Carvalho, C;
Alba, S;
Harris, R;
Abubakar, I;
Van Hest, R;
Correia, AM;
Goncalves, G;
(2020)
Completeness of TB notification in Portugal, 2015: an inventory and capture-recapture study.
The International Journal of Tuberculosis and Lung Disease
, 24
(11)
pp. 1186-1193.
10.5588/ijtld.20.0094.
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Abstract
BACKGROUND: Despite the steady decline in the last few decades, Portugal remains the Western European country with the highest TB notification rates. The aim of this study was to estimate the completeness of notification to the National Tuberculosis Programme (NTP) Surveillance System (SVIG-TB) in 2015. M E T H O D S: We implemented an inventory study and a three-source log-linear capture-recapture analysis using two additional data sources that were deterministic and probabilistically linked: the national notifiable diseases surveillance system (Sistema Nacional de Vigilância Epidemiológica [SINAVE]) and the national hospital discharge database (Grupos de Diagnósticos Homo-géneos [GDH]). R E S U L T S: We identified 2328 unique probable/confirmed TB cases across the three data sources. We found a positive dependency between SVIG-TB and SINAVE (incidence rate ratio [IRR] 8.9, 95%CI 6.6-12.0) and between GDH and SINAVE (IRR 2.6, 95%CI 2.0-3.4). After adjusting for these dependencies, we estimated that 266 cases (95%CI 198-358) were not reported, indicating a notification (to SVIG-TB) completeness rate of 77.0%. C O N C L U S I O N: True incidence rate of TB in Portugal in 2015 could have been as high as 26.1 per 100 000. This could be an overestimation because of false-positive cases recorded in both SINAVE and GDH or on a smaller scale, false non-matches. Studies aimed at validating potentially false-positive cases should be implemented to address these limitations.
| Type: | Article |
|---|---|
| Title: | Completeness of TB notification in Portugal, 2015: an inventory and capture-recapture study |
| Location: | France |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.5588/ijtld.20.0094 |
| Publisher version: | https://doi.org/10.5588/ijtld.20.0094 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| Keywords: | Portugal; TB; capture-recapture; completeness of notification; record-linkage |
| UCL classification: | UCL |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10155746 |
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