老年肺结核患者随访检查依从性及其影响因素分析OA北大核心CSTPCD

Objective To analyze the follow-up examinations compliance of elderly(aged≥65)pulmonary tuberculosis(PTB)patients in China in 2019,and provide evidence for further standardization of treatment management.Methods The medical records of new,rifampicin-sensitive and elderly PTB patients who were registered for treatment in 2019 were extracted from the Tuberculosis Information System(TBIMS),a subsystem of the Chinese Disease Control and Prevention Information System.Descriptive analysis was conducted on the basic characteristics of patients,the rates of completion of the follow-up examinations at the end of the 2nd,5th,and 6th months of treatment,as well as the rate of adherence to follow-up examinations.Binary logistic regression model was used to analyze the factors affecting the patients'non-adherence to follow-up examinations.Results In 2019,the completion rates of follow-up examinations of the 2nd,5th,and 6th months of treatment in new,rifampicin-sensitive and elderly PTB patients in China were 95.5％,89.9％and 86.0％,respectively,with an overall decreasing trend(x2rend=-2.287,P=0.022).The compliance rate of follow-up examinations was 87.4％(48 834/55 888).Logistic regression analysis showed that female,≥80 years old,domestic workers,retirees,other occupations,eastern and western regions,migrant populations,patients with comorbidities,diagnosed and treated in general hospitals or specialized hospitals had a higher risk of non-compliance with follow-up examinations,while patients who diagnosed and treated in community health centers had a lower risk of noncompliance during follow-up examinations.Conclusions The follow-up examinations of elderly rifampicin-sensitive new PTB patients in China were effective in 2019,but there is still a need to strengthen the management and care of eastern and western areas as well as migrant populations and patients in specialized hospitals,and further standardize treatment follow-up to improve the cure rate of patients.