Implementation of the WHO's Collaborative Framework for the Management of Tuberculosis and Diabetes: a Scoping Review

Overview

Journal BMJ Open

Specialty General Medicine

Date 2021 Nov 18

PMID 34789489

Citations 4

Authors

Rita Suhuyini Salifu

Mbuzeleni Hlongwa

Khumbulani Hlongwana

Affiliations

Soon will be listed here.

Abstract

Objective: To map evidence on the implementation of the WHO's collaborative framework for the management of tuberculosis (TB) and diabetes mellitus (DM) comorbidity, globally.

Design: Scoping review.

Methods: Guided by Arksey and O'Malley's scoping review framework, this review mapped literature on the global implementation of the framework for the management of TB and DM comorbidity, globally. An extensive literature search for peer-reviewed studies, theses, studies in the press and a list of references from the selected studies was conducted to source-eligible studies. PubMed, Google Scholar, Web of Science, Science Direct, the EBSCOhost platform (academic search complete, health source: nursing/academic edition, CINAHL with full text), Scopus and the WHO library were used to source the literature. We performed title screening of articles using keywords in the databases, after which two independent reviewers (RS and PV) screened abstracts and full articles. Studies from August 2011 to May 2021 were included in this review and the screening was guided by the inclusion and exclusion criteria. Findings were analysed using the thematic content analysis approach and results presented in the form of a narrative report. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension was used as a checklist and for explaining the scoping review process.

Results: This review found evidence of the WHO TB-DM collaborative framework's implementation in 35 countries across the globe. TB-DM comorbidity was identified in patients through bidirectional screening of both patients with TB and patients with DM in rural and urban settings.

Conclusion: Due to the paucity of evidence on mechanisms of collaboration, we recommend further research in other implementing countries to identify techniques used for diagnosis and integration of TB and DM services, in order to ensure that effective and joint management of TB-DM comorbidity in populations is achieved.

Citing Articles

The collaborative framework for the management of tuberculosis and type 2 diabetes syndemic in low- and middle-income countries: a rapid review.

Milice D, Macicame I, Penalvo J BMC Public Health. 2024; 24(1):738.

PMID: 38454428 PMC: 10921776. DOI: 10.1186/s12889-024-18256-9.

Diabetes-Tuberculosis Care in Eswatini: A Qualitative Study of Opportunities and Recommendations for Effective Services Integration.

Williams V, Vos-Seda A, Haumba S, Mdluli-Dlamini L, Calnan M, Grobbee D Int J Public Health. 2023; 68:1605551.

PMID: 37065641 PMC: 10097913. DOI: 10.3389/ijph.2023.1605551.

The yield of chest X-ray based versus symptom-based screening among patients with diabetes mellitus in public health facilities in Addis Ababa, Ethiopia.

Jerene D, Muleta C, Dressie S, Ahmed A, Tarekegn G, Haile T J Clin Tuberc Other Mycobact Dis. 2022; 29:100333.

PMID: 36238947 PMC: 9551073. DOI: 10.1016/j.jctube.2022.100333.

Potential and challenges for an integrated management of tuberculosis, diabetes mellitus, and hypertension: A scoping review protocol.

Widyaningsih V, Febrinasari R, Sari V, Augustania C, Verlita B, Wahyuni C PLoS One. 2022; 17(7):e0271323.

PMID: 35819954 PMC: 9275721. DOI: 10.1371/journal.pone.0271323.

References

Balakrishnan S, Vijayan S, Nair S, Subramoniapillai J, Mrithyunjayan S, Wilson N . High diabetes prevalence among tuberculosis cases in Kerala, India. PLoS One. 2012; 7(10):e46502. PMC: 3471898. DOI: 10.1371/journal.pone.0046502. View

Sembiah S, Nagar V, Gour D, Pal D, Mitra A, Burman J . Diabetes in tuberculosis patients: An emerging public health concern and the determinants and impact on treatment outcome. J Family Community Med. 2020; 27(2):91-96. PMC: 7415274. DOI: 10.4103/jfcm.JFCM_296_19. View

Haraldsdottir T, Rudolf F, Bjerregaard-Andersen M, Joaquim L, Stochholm K, Gomes V . Diabetes mellitus prevalence in tuberculosis patients and the background population in Guinea-Bissau: a disease burden study from the capital Bissau. Trans R Soc Trop Med Hyg. 2015; 109(6):400-7. DOI: 10.1093/trstmh/trv030. View

Cadena J, Rathinavelu S, Lopez-Alvarenga J, Restrepo B . The re-emerging association between tuberculosis and diabetes: Lessons from past centuries. Tuberculosis (Edinb). 2019; 116S:S89-S97. PMC: 6626679. DOI: 10.1016/j.tube.2019.04.015. View

