Pharmacy Data for Tuberculosis Surveillance and Assessment of Patient Management

Yokoe, Deborah S.; Coon, Steven W.; Dokholyan, Rachel; Iannuzzi, Michael C.; Jones, Timothy F.; Meredith, Sarah; Moore, Marisa; Phillips, Lynelle; Ray, Wayne; Schech, Stephanie; Shatin, Deborah; Platt, Richard

doi:10.3201/eid1008.031075

i

Pharmacy Data for Tuberculosis Surveillance and Assessment of Patient Management

Supporting Files

Aug 2004
By Yokoe, Deborah S. ; Coon, Steven W. ; Dokholyan, Rachel ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Yokoe, Deborah S. ; Coon, Steven W. ; Dokholyan, Rachel ; Iannuzzi, Michael C. ; Jones, Timothy F. ; Meredith, Sarah ; Moore, Marisa ; Phillips, Lynelle ; Ray, Wayne ; Schech, Stephanie ; Shatin, Deborah ; Platt, Richard
Description:

Underreporting tuberculosis (TB) cases can compromise surveillance. We evaluated the contribution of pharmacy data in three different managed-care settings and geographic areas. Persons with more than two anti-TB medications were identified by using pharmacy databases. Active TB was confirmed by using state TB registries, medical record review, or questionnaires from prescribing physicians. We identified 207 active TB cases, including 13 (6%) missed by traditional surveillance. Pharmacy screening identified 80% of persons with TB who had received their medications through health plan-reimbursed sources, but missed those treated solely in public health clinics. The positive predictive value of receiving more than two anti-TB medications was 33%. Pharmacy data also provided useful information about physicians' management of TB and patients' adherence to prescribed therapy. Pharmacy data can help public health officials to find TB cases and assess their management in populations that receive care in the private sector.
Subjects:

Antitubercular Agents Health Maintenance Organizations Humans Medical Records Systems, Computerized Patient Compliance Pharmacies Physician's Practice Patterns Population Surveillance Research Tuberculosis, Pulmonary
Source:

Emerg Infect Dis. 10(8):1426-1431.
Document Type:

Journal Article
Funding:

HS10391/HS/AHRQ HHS/United States ; R18/CCU115960/CC/ODCDC CDC HHS/United States
Volume:

10
Issue:

8
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:9201fd4c3fac4c6658b16a6c0ff9359fe7ef2896a5c23986e042c099940dc273
Download URL:

https://stacks.cdc.gov/view/cdc/7779/cdc_7779_DS1.pdf
File Type:

[PDF - 93.46 KB ]

File Language:

English

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