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Novel stepwise approach to assess representativeness of a large multicenter observational cohort of tuberculosis patients: The example of RePORT Brazil

Arriaga, María B. ; Amorim, Gustavo ; Queiroz, Artur T.L. ; Rodrigues, Moreno M.S. ; Araújo-Pereira, Mariana ; Nogueira, Betania M.F. ; Souza, Alexandra Brito ; Rocha, Michael S. ; Benjamin, Aline ; Moreira, Adriana S.R. ; de Oliveira, Jamile G. ; Figueiredo, Marina C. ; Turner, Megan M. ; Alves, Kleydson ; Durovni, Betina ; Lapa-e-Silva, José R. ; Kritski, Afrânio L. ; Cavalcante, Solange ; Rolla, Valeria C. ; Cordeiro-Santos, Marcelo ; Sterling, Timothy R. ; Andrade, Bruno B.

International journal of infectious diseases, 2021-02, Vol.103, p.110-118 [Periódico revisado por pares]

Canada: Elsevier Ltd

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  • Título:
    Novel stepwise approach to assess representativeness of a large multicenter observational cohort of tuberculosis patients: The example of RePORT Brazil
  • Autor: Arriaga, María B. ; Amorim, Gustavo ; Queiroz, Artur T.L. ; Rodrigues, Moreno M.S. ; Araújo-Pereira, Mariana ; Nogueira, Betania M.F. ; Souza, Alexandra Brito ; Rocha, Michael S. ; Benjamin, Aline ; Moreira, Adriana S.R. ; de Oliveira, Jamile G. ; Figueiredo, Marina C. ; Turner, Megan M. ; Alves, Kleydson ; Durovni, Betina ; Lapa-e-Silva, José R. ; Kritski, Afrânio L. ; Cavalcante, Solange ; Rolla, Valeria C. ; Cordeiro-Santos, Marcelo ; Sterling, Timothy R. ; Andrade, Bruno B.
  • Assuntos: Adult ; Brazil - epidemiology ; Cohort Studies ; Cohort study ; Epidemiology ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Sample representativeness ; Treatment Outcome ; Tuberculosis ; Tuberculosis - complications ; Tuberculosis - epidemiology ; Tuberculosis - therapy
  • É parte de: International journal of infectious diseases, 2021-02, Vol.103, p.110-118
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    ObjectType-Undefined-3
    T.R.S. and B.B.A. equally contributed to the work.
    María B. Arriaga: Data curation, Investigation, Formal analysis, Methodology, Resources, Software, Writing - original draft, Writing - review & editing. Gustavo Amorim: Data curation, Investigation, Formal analysis, Methodology, Resources, Software, Writing - review & editing. Artur T.L. Queiroz: Data curation, Investigation, Formal analysis, Methodology, Software, Writing - review & editing. Moreno M.S. Rodrigues: Data curation, Formal analysis, Software, Writing - review & editing. Mariana Araújo-Pereira: Formal analysis, Software, Writing - original draft, Writing - review & editing. Betania M.F. Nogueira: Investigation, Writing - original draft, Writing - review & editing. Alexandra Brito Souza: Investigation, Writing - review & editing. Michael S. Rocha: Investigation, Writing - review & editing. Aline Benjamin: Investigation, Writing - review & editing. Adriana S.R. Moreira: Investigation, Writing - review & editing. Jamile G. de Oliveira: Investigation, Writing - review & editing. Marina C. Figueiredo: Conceptualization, Investigation, Formal analysis, Funding acquisition, Project administration, Software, Writing - review & editing. Megan M. Turner: Data curation, Writing - review & editing. Kleydson Alves: Investigation, Writing - review & editing. Betina Durovni: Investigation, Funding acquisition, Writing - review & editing. José R. Lapa-e-Silva: Investigation, Funding acquisition, Writing - review & editing. Afrânio L. Kritski: Investigation, Funding acquisition, Writing - review & editing. Solange Cavalcante: Investigation, Funding acquisition, Writing - review & editing. Valeria C. Rolla: Conceptualization, Investigation, Funding acquisition, Writing -review & editing. Marcelo Cordeiro-Santos: Conceptualization, Investigation, Funding acquisition, Writing - review & editing. Timothy R. Sterling: Conceptualization, Investigation, Funding acquisition, Project administration, Resources, Software, Supervision, Writing - review & editing. Bruno B. Andrade: Conceptualization, Data curation, Investigation, Formal analysis, Funding acquisition, Methodology, Project administration, Resources, Software, Supervision, Writing - original draft, Writing - review & editing.
    CRediT authorship contribution statement
  • Descrição: •The representativeness of a large TB cohort was tested using the Brazilian National TB databank.•The novel analysis of second-generation p-values uncovered similarities between the cohorts.•There is a need to improve epidemiological and operational indicators in the Brazilian TB program. A major goal of tuberculosis (TB) epidemiological studies is to obtain results that can be generalized to the larger population with TB. The ability to extrapolate findings on the determinants of TB treatment outcomes is also important. We compared baseline clinical and demographic characteristics and determinants of anti-TB treatment outcomes between persons enrolled in the Regional Prospective Observational Research in Tuberculosis (RePORT)-Brazil cohort between June 2015 and June 2019, and the registry of TB cases reported to the Brazilian National TB Program (Information System for Notifiable Diseases [SINAN]) during the same time period. Multivariable regression models adjusted for the study site were performed using second-generation p-values, a novel statistical approach. Associations with unfavorable treatment outcomes were tested for both RePORT-Brazil and SINAN cohorts. A total of 1,060 culture-confirmed TB patients were enrolled in RePORT-Brazil and 455,873 TB cases were reported to SINAN. Second-generation p-value analyses revealed that the cohorts were strikingly similar with regard to sex, age, use of antiretroviral therapy and positive initial smear sputum microscopy. However, diabetes, HIV infection, and smoking were more frequently documented in RePORT-Brazil. Illicit drug use, the presence of diabetes, and history of prior TB were associated with unfavorable TB treatment outcomes; illicit drug use was associated with such outcomes in both cohorts. There were important similarities in demographic characteristics and determinants of clinical outcomes between the RePORT-Brazil cohort and the Brazilian National registry of TB cases.
  • Editor: Canada: Elsevier Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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