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Diabetes mellitus and treatment outcomes of pulmonary tuberculosis: a cohort study

Author

Listed:
  • Serine Sahakyan

    (American University of Armenia)

  • Varduhi Petrosyan

    (American University of Armenia)

  • Lusine Abrahamyan

    (American University of Armenia
    University of Toronto
    University of Toronto)

Abstract

Objectives This study aimed to investigate the impact of diabetes on the treatment outcomes among pulmonary TB patients in Yerevan, Armenia. Methods We utilized a cohort study design that included TB patients with diabetes and TB patients without diabetes. The data collection was conducted in the National Tuberculosis Control Center, eight tuberculosis outpatient centers and the ‘Prisoners’ Hospital’ in Yerevan, Armenia. Data were collected from an existing national TB database and patients medical records. Multivariable logistic regressions were conducted to construct the final model and test the associations. Results The final sample included 621 patients 5.8% of whom had diabetes. The odds of having treatment failure was 8.99 times higher among TB patients with diabetes (95% confidence interval 2.51–32.23) compared to TB patients without diabetes after adjusting for weight and sputum smear status. Conclusions Diabetes comorbidity had a negative effect on TB treatment outcomes. Countries with a high burden of both TB and diabetes need to develop mechanisms for active screening for diabetes among patients with TB and address their treatment needs carefully.

Suggested Citation

  • Serine Sahakyan & Varduhi Petrosyan & Lusine Abrahamyan, 2020. "Diabetes mellitus and treatment outcomes of pulmonary tuberculosis: a cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(1), pages 37-43, January.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:1:d:10.1007_s00038-019-01277-2
    DOI: 10.1007/s00038-019-01277-2
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    References listed on IDEAS

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    1. Kühlbrandt, Charlotte & Balabanova, Dina & Chikovani, Ivdity & Petrosyan, Varduhi & Kizilova, Kseniya & Ivaniuto, Oksana & Danii, Olga & Makarova, Noune & McKee, Martin, 2014. "In search of patient-centred care in middle income countries: The experience of diabetes care in the former Soviet Union," Health Policy, Elsevier, vol. 118(2), pages 193-200.
    2. Christie Y Jeon & Megan B Murray, 2008. "Diabetes Mellitus Increases the Risk of Active Tuberculosis: A Systematic Review of 13 Observational Studies," PLOS Medicine, Public Library of Science, vol. 5(7), pages 1-11, July.
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    1. Sherali Massavirov & Kristina Akopyan & Fazlkhan Abdugapparov & Ana Ciobanu & Arax Hovhanessyan & Mavluda Khodjaeva & Jamshid Gadoev & Nargiza Parpieva, 2021. "Risk Factors for Unfavorable Treatment Outcomes among the Human Immunodeficiency Virus-Associated Tuberculosis Population in Tashkent City, Uzbekistan: 2013–2017," IJERPH, MDPI, vol. 18(9), pages 1-11, April.

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