Defining the research agenda to reduce the joint burden of disease from diabetes mellitus and tuberculosis
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Defining the research agenda to reduce the joint burden of disease from diabetes mellitus and tuberculosis. / Harries, Anthony D; Murray, Megan B; Jeon, Christie Y; Ottmani, Salah-Eddine; Lonnroth, Knut; Barreto, Mauricio L; Billo, Nils; Brostrom, Richard; Bygbjerg, Ib Christian; Fisher-Hoch, Susan; Mori, Toru; Ramaiya, Kaushik; Roglic, Gojka; Strandgaard, Hanne; Unwin, Nigel; Viswanathan, Vijay; Whiting, David; Kapur, Anil.
I: Tropical Medicine & International Health, Bind 15, Nr. 6, 01.06.2010, s. 659-63.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Defining the research agenda to reduce the joint burden of disease from diabetes mellitus and tuberculosis
AU - Harries, Anthony D
AU - Murray, Megan B
AU - Jeon, Christie Y
AU - Ottmani, Salah-Eddine
AU - Lonnroth, Knut
AU - Barreto, Mauricio L
AU - Billo, Nils
AU - Brostrom, Richard
AU - Bygbjerg, Ib Christian
AU - Fisher-Hoch, Susan
AU - Mori, Toru
AU - Ramaiya, Kaushik
AU - Roglic, Gojka
AU - Strandgaard, Hanne
AU - Unwin, Nigel
AU - Viswanathan, Vijay
AU - Whiting, David
AU - Kapur, Anil
PY - 2010/6/1
Y1 - 2010/6/1
N2 - The steadily growing epidemic of diabetes mellitus poses a threat for global tuberculosis (TB) control. Previous studies have identified an important association between diabetes mellitus and TB. However, these studies have limitations: very few were carried out in low-income countries, with none in Africa, raising uncertainty about the strength of the diabetes mellitus-TB association in these settings, and many critical questions remain unanswered. An expert meeting was held in November 2009 to discuss where there was sufficient evidence to make firm recommendations about joint management of both diseases, to address research gaps and to develop a research agenda. Ten key research questions were identified, of which 4 were selected as high priority: (i) whether, when and how to screen for TB in patients with diabetes mellitus and vice versa; (ii) the impact of diabetes mellitus and non-diabetes mellitus hyperglycaemia on TB treatment outcomes and deaths, and the development of strategies to improve outcomes; (iii) implementation and evaluation of the tuberculosis 'DOTS' model for diabetes mellitus management; and (iv) the development and evaluation of better point-of-care diagnostic and monitoring tests, including measurements of blood glucose and glycated haemoglobin A(1c) (HbA(1c)) for patients with diabetes mellitus. Implementation of this research agenda will benefit the control of both diseases.
AB - The steadily growing epidemic of diabetes mellitus poses a threat for global tuberculosis (TB) control. Previous studies have identified an important association between diabetes mellitus and TB. However, these studies have limitations: very few were carried out in low-income countries, with none in Africa, raising uncertainty about the strength of the diabetes mellitus-TB association in these settings, and many critical questions remain unanswered. An expert meeting was held in November 2009 to discuss where there was sufficient evidence to make firm recommendations about joint management of both diseases, to address research gaps and to develop a research agenda. Ten key research questions were identified, of which 4 were selected as high priority: (i) whether, when and how to screen for TB in patients with diabetes mellitus and vice versa; (ii) the impact of diabetes mellitus and non-diabetes mellitus hyperglycaemia on TB treatment outcomes and deaths, and the development of strategies to improve outcomes; (iii) implementation and evaluation of the tuberculosis 'DOTS' model for diabetes mellitus management; and (iv) the development and evaluation of better point-of-care diagnostic and monitoring tests, including measurements of blood glucose and glycated haemoglobin A(1c) (HbA(1c)) for patients with diabetes mellitus. Implementation of this research agenda will benefit the control of both diseases.
KW - Diabetes Complications
KW - Diabetes Mellitus
KW - Health Services Research
KW - Humans
KW - Mass Screening
KW - Program Development
KW - Treatment Outcome
KW - Tuberculosis
U2 - 10.1111/j.1365-3156.2010.02523.x
DO - 10.1111/j.1365-3156.2010.02523.x
M3 - Journal article
C2 - 20406430
VL - 15
SP - 659
EP - 663
JO - Tropical Medicine & International Health
JF - Tropical Medicine & International Health
SN - 1360-2276
IS - 6
ER -
ID: 33889910