Does enhanced diabetes management reduce the risk and improve the outcome of tuberculosis?

H. Y. Lo; S. L. Yang; H. H. Lin; K. J. Bai; J. J. Lee; T. I. Lee; C. Y. Chiang

doi:10.5588/ijtld.15.0654

Does enhanced diabetes management reduce the risk and improve the outcome of tuberculosis?

H. Y. Lo, S. L. Yang, H. H. Lin, K. J. Bai, J. J. Lee, T. I. Lee, C. Y. Chiang

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

Abstract

SETTING: The Bureau of National Health Insurance (NHI) has implemented a pay-for-performance (p4p) programme for diabetes mellitus (DM) in Taiwan. OBJECTIVE : To investigate whether patients with DM enrolled in the p4p programme (DM-p4p) are less likely to develop tuberculosis (TB) and whether they have a better outcome than patients with DMnot enrolled in the p4p programme (DM-non-p4p) if they do develop TB. DESIGN: A random sample of 79 471 DM-p4p, 100 000 DM-non-p4p and 100 000 non-diabetic patients (non-DM) was obtained from the 2008-2009 NHI database, and the patients were matched with the National TB Registry to determine whether they had developed TB by the end of 2010. RESULTS : The average annual incidence of TB was respectively 259.9 (95%CI 230.2-293.4), 137.5 (95%CI 116.4-162.5) and 74.1 (95%CI 59.0-93.0) per 100 000 population among DM-non-p4p, DM-p4p and non-DM patients. The relative risk of death over treatment success was 1.79 (95%CI 1.05-3.04) among DM-non-p4p and 1.69 (95%CI 0.84-3.40) among non-DM patients, relative to DM-p4p patients. CONCLUSIONS : Enhanced case management of DM reduced risk and improved outcomes of TB among patients with DM.

Original language	English
Pages (from-to)	376-382
Number of pages	7
Journal	International Journal of Tuberculosis and Lung Disease
Volume	20
Issue number	3
DOIs	https://doi.org/10.5588/ijtld.15.0654
Publication status	Published - Mar 1 2016

Keywords

Glycaemic control
Outcome
Risk
Tuberculosis

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.5588/ijtld.15.0654

Cite this

@article{772905d0dfbd43a8a4250b36d513b818,

title = "Does enhanced diabetes management reduce the risk and improve the outcome of tuberculosis?",

abstract = "SETTING: The Bureau of National Health Insurance (NHI) has implemented a pay-for-performance (p4p) programme for diabetes mellitus (DM) in Taiwan. OBJECTIVE : To investigate whether patients with DM enrolled in the p4p programme (DM-p4p) are less likely to develop tuberculosis (TB) and whether they have a better outcome than patients with DMnot enrolled in the p4p programme (DM-non-p4p) if they do develop TB. DESIGN: A random sample of 79 471 DM-p4p, 100 000 DM-non-p4p and 100 000 non-diabetic patients (non-DM) was obtained from the 2008-2009 NHI database, and the patients were matched with the National TB Registry to determine whether they had developed TB by the end of 2010. RESULTS : The average annual incidence of TB was respectively 259.9 (95%CI 230.2-293.4), 137.5 (95%CI 116.4-162.5) and 74.1 (95%CI 59.0-93.0) per 100 000 population among DM-non-p4p, DM-p4p and non-DM patients. The relative risk of death over treatment success was 1.79 (95%CI 1.05-3.04) among DM-non-p4p and 1.69 (95%CI 0.84-3.40) among non-DM patients, relative to DM-p4p patients. CONCLUSIONS : Enhanced case management of DM reduced risk and improved outcomes of TB among patients with DM.",

keywords = "Glycaemic control, Outcome, Risk, Tuberculosis",

author = "Lo, {H. Y.} and Yang, {S. L.} and Lin, {H. H.} and Bai, {K. J.} and Lee, {J. J.} and Lee, {T. I.} and Chiang, {C. Y.}",

year = "2016",

month = mar,

day = "1",

doi = "10.5588/ijtld.15.0654",

language = "English",

volume = "20",

pages = "376--382",

journal = "International Journal of Tuberculosis and Lung Disease",

issn = "1027-3719",