda Milheiro; Vasconcelos, Andreína; Alves, Flávia Carius Tesch Ferreira; Duarte, Raquel

doi:10.5588/ijtld.21.0675

Cited by 5 publications

(1 citation statement)

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“…A 2020 systematic review and meta-analysis by Ruiz-Grosso, et al [156] documented a strong association between TB and depression that caused adverse TB treatment outcomes, including poor adherence, loss-to-follow-up, and death. Thirteen publications [157][158][159][160][161][162][163][164][165][166][167][168][169] discussed mental health concerns, emphasizing the escalation of fear and anxiety among people with TB during the pandemic.…”

Section: Mental Healthmentioning

confidence: 99%

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Marco,

Ahmedov,

Castro

2024

Preprint

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Background: This thematic scoping review of publications sought to understand the global impact of COVID-19 on tuberculosis (TB), interpret the scope of resonating themes, and offer policy recommendations to stimulate TB recovery and future pandemic preparedness. Data Sources: Publications were captured from three search engines, PubMed, EBSCO, and Google Scholar, and applicable websites written in English from January 1, 2020, to April 30, 2023. Study Selection: Our scoping review was limited to publications detailing the impact of COVID-19 on TB. Original research, reviews, letters, and editorials describing the deleterious and harmful––yet sometimes positive–– impact of COVID-19 (sole exposure) on TB (sole outcome) were included. The objective was to methodically categorize the impacts into themes through a comprehensive review of selected studies to provide significant health policy guidance. Data Extraction: Two authors independently screened citations and full texts, while the third arbitrated when consensus was not met. All three performed data extraction. Data Synthesis/Results: Of 1,755 screened publications, 176 (10%) covering 39 countries over 41 months met the inclusion criteria. Ten principal themes were established, which encompassed TB’s care cascade, patient-centered care, psychosocial issues, and health services: 1) case-finding and notification (n=45; 26%); 2) diagnosis and laboratory systems (n=19; 10.7%) 3) prevention, treatment, and care (n=22; 12.2%); 4) telemedicine/telehealth (n=12; 6.8%); 5) social determinants of health (n=14; 8%); 6) airborne infection prevention and control (n=8; 4.6%); 7) health system strengthening (n=22; 13%); 8) mental health (n=13; 7.4%); 9) stigma (n=11; 6.3%); and 10) health education (n=10; 5.7%). Limitations: Heterogeneity of publications within themes. Conclusions: We identified ten globally generalizable themes of COVID-19’s impact on TB. These thematic areas will guide evidence-informed policies to strengthen comprehensive global responses, recovery for TB, and future airborne pandemic preparedness.

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Section: Mental Healthmentioning

confidence: 99%

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Marco,

Ahmedov,

Castro

2024

Preprint

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Changes in the incidence, clinical features and outcomes of tuberculosis during COVID-19 pandemic

Chan,

Ma,

Sridhar

et al. 2024

Journal of Infection and Public Health

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The global impact of COVID-19 on tuberculosis: A thematic scoping review, 2020–2023

Marco,

Ahmedov,

Castro

2024

PLOS Glob Public Health

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Background This thematic scoping review of publications sought to understand the global impact of COVID-19 on tuberculosis (TB), interpret the scope of resonating themes, and offer policy recommendations to stimulate TB recovery and future pandemic preparedness. Data sources Publications were captured from three search engines, PubMed, EBSCO, and Google Scholar, and applicable websites written in English from January 1, 2020, to April 30, 2023. Study selection Our scoping review was limited to publications detailing the impact of COVID-19 on TB. Original research, reviews, letters, and editorials describing the deleterious and harmful––yet sometimes positive––impact of COVID-19 (sole exposure) on TB (sole outcome) were included. The objective was to methodically categorize the impacts into themes through a comprehensive review of selected studies to provide significant health policy guidance. Data extraction Two authors independently screened citations and full texts, while the third arbitrated when consensus was not met. All three performed data extraction. Data synthesis/Results Of 1,755 screened publications, 176 (10%) covering 39 countries over 41 months met the inclusion criteria. By independently using a data extraction instrument, the three authors identified ten principal themes from each publication. These themes were later finalized through a consensus decision. The themes encompassed TB’s care cascade, patient-centered care, psychosocial issues, and health services: 1) case-finding and notification (n = 45; 26%); 2) diagnosis and laboratory systems (n = 19; 10.7%) 3) prevention, treatment, and care (n = 22; 12.2%); 4) telemedicine/telehealth (n = 12; 6.8%); 5) social determinants of health (n = 14; 8%); 6) airborne infection prevention and control (n = 8; 4.6%); 7) health system strengthening (n = 22; 13%); 8) mental health (n = 13; 7.4%); 9) stigma (n = 11; 6.3%); and 10) health education (n = 10; 5.7%). Limitations Heterogeneity of publications within themes. Conclusions We identified ten globally generalizable themes of COVID-19’s impact on TB. The impact and lessons learned from the themed analysis propelled us to draft public health policy recommendations to direct evidence-informed guidance that strengthens comprehensive global responses, recovery for TB, and future airborne pandemic preparedness.

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Impact of COVID-19 on extrapulmonary TB and the benefit of decentralised TB services

Cited by 5 publications

References 0 publications

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Changes in the incidence, clinical features and outcomes of tuberculosis during COVID-19 pandemic

The global impact of COVID-19 on tuberculosis: A thematic scoping review, 2020–2023

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