Tuberculosis cases in Wisconsin: Documentation of treatment improvement and completion of treatment, 2000-2002

Monica L. Monteon, Christine M. Arcari, Patrick L. Remington, Marty S. Kanarek, Tanya V. Oemig

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVE: In 2000, the Wisconsin Strategic Plan for the Elimination of Tuberculosis (TB) sets goals of 90 percent treatment completion and 95 percent documentation of treatment improvement for all reported cases of TB. This study measures the success in achieving these goals. METHODS: Data were abstracted from charts of all 249 reported TB cases during 2000-2002. Treatment completion was considered for patients indicated for completion in 12 months or less. Documentation of treatment improvement included therapy adherence, sputum culture conversion, and chest radiograph improvement for pulmonary cases, and therapy adherence and clinical improvement for extrapulmonary cases. RESULTS: Treatment completion was measured in 204 of 249 TB cases; 87.1 percent completed treatment in 12 months or less. There was a significant difference in completion by site of disease, 89.9 percent for pulmonary cases and 66.1 percent for extrapulmonary cases (P < .01). Documentation of treatment improvement was 61.2 percent among pulmonary cases and 83.6 percent among extrapulmonary cases (P < .01). During the study period, there was a significant decrease in documentation rates for patients with pulmonary TB (P < .01). CONCLUSIONS: The goal of 90 percent treatment completion was nearly accomplished but the goal of 95 percent documentation of treatment improvement was not achieved. Barriers to TB treatment in Wisconsin need to be identified. Case management of TB is necessary for control and prevention of TB.

Original languageEnglish (US)
Pages (from-to)254-261
Number of pages8
JournalJournal of Public Health Management and Practice
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2006

Fingerprint

Documentation
Tuberculosis
Therapeutics
Lung
Case Management
Sputum
Pulmonary Tuberculosis
Thorax

Keywords

  • Case management
  • Public health
  • Tuberculosis

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Tuberculosis cases in Wisconsin : Documentation of treatment improvement and completion of treatment, 2000-2002. / Monteon, Monica L.; Arcari, Christine M.; Remington, Patrick L.; Kanarek, Marty S.; Oemig, Tanya V.

In: Journal of Public Health Management and Practice, Vol. 12, No. 3, 01.01.2006, p. 254-261.

Research output: Contribution to journalArticle

Monteon, Monica L. ; Arcari, Christine M. ; Remington, Patrick L. ; Kanarek, Marty S. ; Oemig, Tanya V. / Tuberculosis cases in Wisconsin : Documentation of treatment improvement and completion of treatment, 2000-2002. In: Journal of Public Health Management and Practice. 2006 ; Vol. 12, No. 3. pp. 254-261.
@article{c02fa941a6d5421b98014731be3ff2af,
title = "Tuberculosis cases in Wisconsin: Documentation of treatment improvement and completion of treatment, 2000-2002",
abstract = "OBJECTIVE: In 2000, the Wisconsin Strategic Plan for the Elimination of Tuberculosis (TB) sets goals of 90 percent treatment completion and 95 percent documentation of treatment improvement for all reported cases of TB. This study measures the success in achieving these goals. METHODS: Data were abstracted from charts of all 249 reported TB cases during 2000-2002. Treatment completion was considered for patients indicated for completion in 12 months or less. Documentation of treatment improvement included therapy adherence, sputum culture conversion, and chest radiograph improvement for pulmonary cases, and therapy adherence and clinical improvement for extrapulmonary cases. RESULTS: Treatment completion was measured in 204 of 249 TB cases; 87.1 percent completed treatment in 12 months or less. There was a significant difference in completion by site of disease, 89.9 percent for pulmonary cases and 66.1 percent for extrapulmonary cases (P < .01). Documentation of treatment improvement was 61.2 percent among pulmonary cases and 83.6 percent among extrapulmonary cases (P < .01). During the study period, there was a significant decrease in documentation rates for patients with pulmonary TB (P < .01). CONCLUSIONS: The goal of 90 percent treatment completion was nearly accomplished but the goal of 95 percent documentation of treatment improvement was not achieved. Barriers to TB treatment in Wisconsin need to be identified. Case management of TB is necessary for control and prevention of TB.",
keywords = "Case management, Public health, Tuberculosis",
author = "Monteon, {Monica L.} and Arcari, {Christine M.} and Remington, {Patrick L.} and Kanarek, {Marty S.} and Oemig, {Tanya V.}",
year = "2006",
month = "1",
day = "1",
doi = "10.1097/00124784-200605000-00006",
language = "English (US)",
volume = "12",
pages = "254--261",
journal = "Journal of Public Health Management and Practice",
issn = "1078-4659",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Tuberculosis cases in Wisconsin

