Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015.

Bozorgmehr K, Preussler S, Wagner U, Joggerst B, Szecsenyi J, Razum O, Stock C (2019)
BMC Infectious Diseases 19(1).

Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Autor/in
; ; ; ; ; ;
Abstract / Bemerkung
BACKGROUND: Screening programmes for tuberculosis (TB) among immigrants rarely consider the heterogeneity of risk related to migrants' country of origin. We assess the performance of a large screening programme in asylum seekers by analysing (i) the difference in yield and numbers needed to screen (NNS) by country and WHO-reported TB burden, (ii) the possible impact of screening thresholds on sensitivity, and (iii) the value of WHO-estimated TB burden to improve the prediction accuracy of screening yield.; METHODS: We combined individual data of 119,037 asylum seekers screened for TB in Germany (2002-2015) with TB estimates of the World Health Organization (WHO) (1990-2014) for their 81 countries of origin. Adjusted rate ratios (aRR) and 95% credible intervals (CrI) of the observed yield of screening were calculated in Bayesian Poisson regression models by categories of WHO-estimated TB incidence. We assessed changes in sensitivity depending on screening thresholds, used WHO TB estimates as prior information to predict TB in asylum seekers, and modelled country-specific probabilities of numbers needed to screen (NNS) conditional on different screening thresholds.; RESULTS: The overall yield was 82 per 100,000 and the annual yield ranged from 44.1 to 279.7 per 100,000. Country-specific yields ranged from 10 (95%- CrI: 1-47) to 683 (95%-CrI: 306-1336) per 100,000 in Iraqi and Somali asylum seekers, respectively. The observed yield was higher in asylum seekers from countries with a WHO-estimated TB incidence >50 relative to those from countries ≤50 per 100,000 (aRR: 4.17, 95%-CrI: 2.86-6.59). Introducing a threshold in the range of a WHO-estimated TB incidence of 50 and 100 per 100,000 resulted in the lowest "loss" in sensitivity. WHO's TB prevalence estimates improved prediction accuracy for eight of the 11 countries, and allowed modelling country-specific probabilities of NNS.; CONCLUSIONS: WHO's TB data can inform the estimation of screening yield and thus be used to improve screening efficiency in asylum seekers. This may help to develop more targeted screening strategies by reducing uncertainty in estimates of expected country-specific yield, and identify thresholds with lowest loss in sensitivity. Further modelling studies are needed which combine clinical, diagnostic and country-specific parameters.
Erscheinungsjahr
Zeitschriftentitel
BMC Infectious Diseases
Band
19
Ausgabe
1
eISSN
PUB-ID

Zitieren

Bozorgmehr K, Preussler S, Wagner U, et al. Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015. BMC Infectious Diseases. 2019;19(1).
Bozorgmehr, K., Preussler, S., Wagner, U., Joggerst, B., Szecsenyi, J., Razum, O., & Stock, C. (2019). Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015. BMC Infectious Diseases, 19(1). doi:10.1186/s12879-019-3902-x
Bozorgmehr, K., Preussler, S., Wagner, U., Joggerst, B., Szecsenyi, J., Razum, O., and Stock, C. (2019). Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015. BMC Infectious Diseases 19.
Bozorgmehr, K., et al., 2019. Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015. BMC Infectious Diseases, 19(1).
K. Bozorgmehr, et al., “Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015.”, BMC Infectious Diseases, vol. 19, 2019.
Bozorgmehr, K., Preussler, S., Wagner, U., Joggerst, B., Szecsenyi, J., Razum, O., Stock, C.: Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015. BMC Infectious Diseases. 19, (2019).
Bozorgmehr, Kayvan, Preussler, Stella, Wagner, Ulrich, Joggerst, Brigitte, Szecsenyi, Joachim, Razum, Oliver, and Stock, Christian. “Using country of origin to inform targeted tuberculosis screening in asylum seekers: a modelling study of screening data in a German federal state, 2002-2015.”. BMC Infectious Diseases 19.1 (2019).

40 References

Daten bereitgestellt von Europe PubMed Central.

