Evaluation of Clinical and Economic Efficiency and Impact of Mass Fluorography Screening on Tuberculosis Epidemiological Rates in Four Federal Districts of the Russian Federation with Different Levels of Population Coverage with Mass Fluorography Screening
https://doi.org/10.58838/2075-1230-2023-101-1-8-16
Abstract
The objective: to evaluate the clinical and economic efficiency and impact of mass fluorography screening of the population on tuberculosis mortality and rates of timely tuberculosis detection in four federal districts of the Russian Federation with different levels of tuberculosis detection and coverage of the population with fluorography mass screening.
Subjects and Methods. Analytical materials of the Federal Center for Monitoring of Tuberculosis Transmission Control in the Russian Federation posted on official websites were used. The rates were analyzed by applied statistics methods. All statistical calculations were performed with 0.95 significance.
Results. A correlation analysis was performed between the coverage, effectiveness of tuberculosis detection by mass fluorography screening of the population and main rates reflecting the epidemic situation and timeliness of tuberculosis detection in the Russian Federation and its four federal districts. There was no correlation between the detection effectiveness and main markers of timeliness of tuberculosis detection. It was found out that against the background of increased costs for mass fluorography screening, its implementation did not provide significant positive results in reducing tuberculosis incidence and mortality which indicated their low clinical and economic efficiency.
About the Authors
Yu. M. Markelov
Petrozavodsk State University
Russian Federation
Russian Federation
Yury M. Markelov, Professor of Department for Faculty Therapy, Phthisiology, Infectious Diseases and Epidemiology of the Medical Institute
33, Lenina Ave., Petrоzavodsk, Karelia Republic, 185910
Phone: +7 (814-2) 78-06-85
L. V. Schegoleva
Petrozavodsk State University
Russian Federation
Russian Federation
Lyudmila V. Schegoleva, Professor of Department of Applied Mathematics and Cybernetics, Institute of Mathematics and Information Technologies
33, Lenina Ave., Petrоzavodsk, Karelia Republic, 185910
Phone: +7 (814-2) 71-10-78
References
1. Global Tuberculosis Report 2015. Summary. WHO, 2020. 14 p. Available: https://apps.who.int/iris/bitstream/handle/10665/337538/9789240017009-rus.pdf (Accessed 04.09.2022).
2. Markelov Yu.M. Kliniko-epidemiologicheskiye osobennosti tuberkuleza s mnozhestvennoy lekarstvennoy ustoychivostyu i prichiny yego rasprostraneniya v Respublike Kareliya. Diss. dokt. med. nauk. [Clinical and epidemiological specific features of multiple drug resistant tuberculosis and causes of its transmission in Karelia Republic. Doct. Diss.]. St. Petersburg, 2011.
3. Markelov Yu.M., Schegoleva L.V. Clinical and economic aspects of tuberculosis detection during mass fluorographic examinations of the population. Vestnik Rentgenologii i Radiologii, 2021, vol. 102, no. 3, pp. 148-154. (In Russ.)
4. Nechaeva O.B., Biragova O.K. TB situation in the Russian Federation. Sotsialnye Aspekty Zdorovya Naseleniya, 2013, no. 5. Available at: http://vestnik.mednet.ru/content/view/514/27/lang.ru (Accessed 04.09.2022).
5. Nechaeva O.B., Kazanets I.E., Sergeev B.I. Impact of migration on tuberculosis and HIV epidemiological situation in Russia. Tuberculosis and Lung Diseases, 2015, no. 8, pp. 4-10. (In Russ.)
6. Recommendations for early diagnosis of lung cancer for primary care physicians. Vestnik Rentgenologii i Radiologii, 2016, vol. 97, no. 2, pp. 69-78. (In Russ.)
7. Rider G.L. Epidemiologicheskie osnovy borby s tuberkulezom. [Epidemiological basics of tuberculosis control]. Moscow, Ves Mir Publ., 2001.
8. The website of Federal Service of State Statistics. Informatsiya dlya vedeniya monitoringa sotsialno-ekonomicheskogo polozheniya subyektov Rossiyskoy Federatsii. [Information for monitoring the socio-economic situation of the constituent entities of the Russian Federation]. https://rosstat.gov.ru/folder/11109/document/13259.
9. Sborniki i analiticheskiye obzory po tuberkulezu. [Collections and analytical reviews on tuberculosis]. Tsentr Monitoringa FGBU Tsentralny NII Organizatsii I Informatizatsii Zdravookhraneniya Publ., Epub. Available at: https://mednet.ru/struktura/zamestiteli/zamestitel-direktora-po-koordinaczii-federalnyix-proektov/federalnyij-czentr-monitoringa-protivodejstviya-rasprostraneniyu-tuberkulyoza-v-rf/ Accessed 22.07.2022.
10. Sterlikov S.A. Organizational aspects of fluorographic screening effectiveness enhancement. Meditsinsky Alyans, 2013, no. 4, pp. 28-34. (In Russ.)
11. Sterlikov S.A., Rudnev S.G., Obukhova O.V. Medical and economic efficiency of tuberculosis patient detection by fluorography mass screening using double independent reading. Sotsialnye Aspekty Zdorovya Naseleniya, 2013, no. 6. Available at: http://vestnik.mednet.ru/content/view/531/30/lang.ru/ (Accessed 04.09.2022).
12. Sterlikov S.A., Rusakova L.I. Results of financing of anti-tuberculosis activities and fixed assets of anti-tuberculosis organizations of the Russian Federation in 2018. Vestnik TSNIIT, 2020, no. 1 (10), pp. 21-29. (In Russ.)
13. Tuberkulez: vyyavleniye, lecheniye i monitoring po K. Tomenu. (Russ. Ed.: Toman's tuberculosis: case detection, treatment and monitoring: questions and answers). Geneva, World Health Organisation, 1998, Moscow, Ves Mir Publ., 2006,
14. Tsybikova E.B. Zubova N.A. Efficiency evaluation of regular mass screening aimed at tuberculosis detection. Tuberculosis and Lung Diseases, 2016, vol. 94, no. 4, pp. 13-19. (In Russ.)
15. Bogdanova E., Mariandyshev O., Hinderaker S.G., Nikishova E., Kulizhskaya A., Sveshnikova O., Gribovski A., Heldal E., Mariandyshev A. Mass screening for active case finding of pulmonary tuberculosis in the Russian Federation: how to save costs. Int. J. Tuberc. Lung Dis., 2019, vol. 23, no. 7, pp. 830-837. http://dx.doi.org/10.5588/ijtld.18.0449.
16. Rieder H. Toman’s tuberculosis: case detection, treatment and monitoring. Questions and answers. 2-nd ed. Geneva, Switzerland, WHO, 2004.
17. Stýblo K., Dankova D., Drapela J., Galliova J., Jezek Z. et al. Epidemiological and clinical study of tuberculosis in the district of Kolín, Czechoslovakia. Bulletin of the World Health Organization, 1967, no. 37 (6), pp. 819-874.
18. Toman K. Mass radiography in tuberculosis control. WHO Chronicle, 1976, vol. 30. pp. 51-57.
Review
For citations:
Markelov Yu.M., Schegoleva L.V. Evaluation of Clinical and Economic Efficiency and Impact of Mass Fluorography Screening on Tuberculosis Epidemiological Rates in Four Federal Districts of the Russian Federation with Different Levels of Population Coverage with Mass Fluorography Screening. Tuberculosis and Lung Diseases. 2023;101(1):8-16. (In Russ.) https://doi.org/10.58838/2075-1230-2023-101-1-8-16
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