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Impact of latent tuberculosis infection on health and wellbeing: a systematic review and meta-analysis

Yen Jun Wong, Noorliza Mohd Noordin, Salmaan Keshavjee, Shaun Wen Huey Lee
European Respiratory Review 2021 30: 200260; DOI: 10.1183/16000617.0260-2020
Yen Jun Wong
1School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia
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Noorliza Mohd Noordin
2National Public Health Laboratory, Ministry of Health, Sungai Buloh, Malaysia
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Salmaan Keshavjee
3Dept of Global Health and Social Medicine, Harvard Medical School, Harvard University, Boston, MA, USA
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Shaun Wen Huey Lee
1School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia
4Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Subang Jaya, Malaysia
5Gerontechnology Laboratory, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Subang Jaya, Malaysia
6School of Pharmacy, Taylor's University Lakeside Campus, Subang Jaya, Malaysia
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  • ORCID record for Shaun Wen Huey Lee
  • For correspondence: shaun.lee@monash.edu
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  • FIGURE 1
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    FIGURE 1

    Flowchart showing the study selection process for the qualitative and quantitative synthesis. LTBI: latent tuberculosis infection.

  • FIGURE 2
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    FIGURE 2

    Mean difference (inverse variance method, random-effects model) between SF-6D utility scores for individuals treated for LTBI compared with patients treated for active TB disease. LTBI: latent tuberculosis infection; SF-6D: Short-Form Six-Dimension; TB: tuberculosis.

  • FIGURE 3
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    FIGURE 3

    Mean difference (inverse variance method, random-effects model) between SF-36 mental health (MH) domain scores for individuals treated for LTBI compared with individuals without TB. LTBI: latent tuberculosis infection; SF-36: 36-item Short-Form Health Survey; TB: tuberculosis.

  • FIGURE 4
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    FIGURE 4

    Mean difference (inverse variance method, random-effects model) between SF-36 physical component summary scores for individuals treated for LTBI compared with patients treated for active TB disease. LTBI: latent tuberculosis infection; PCS: physical component summary; TB: tuberculosis.

Tables

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  • TABLE 1

    Summary of study characteristics and health outcomes instruments

    Study designStudy locationPatients nRecruitment durationInstrument/ measurementReported health outcome[Ref.]
    LTBITBWithout TB infection
    LongitudinalTB clinics, MCI and JGH, Canada10548110June 2008–October 2011 (40 months)1) SF-36 → SF-6D utilities
    2) SG
    HRQoL [19]
    Health utilities [18]
    [18, 19]
    Prospective cohortBroward or Palm Beach County Health Dept, Florida, USA90August 2005–July 2007 (24 months)1) Stigma scale from EMIC for Tuberculosis in Haitian PopulationsStigma[20]
    Cross-sectionalTB clinic, MCI, Canada35221 September 1999–30 September 2000 (13 months)1) VAS
    2) SG
    3) SF-36
    4) EQ-5D
    HRQoL[21, 22]
    QualitativeTB-OPD, Karolinska University Hospital, Solna, Sweden16December 2017–June 2018 (7 months)Interview guideTreatment experience[23]
    LongitudinalTB clinic, British Columbia Centre for Disease Control, Canada1021042005–2006 (12 months)1) SF-36 v2→SF-6D utilities
    2) BDI
    3) HUI2, HUI3
    4) VAS
    HRQoL [24]
    Health utilities [25]
    [24, 25]
    RetrospectiveTB registries, 20 different sites in the USA7 28238531993–31 December 2002 (9 years)1) Mortality riskMortality[26]
    RetrospectiveTB clinic, TCPH, Texas, USA2101077 July 2005–7 November 2006 (16 months)1) SGRQHRQoL [27]
    QALY [22]
    [27, 28]
    Cross-sectionalInfectious disease or paediatric clinics, Karolinska University Hospital, Sweden10819 415September 2017–June 2018 (10 months)1) EQ-5D
    2) RHS-15
    HRQoL[29]
    Cross-sectionalDispensary of TB Kayseri, Turkey10819619615 September 2003–15 September 2004 (12 months)1) SF-36
    2) BDI
    HRQoL[30]

    LTBI: latent tuberculosis infection; TB: tuberculosis; MCI: Montreal Chest Institute; JGH: Jewish General Hospital; SF-36: 36-item Short-Form Health Survey; SF-6D: Short-Form Six-Dimension; SG: standard gamble tasks; HRQoL: health-related quality of life; EMIC: Explanatory Model Interview Catalogue; VAS: visual analogue scale; EQ-5D: EuroQol-5 dimensions; TB-OPD: Tuberculosis outpatient department; SF-36 v2: 36-item Short-Form Health Survey version 2; BDI: Beck Depression Inventory; HUI2: Health Utilities Index Mark 2; HUI3: Health Utilities Index Mark 3; TCPH: Tarrant County Public Health; SGRQ: St George's Respiratory Questionnaire; QALY: quality-adjusted life year; RHS-15: Refugee Health Screener-15.

    Supplementary Materials

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      Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

      Supplementary_material ERR-0260-2020_Supplementary_material

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    Impact of latent tuberculosis infection on health and wellbeing: a systematic review and meta-analysis
    Yen Jun Wong, Noorliza Mohd Noordin, Salmaan Keshavjee, Shaun Wen Huey Lee
    European Respiratory Review Mar 2021, 30 (159) 200260; DOI: 10.1183/16000617.0260-2020

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    Impact of latent tuberculosis infection on health and wellbeing: a systematic review and meta-analysis
    Yen Jun Wong, Noorliza Mohd Noordin, Salmaan Keshavjee, Shaun Wen Huey Lee
    European Respiratory Review Mar 2021, 30 (159) 200260; DOI: 10.1183/16000617.0260-2020
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