Open AccessClinical and Economic Aspects of Tuberculosis Detection During Mass Fluorographic Examinations of the Population
Author(s) -
Ю. М. Маркелов,
Л. В. Щеголева
Publication year - 2021
Publication title -
vestnik rentgenologii i radiologii
Language(s) - English
Resource type - Journals
eISSN - 2619-0478
pISSN - 0042-4676
DOI - 10.20862/0042-4676-2021-102-3-148-154
Subject(s) - medicine , tuberculosis , population , mortality rate , disease , environmental health , pediatrics , demography , surgery , pathology , sociology
Objective : to study the clinical and economic efficiency of mass fluorographic examinations of the population for tuberculosis (TB). Subjects and methods . The study used the data of fluorographic examinations for TB among 2,632,169 people and in its risk groups (n = 44,597) in the Republic of Karelia in 2008–2018. Results . It was found that the increased efficiency of detection of TB could not reduce its one-year mortality in firstly identified patients. The average cost of detecting one TB case during mass examinations was more than 500,000 rubles for this period. Conclusion . Mass fluorographic examinations of the population cannot reduce TB mortality rates and are extremely expensive. To lower the mortality rate and to improve the detection of TB, there is a need for screening high-risk groups for this disease at least once every 6 months.