Ko P, Lin S, Tu S, Hsieh M, Su S, Hsu S . High diabetes mellitus prevalence with increasing trend among newly-diagnosed tuberculosis patients in an Asian population: A nationwide population-based study. Prim Care Diabetes. 2015; 10(2):148-55. DOI: 10.1016/j.pcd.2015.09.005. View

Lin Y, Yuan Y, Zhao X, Liu J, Qiu L, He X . The change in blood glucose levels in tuberculosis patients before and during anti-tuberculosis treatment in China. Glob Health Action. 2017; 10(1):1289737. PMC: 5496053. DOI: 10.1080/16549716.2017.1289737. View

Sarker M, Barua M, Guerra F, Saha A, Aftab A, Latif A . Double Trouble: Prevalence and Factors Associated with Tuberculosis and Diabetes Comorbidity in Bangladesh. PLoS One. 2016; 11(10):e0165396. PMC: 5087880. DOI: 10.1371/journal.pone.0165396. View

Gounder S, Harries A . Screening tuberculosis patients for diabetes mellitus in Fiji: notes from the field. Public Health Action. 2015; 2(4):145-7. PMC: 4463061. DOI: 10.5588/pha.12.0058. View

Lonnroth K, Roglic G, Harries A . Improving tuberculosis prevention and care through addressing the global diabetes epidemic: from evidence to policy and practice. Lancet Diabetes Endocrinol. 2014; 2(9):730-9. DOI: 10.1016/S2213-8587(14)70109-3. View

10.

Lonnroth K . Colliding epidemics requires collaborating programmes. Lancet Diabetes Endocrinol. 2015; 3(5):306-7. DOI: 10.1016/S2213-8587(15)00037-6. View

11.

Prakash B, Ravish K, Prabhakar B, Ranganath T, Naik B, Satyanarayana S . Tuberculosis-diabetes mellitus bidirectional screening at a tertiary care centre, South India. Public Health Action. 2015; 3(Suppl 1):S18-22. PMC: 4463140. DOI: 10.5588/pha.13.0032. View

12.

Hoa N, Phuc P, Hien N, Hoa V, Thuong P, Anh P . Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam. BMC Infect Dis. 2018; 18(1):603. PMC: 6267094. DOI: 10.1186/s12879-018-3519-5. View

13.

Workneh M, Bjune G, Yimer S . Assessment of health system challenges and opportunities for possible integration of diabetes mellitus and tuberculosis services in South-Eastern Amhara Region, Ethiopia: a qualitative study. BMC Health Serv Res. 2016; 16:135. PMC: 4837556. DOI: 10.1186/s12913-016-1378-6. View

14.

Heo E, Choi N, Yang B, Koo B, Hwang S, Lee C . Tuberculosis is frequently diagnosed within 12 months of diabetes mellitus. Int J Tuberc Lung Dis. 2015; 19(9):1098-101. DOI: 10.5588/ijtld.14.0772. View

15.

Lin Y, Innes A, Xu L, Li L, Chen J, Hou J . Screening of patients with diabetes mellitus for tuberculosis in community health settings in China. Trop Med Int Health. 2015; 20(8):1073-80. DOI: 10.1111/tmi.12519. View

16.

Ogbera A, Kapur A, Abdur-Razzaq H, Harries A, Ramaiya K, Adeleye O . Clinical profile of diabetes mellitus in tuberculosis. BMJ Open Diabetes Res Care. 2015; 3(1):e000112. PMC: 4553910. DOI: 10.1136/bmjdrc-2015-000112. View

17.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7):e1000097. PMC: 2707599. DOI: 10.1371/journal.pmed.1000097. View

18.

Xiao W, Huang D, Li S, Zhou S, Wei X, Chen B . Delayed diagnosis of tuberculosis in patients with diabetes mellitus co-morbidity and its associated factors in Zhejiang Province, China. BMC Infect Dis. 2021; 21(1):272. PMC: 7977257. DOI: 10.1186/s12879-021-05929-8. View

19.

Ekeke N, Aniwada E, Chukwu J, Nwafor C, Meka A, Chukwuka A . Screening diabetes mellitus patients for tuberculosis in Southern Nigeria: A pilot study. Adv Respir Med. 2020; 88(1):6-12. DOI: 10.5603/ARM.2020.0072. View

20.

Ugarte-Gil C, Alisjahbana B, Ronacher K, Riza A, Koesoemadinata R, Malherbe S . Diabetes Mellitus Among Pulmonary Tuberculosis Patients From 4 Tuberculosis-endemic Countries: The TANDEM Study. Clin Infect Dis. 2019; 70(5):780-788. DOI: 10.1093/cid/ciz284. View