T2 - Documentation of treatment improvement and completion of treatment, 2000-2002

AU - Monteon, Monica L.

AU - Arcari, Christine M.

AU - Remington, Patrick L.

AU - Kanarek, Marty S.

AU - Oemig, Tanya V.

PY - 2006/1/1

Y1 - 2006/1/1

N2 - OBJECTIVE: In 2000, the Wisconsin Strategic Plan for the Elimination of Tuberculosis (TB) sets goals of 90 percent treatment completion and 95 percent documentation of treatment improvement for all reported cases of TB. This study measures the success in achieving these goals. METHODS: Data were abstracted from charts of all 249 reported TB cases during 2000-2002. Treatment completion was considered for patients indicated for completion in 12 months or less. Documentation of treatment improvement included therapy adherence, sputum culture conversion, and chest radiograph improvement for pulmonary cases, and therapy adherence and clinical improvement for extrapulmonary cases. RESULTS: Treatment completion was measured in 204 of 249 TB cases; 87.1 percent completed treatment in 12 months or less. There was a significant difference in completion by site of disease, 89.9 percent for pulmonary cases and 66.1 percent for extrapulmonary cases (P < .01). Documentation of treatment improvement was 61.2 percent among pulmonary cases and 83.6 percent among extrapulmonary cases (P < .01). During the study period, there was a significant decrease in documentation rates for patients with pulmonary TB (P < .01). CONCLUSIONS: The goal of 90 percent treatment completion was nearly accomplished but the goal of 95 percent documentation of treatment improvement was not achieved. Barriers to TB treatment in Wisconsin need to be identified. Case management of TB is necessary for control and prevention of TB.

AB - OBJECTIVE: In 2000, the Wisconsin Strategic Plan for the Elimination of Tuberculosis (TB) sets goals of 90 percent treatment completion and 95 percent documentation of treatment improvement for all reported cases of TB. This study measures the success in achieving these goals. METHODS: Data were abstracted from charts of all 249 reported TB cases during 2000-2002. Treatment completion was considered for patients indicated for completion in 12 months or less. Documentation of treatment improvement included therapy adherence, sputum culture conversion, and chest radiograph improvement for pulmonary cases, and therapy adherence and clinical improvement for extrapulmonary cases. RESULTS: Treatment completion was measured in 204 of 249 TB cases; 87.1 percent completed treatment in 12 months or less. There was a significant difference in completion by site of disease, 89.9 percent for pulmonary cases and 66.1 percent for extrapulmonary cases (P < .01). Documentation of treatment improvement was 61.2 percent among pulmonary cases and 83.6 percent among extrapulmonary cases (P < .01). During the study period, there was a significant decrease in documentation rates for patients with pulmonary TB (P < .01). CONCLUSIONS: The goal of 90 percent treatment completion was nearly accomplished but the goal of 95 percent documentation of treatment improvement was not achieved. Barriers to TB treatment in Wisconsin need to be identified. Case management of TB is necessary for control and prevention of TB.

KW - Case management

KW - Public health

KW - Tuberculosis

UR - http://www.scopus.com/inward/record.url?scp=33744972311&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33744972311&partnerID=8YFLogxK

U2 - 10.1097/00124784-200605000-00006

DO - 10.1097/00124784-200605000-00006

M3 - Article

C2 - 16614561

AN - SCOPUS:33744972311

VL - 12

SP - 254

EP - 261

JO - Journal of Public Health Management and Practice

JF - Journal of Public Health Management and Practice

SN - 1078-4659

IS - 3

ER -