Systematic screening for active tuberculosis: rationale, definitions and key considerations.
Lonnroth K, Corbett E, Golub J, Godfrey-Faussett P, Uplekar M, Weil D, Raviglione M., Int. J. Tuberc. Lung Dis. 17(3), 2013
PMID: 23407219
Active screening at entry for tuberculosis among new immigrants: a systematic review and meta-analysis.
Arshad S, Bavan L, Gajari K, Paget SN, Baussano I., Eur. Respir. J. 35(6), 2009
PMID: 19840970
Evaluation of immigrant tuberculosis screening in industrialized countries.
Pareek M, Baussano I, Abubakar I, Dye C, Lalvani A., Emerging Infect. Dis. 18(9), 2012
PMID: 22931959
Towards tuberculosis elimination: an action framework for low-incidence countries.
Lonnroth K, Migliori GB, Abubakar I, D'Ambrosio L, de Vries G, Diel R, Douglas P, Falzon D, Gaudreau MA, Goletti D, Gonzalez Ochoa ER, LoBue P, Matteelli A, Njoo H, Solovic I, Story A, Tayeb T, van der Werf MJ, Weil D, Zellweger JP, Abdel Aziz M, Al Lawati MR, Aliberti S, Arrazola de Onate W, Barreira D, Bhatia V, Blasi F, Bloom A, Bruchfeld J, Castelli F, Centis R, Chemtob D, Cirillo DM, Colorado A, Dadu A, Dahle UR, De Paoli L, Dias HM, Duarte R, Fattorini L, Gaga M, Getahun H, Glaziou P, Goguadze L, Del Granado M, Haas W, Jarvinen A, Kwon GY, Mosca D, Nahid P, Nishikiori N, Noguer I, O'Donnell J, Pace-Asciak A, Pompa MG, Popescu GG, Robalo Cordeiro C, Ronning K, Ruhwald M, Sculier JP, Simunovic A, Smith-Palmer A, Sotgiu G, Sulis G, Torres-Duque CA, Umeki K, Uplekar M, van Weezenbeek C, Vasankari T, Vitillo RJ, Voniatis C, Wanlin M, Raviglione MC., Eur. Respir. J. 45(4), 2015
PMID: 25792630
Migrant tuberculosis screening in the EU/EEA: yield, coverage and limitations.
Klinkenberg E, Manissero D, Semenza JC, Verver S., Eur. Respir. J. 34(5), 2009
PMID: 19880618
Access to health care for asylum seekers in the European Union--a comparative study of country policies.
Norredam M, Mygind A, Krasnik A., Eur J Public Health 16(3), 2005
PMID: 16230318
Tuberculosis and latent tuberculous infection screening of migrants in Europe: comparative analysis of policies, surveillance systems and results.
Kunst H, Burman M, Arnesen TM, Fiebig L, Hergens MP, Kalkouni O, Klinkenberg E, Orcau A, Soini H, Sotgiu G, Zenner D, de Vries G., Int. J. Tuberc. Lung Dis. 21(8), 2017
PMID: 28786791
Tuberculosis care among refugees arriving in Europe: a ERS/WHO Europe Region survey of current practices.
Dara M, Solovic I, Sotgiu G, D'Ambrosio L, Centis R, Tran R, Goletti D, Duarte R, Aliberti S, de Benedictis FM, Bothamley G, Schaberg T, Abubakar I, Teixeira V, Ward B, Gratziou C, Migliori GB., Eur. Respir. J. 48(3), 2016
PMID: 27492827
Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis.
Bozorgmehr K, Razum O, Saure D, Joggerst B, Szecsenyi J, Stock C., Euro Surveill. 22(12), 2017
PMID: 28367795
Pre-entry, post-entry, or no tuberculosis screening?
van der Werf MJ, Lonnroth K., Lancet Infect Dis 14(12), 2014
PMID: 25455973
The benefits to communities and individuals of screening for active tuberculosis disease: a systematic review.
Kranzer K, Afnan-Holmes H, Tomlin K, Golub JE, Shapiro AE, Schaap A, Corbett EL, Lonnroth K, Glynn JR., Int. J. Tuberc. Lung Dis. 17(4), 2013
PMID: 23485377

AUTHOR UNKNOWN, 2013

AUTHOR UNKNOWN, 0
Post-migration follow-up of migrants at risk of tuberculosis.
Bozorgmehr K., Lancet Infect Dis 17(7), 2017
PMID: 28653632
Tuberculosis in migrants moving from high-incidence to low-incidence countries: a population-based cohort study of 519 955 migrants screened before entry to England, Wales, and Northern Ireland.
Aldridge RW, Zenner D, White PJ, Williamson EJ, Muzyamba MC, Dhavan P, Mosca D, Thomas HL, Lalor MK, Abubakar I, Hayward AC., Lancet 388(10059), 2016
PMID: 27742165

AUTHOR UNKNOWN, 0
Low yield of screening asylum seekers from countries with a tuberculosis incidence of <50 per 100 000 population.
de Vries G, van Rest J, Meijer W, Wolters B, van Hest R., Eur. Respir. J. 47(6), 2016
PMID: 26965289
[Health examination of asylum seekers: A nationwide analysis of state policies in Germany : § 62 of the asylum law].
Wahedi K, Nost S, Bozorgmehr K., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 60(1), 2017
PMID: 27885404

