Situation of the tuberculosis-diabetes comorbidity in adults in Peru: 2016-2018

Authors

  • César Ugarte-Gil Instituto de Medicina Tropical Alexander von Humboldt, Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. TB Centre, London School of Hygiene and Tropical Medicine, Londres, Reino Unido. Médico cirujano; magíster en Epidemiología; doctor en Epidemiología y Control de Enfermedades Globales https://orcid.org/0000-0002-2833-9087
  • Maricela Curisinche Centro Nacional de Salud Pública, Instituto Nacional de Salud, Lima , Perú. licenciada en Enfermería; magíster en Ciencias-Salud Pública https://orcid.org/0000-0003-4015-6627
  • Edwin Herrrera-Flores Centro Nacional de Salud Pública, Instituto Nacional de Salud, Lima , Perú Servicio de Neumología, Hospital Nacional Arzobispo Loayza, Lima, Perú. Médico cirujano; médico neumólogo https://orcid.org/0000-0001-8869-4403
  • Henry Hernandez Centro Nacional de Salud Pública, Instituto Nacional de Salud, Lima , Perú. Médico cirujano https://orcid.org/0000-0003-0106-421X
  • Julia Rios Centro Nacional de Salud Pública, Instituto Nacional de Salud, Lima , Perú. Médico cirujano https://orcid.org/0000-0002-4130-8648

DOI:

https://doi.org/10.17843/rpmesp.2021.382.6764

Keywords:

Tuberculosis, Diabetes Mellitus, Comorbidity, Mortality, Survival

Abstract

Objective: To describe the characteristics of adult patients with tuberculosis (TB) and diabetes mellitus (DM) in Peru, and to explore the association of DM and mortality in people with TB. Materials and methods: We carried out a secondary analysis of the database of the Management Information System of Tuberculosis of the Tuberculosis Prevention and Control Directorate of the Ministry of Health of Peru. Adult patients who started treatment with the scheme for drug-sensitive TB in 2016, 2017 and 2018 were included. We carried out a descriptive analysis of patients with TB and DM, and an exploratory analysis to assess the association of DM with mortality using a Poisson regression to determine the relative risk (RR). Results: We registered 67,524 adults with drug-sensitive TB, of which 6,529 (9.7%) people were reported as having TB and DM; and 4,048 (6.0%) had HIV infection. Of the patients reported with TB and DM, most were men (60.2%) with a median age of 53 years. Regarding mortality, people with TB and DM had a higher frequency of death compared to those with TB without DM (7.2% vs 5.4%). In the exploratory analysis of factors associated with mortality, DM had a crude RR of 1.32 (95% CI: 1.20-1.50); however, this association varied in the adjusted model with a RR of 0.93 (95% CI: 0.84-1.04). Conclusions: DM is the most frequent comorbidity in patients with TB in Peru, although no association with higher mortality was found.

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Published

2021-07-01

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Section

Original Article

How to Cite

1.
Ugarte-Gil C, Curisinche M, Herrrera-Flores E, Hernandez H, Rios J. Situation of the tuberculosis-diabetes comorbidity in adults in Peru: 2016-2018. Rev Peru Med Exp Salud Publica [Internet]. 2021 Jul. 1 [cited 2024 Oct. 30];38(2):254-60. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/6764