Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil

Detalhes bibliográficos
Autor(a) principal: Guidoni, Leticia Molino
Data de Publicação: 2021
Outros Autores: Zandonade, Eliana, Fregona, Geisa, Negri, Letícya dos Santos Almeida, Oliveira, Sandra Maria do Valle Leone de, Prado, Thiago Nascimento do, Sales, Carolina Maia Martins, Coimbra, Raisa da Silveira, Galavote, Heletícia Scabelo, Maciel, Ethel Leonor Noia
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/2051
Resumo: Objective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.
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spelling Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in BrazilCostos catastróficos y consecuencias sociales resultantes del diagnóstico y tratamiento de la tuberculosis en BrasilCustos catastróficos e sequelas sociais decorrentes do diagnóstico e tratamento da tuberculose no BrasilTuberculoseTerapêuticaCustos e Análise de CustoEstudos de CoortesFatores SocioeconômicosBrasilTuberculosisTherapeuticsCosts and Cost AnalysisCohort StudiesSocioeconomic FactorsBrazilObjective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.Objetivo: Avaliar o impacto dos custos catastróficos no desfecho desfavorável do tratamento da tuberculose. Métodos: Estudo de coorte prospectiva, realizado em cinco capitais de estados brasileiros (Manaus, Recife, Vitória, Campo Grande e Porto Alegre) no período de junho de 2016 a julho de 2018. Empregou-se regressão logística para calcular a razão de chances (odds ratio, OR) e os intervalos de confiança de 95% (IC95%). Resultados: Dos 350 participantes, 310 foram incluídos, dos quais 30 apresentaram desfecho desfavorável. Custo catastrófico (OR=2,53 – IC95% 1,13;5,67) e divórcio (OR=5,29 – IC95% 1,39;20,05) aumentaram as chances de desfecho desfavorável. Conclusão: Dificuldades financeiras durante o tratamento da tuberculose podem prejudicar seu desfecho. Os fatores determinantes para o desfecho do tratamento foram custo catastrófico e divórcio.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-03-25info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/205110.1590/s1679-49742021000300012porhttps://preprints.scielo.org/index.php/scielo/article/view/2051/3369Copyright (c) 2021 Leticia Molino Guidoni, Eliana Zandonade, Geisa Fregona, Letícya dos Santos Almeida Negri, Sandra Maria do Valle Leone de Oliveira, Thiago Nascimento do Prado, Carolina Maia Martins Sales, Raisa da Silveira Coimbra, Heletícia Scabelo Galavote, Ethel Leonor Noia Macielhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGuidoni, Leticia MolinoZandonade, ElianaFregona, GeisaNegri, Letícya dos Santos AlmeidaOliveira, Sandra Maria do Valle Leone dePrado, Thiago Nascimento doSales, Carolina Maia MartinsCoimbra, Raisa da SilveiraGalavote, Heletícia ScabeloMaciel, Ethel Leonor Noiareponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-03-25T12:15:41Zoai:ops.preprints.scielo.org:preprint/2051Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-03-25T12:15:41SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
Costos catastróficos y consecuencias sociales resultantes del diagnóstico y tratamiento de la tuberculosis en Brasil
Custos catastróficos e sequelas sociais decorrentes do diagnóstico e tratamento da tuberculose no Brasil
title Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
spellingShingle Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
Guidoni, Leticia Molino
Tuberculose
Terapêutica
Custos e Análise de Custo
Estudos de Coortes
Fatores Socioeconômicos
Brasil
Tuberculosis
Therapeutics
Costs and Cost Analysis
Cohort Studies
Socioeconomic Factors
Brazil
title_short Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
title_full Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
title_fullStr Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
title_full_unstemmed Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
title_sort Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil
author Guidoni, Leticia Molino
author_facet Guidoni, Leticia Molino
Zandonade, Eliana
Fregona, Geisa
Negri, Letícya dos Santos Almeida
Oliveira, Sandra Maria do Valle Leone de
Prado, Thiago Nascimento do
Sales, Carolina Maia Martins
Coimbra, Raisa da Silveira
Galavote, Heletícia Scabelo
Maciel, Ethel Leonor Noia
author_role author
author2 Zandonade, Eliana
Fregona, Geisa
Negri, Letícya dos Santos Almeida
Oliveira, Sandra Maria do Valle Leone de
Prado, Thiago Nascimento do
Sales, Carolina Maia Martins
Coimbra, Raisa da Silveira
Galavote, Heletícia Scabelo
Maciel, Ethel Leonor Noia
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Guidoni, Leticia Molino
Zandonade, Eliana
Fregona, Geisa
Negri, Letícya dos Santos Almeida
Oliveira, Sandra Maria do Valle Leone de
Prado, Thiago Nascimento do
Sales, Carolina Maia Martins
Coimbra, Raisa da Silveira
Galavote, Heletícia Scabelo
Maciel, Ethel Leonor Noia
dc.subject.por.fl_str_mv Tuberculose
Terapêutica
Custos e Análise de Custo
Estudos de Coortes
Fatores Socioeconômicos
Brasil
Tuberculosis
Therapeutics
Costs and Cost Analysis
Cohort Studies
Socioeconomic Factors
Brazil
topic Tuberculose
Terapêutica
Custos e Análise de Custo
Estudos de Coortes
Fatores Socioeconômicos
Brasil
Tuberculosis
Therapeutics
Costs and Cost Analysis
Cohort Studies
Socioeconomic Factors
Brazil
description Objective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/preprint
info:eu-repo/semantics/publishedVersion
format preprint
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://preprints.scielo.org/index.php/scielo/preprint/view/2051
10.1590/s1679-49742021000300012
url https://preprints.scielo.org/index.php/scielo/preprint/view/2051
identifier_str_mv 10.1590/s1679-49742021000300012
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/2051/3369
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
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instacron:SCI
instname_str SciELO
instacron_str SCI
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repository.name.fl_str_mv SciELO Preprints - SciELO
repository.mail.fl_str_mv scielo.submission@scielo.org
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