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 2012

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 2016
The global burden of tuberculosis: results from the Global Burden of Disease Study 2015.
GBD Tuberculosis Collaborators, Kyu HH, Maddison ER, Henry NJ, Mumford JE, Barber R, Shields C, Brown JC, Nguyen G, Carter A, Wolock TM, Wang H, Liu PY, Reitsma M, Ross JM, Abajobir AA, Abate KH, Abbas K, Abera M, Abera SF, Abera Hareri H, Ahmed M, Alene KA, Alvis-Guzman N, Amo-Adjei J, Andrews J, Ansari H, Antonio CA, Anwari P, Asayesh H, Atey TM, Atre S, Barac A, Beardsley J, Bedi N, Bensenor I, Beyene AS, Butt ZA, Cardona PJ, Christopher D, Dandona L, Dandona R, Deribe K, Deribew A, Ehrenkranz R, El Sayed Zaki M, Endries A, Feyissa TR, Fischer F, Gai R, Garcia-Basteiro AL, Gebrehiwot TT, Gesesew H, Getahun B, Gona P, Goodridge A, Gugnani H, Haghparast-Bidgoli H, Hailu GB, Hassen HY, Hilawe E, Horita N, Jacobsen KH, Jonas JB, Kasaeian A, Kedir MS, Kemmer L, Khader Y, Khan E, Khang YH, Khoja AT, Kim YJ, Koul P, Koyanagi A, Krohn KJ, Kumar GA, Kutz M, Lodha R, Magdy And El Razek H, Majdzadeh R, Manyazewal T, Memish Z, Mendoza W, Mezgebe HB, Mohammed S, Ogbo FA, Oh IH, Oren E, Osgood-Zimmerman A, Pereira D, Plass D, Pourmalek F, Qorbani M, Rafay A, Rahman M, Rai RK, Rao PC, Ray SE, Reiner R, Reinig N, Safiri S, Salomon JA, Sandar L, Sartorius B, Shamsizadeh M, Shey M, Shifti DM, Shore H, Singh J, Sreeramareddy CT, Swaminathan S, Swartz SJ, Tadese F, Tedla BA, Tegegne BS, Tessema B, Topor-Madry R, Ukwaja KN, Uthman OA, Vlassov V, Vollset SE, Wakayo T, Weldegebreal S, Westerman R, Workicho A, Yonemoto N, Yoon SJ, Yotebieng M, Naghavi M, Hay SI, Vos T, Murray CJ., Lancet Infect Dis 18(3), 2017
PMID: 29223583
Pre-entry screening programmes for tuberculosis in migrants to low-incidence countries: a systematic review and meta-analysis.
Aldridge RW, Yates TA, Zenner D, White PJ, Abubakar I, Hayward AC., Lancet Infect Dis 14(12), 2014
PMID: 25455991
Demographic predictors of active tuberculosis in people migrating to British Columbia, Canada: a retrospective cohort study.
Ronald LA, Campbell JR, Balshaw RF, Romanowski K, Roth DZ, Marra F, Cook VJ, Johnston JC., CMAJ 190(8), 2018
PMID: 29483329

AUTHOR UNKNOWN, 0
Call for urgent actions to ensure access to early diagnosis and care of tuberculosis among refugees: Statement of the European Respiratory Society and the European Region of the International Union Against Tuberculosis and Lung Disease.
Dara M, Solovic I, Sotgiu G, D'Ambrosio L, Centis R, Goletti D, Duarte R, Aliberti S, de Benedictis FM, Bothamley G, Schaberg T, Abubakar I, Ward B, Teixeira V, Gratziou C, Migliori GB., Eur. Respir. J. 47(5), 2016
PMID: 27009169
Molecular epidemiology of tuberculosis among immigrants in Hamburg, Germany.
Diel R, Rusch-Gerdes S, Niemann S., J. Clin. Microbiol. 42(7), 2004
PMID: 15243044

AUTHOR UNKNOWN, 0
Evidence for overuse of medical services around the world.
Brownlee S, Chalkidou K, Doust J, Elshaug AG, Glasziou P, Heath I, Nagpal S, Saini V, Srivastava D, Chalmers K, Korenstein D., Lancet 390(10090), 2017
PMID: 28077234
From universal health coverage to right care for health.
Kleinert S, Horton R., Lancet 390(10090), 2017
PMID: 28077231
Levers for addressing medical underuse and overuse: achieving high-value health care.
Elshaug AG, Rosenthal MB, Lavis JN, Brownlee S, Schmidt H, Nagpal S, Littlejohns P, Srivastava D, Tunis S, Saini V., Lancet 390(10090), 2017
PMID: 28077228
The impact of migration on tuberculosis epidemiology and control in high-income countries: a review.
Pareek M, Greenaway C, Noori T, Munoz J, Zenner D., BMC Med 14(), 2016
PMID: 27004556

Ambrosius WT., 2007

AUTHOR UNKNOWN, 0
Tuberculosis Incidence and Case Notification Rates in Kosovo and the Balkans in 2012: Cross-country Comparison.
Kurhasani X, Hafizi H, Toci E, Burazeri G., Mater Sociomed 26(1), 2014
PMID: 24757405

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 30943917
PubMed | Europe PMC

Suchen in

Google Scholar