PMID- 12716554
OWN - NLM
STAT- MEDLINE
DCOM- 20030917
LR  - 20190916
IS  - 0300-2896 (Print)
IS  - 0300-2896 (Linking)
VI  - 39
IP  - 4
DP  - 2003 Apr
TI  - [Pulmonary symptomatic tuberculosis' diagnostic delay study].
PG  - 146-52
AB  - OBJECTIVE: To study symptomatic pulmonary tuberculosis (PTB) diagnostic delay. 
      PATIENTS AND METHODS: Prospective study of new symptomatic PTB cases (aged > or = 
      15 years) by structured interview with the patients and their families. The main 
      variables analyzed were patient's delay (PD), doctor's delay (DD), diagnostic 
      process delay (DPD), health care system delay (HCSD) and total delay between the 
      onset of symptoms and start of treatment (TD). Univariate and multivariate 
      statistical analyses were performed for each component of delay. RESULTS: Two 
      hundred eighty-seven patients were studied. The mean delays in days standard 
      deviations were TD 81.8 77.3; PD 43.3 55.7; DD 28.4 59.6; DPD 10.0 17.7, and HCSD 
      38.5 62.5. CONCLUSIONS: Patients are responsible for 50% of excess delay in 
      diagnosing symptomatic PTB. Patients in the health care system experienced 
      diagnostic delays over 60 days in 18.5% of cases, doctors being responsible for 
      75% of the diagnostic delay attributable to the system.
FAU - Altet Gomez, M N
AU  - Altet Gomez MN
AD  - Unidad de Enfermedades del Torax. Barcelona. Spain. med025494@saludalia.com
FAU - Alcaide Megias, J
AU  - Alcaide Megias J
FAU - Canela Soler, J
AU  - Canela Soler J
FAU - Mila Auge, C
AU  - Mila Auge C
FAU - Jimenez Fuentes, M A
AU  - Jimenez Fuentes MA
FAU - de Souza Galvao, M L
AU  - de Souza Galvao ML
FAU - Solsona Peiro, J
AU  - Solsona Peiro J
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Estudio del retraso diagnostico de la tuberculosis pulmonar sintomatica.
PL  - Spain
TA  - Arch Bronconeumol
JT  - Archivos de bronconeumologia
JID - 0354720
SB  - IM
CIN - Arch Bronconeumol. 2004 Jan;40(1):50. PMID: 14718123
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Attitude to Health
MH  - Diagnosis, Differential
MH  - Diagnostic Errors
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Time Factors
MH  - Tuberculosis, Pulmonary/*diagnosis/epidemiology
EDAT- 2003/04/30 05:00
MHDA- 2003/09/18 05:00
CRDT- 2003/04/30 05:00
PHST- 2003/04/30 05:00 [pubmed]
PHST- 2003/09/18 05:00 [medline]
PHST- 2003/04/30 05:00 [entrez]
AID - 13045947 [pii]
AID - 10.1016/s0300-2896(03)75348-4 [doi]
PST - ppublish
SO  - Arch Bronconeumol. 2003 Apr;39(4):146-52. doi: 10.1016/s0300-2896(03)75348-4.