中国防痨杂志2025，Vol.47Issue(11)：1442-1453,12.DOI:10.19982/j.issn.1000-6621.20250393
中国肺结核患者就诊延迟情况的Meta分析
Meta-analysis of patient delay among tuberculosis patients in China
摘要
Abstract
Objective:This systematic review aims to evaluate the patient delay among pulmonary tuberculosis(PTB)patients in China,providing a robust basis for optimizing PTB prevention and control strategies and improving the efficiency of healthcare services.Methods:PubMed,Web of Science,The Cochrane Library,Embase,CNKI,Wanfang Database,VIP database,and other databases were searched to extract relevant literature on patient delay rate among Chinese PTB patients,with the search period as from database inception to January 2025.Two reviewers independently screened literature,extracted data,and assessed the quality of the included literature.Meta-analysis was performed using Stata 15.0 software.Results:A total of 39 studies were included,comprising 31 Chinese-language articles and 8 English-language articles.These studies included 918 828 PTB patients,among whom 544 839 experienced patient delay.The results showed that the patient delay rate among Chinese PTB patients was 52.2％(95％CI:48.9％-55.5％).Analysis revealed that age≥60 years(OR=1.32,95％CI:1.30-1.34,P=0.001),occupation being workers and farmers(OR=1.28,95％CI:1.24-1.32,P=0.001),homemakers and unemployed individuals(OR=1.44,95％CI:1.35-1.53,P=0.001),students/children(OR=1.65,95％CI:1.46-1.82,P=0.001),being passively detected with PTB(OR=3.24,95％CI:3.22-3.26,P=0.001),retreatment(OR=1.04,95％CI:1.01-1.07,P=0.001),with positive etiological results(OR=1.26,95％CI:1.24-1.27,P=0.001)were risk factors for patient delay in PTB patients.Conclusion:The patient delay rate among Chinese PTB patients remains at a high level.Relevant public health strategies should be developed to address the issue of patient delay.关键词
结核,肺/诊断/延迟/Meta分析(主题)Key words
Tuberculosis,pulmonary/Diagnosis/Delayed/Meta-analysis as topic分类
临床医学引用本文复制引用
李欣霖,万彬,赵霞,何婷,张淼,姚蓉,余巧林,代莉..中国肺结核患者就诊延迟情况的Meta分析[J].中国防痨杂志,2025,47(11):1442-1453,12.基金项目
四川省医学会医学科研项目(S2024036) （S2024036）
四川省卫生健康委员会科技项目(24QNMP049) Sichuan Medical Association Medical Research Project(S2024036) （24QNMP049）
Health Commission of Sichuan Province Medical Science and Technology Program(24QNMP049) （24QNMP049）
