Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019

Limited data exist on mortality rates after tuberculosis (TB) treatment in the United States. We analyzed mortality rates for all adults in Georgia, USA, who had a TB diagnosis and finished treatment during January 1, 2008–December 31, 2019. We obtained posttreatment mortality rate data from the Na...

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Main Authors: Sarah Gorvetzian, Antonio G. Pacheco, Erin Anderson, Susan M. Ray, Marcos C. Schechter
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2024-11-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/30/11/24-0329_article
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author Sarah Gorvetzian
Antonio G. Pacheco
Erin Anderson
Susan M. Ray
Marcos C. Schechter
author_facet Sarah Gorvetzian
Antonio G. Pacheco
Erin Anderson
Susan M. Ray
Marcos C. Schechter
author_sort Sarah Gorvetzian
collection DOAJ
description Limited data exist on mortality rates after tuberculosis (TB) treatment in the United States. We analyzed mortality rates for all adults in Georgia, USA, who had a TB diagnosis and finished treatment during January 1, 2008–December 31, 2019. We obtained posttreatment mortality rate data from the National Death Index and calculated standardized mortality ratios (SMRs) for TB treatment survivors and the general Georgia population. Among 3,182 TB treatment survivors, 233 (7.3%) had died as of December 31, 2019. The overall TB cohort age- and sex-adjusted SMR was 0.89 (95% CI 0.73–1.05). The SMR among US-born TB treatment survivors was 1.56 (95% CI 1.36–1.77). In the TB cohort, US-born status, HIV co-infection, excess alcohol use, diabetes mellitus, and end-stage renal disease were associated with increased risk for death after TB treatment. TB treatment survivors could benefit from improved linkage to primary and HIV comprehensive care to prevent posttreatment death.
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series Emerging Infectious Diseases
spelling doaj-art-26c62f4cb7794ed9bd9e6b438fce58d82025-08-20T02:11:35ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592024-11-0130112261227010.3201/eid3011.240329Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019Sarah GorvetzianAntonio G. PachecoErin AndersonSusan M. RayMarcos C. Schechter Limited data exist on mortality rates after tuberculosis (TB) treatment in the United States. We analyzed mortality rates for all adults in Georgia, USA, who had a TB diagnosis and finished treatment during January 1, 2008–December 31, 2019. We obtained posttreatment mortality rate data from the National Death Index and calculated standardized mortality ratios (SMRs) for TB treatment survivors and the general Georgia population. Among 3,182 TB treatment survivors, 233 (7.3%) had died as of December 31, 2019. The overall TB cohort age- and sex-adjusted SMR was 0.89 (95% CI 0.73–1.05). The SMR among US-born TB treatment survivors was 1.56 (95% CI 1.36–1.77). In the TB cohort, US-born status, HIV co-infection, excess alcohol use, diabetes mellitus, and end-stage renal disease were associated with increased risk for death after TB treatment. TB treatment survivors could benefit from improved linkage to primary and HIV comprehensive care to prevent posttreatment death. https://wwwnc.cdc.gov/eid/article/30/11/24-0329_articletuberculosismortalityHIVbacteriaHIV/AIDS and other retrovirusesrespiratory infections
spellingShingle Sarah Gorvetzian
Antonio G. Pacheco
Erin Anderson
Susan M. Ray
Marcos C. Schechter
Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
Emerging Infectious Diseases
tuberculosis
mortality
HIV
bacteria
HIV/AIDS and other retroviruses
respiratory infections
title Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
title_full Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
title_fullStr Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
title_full_unstemmed Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
title_short Mortality Rates after Tuberculosis Treatment, Georgia, USA, 2008–2019
title_sort mortality rates after tuberculosis treatment georgia usa 2008 2019
topic tuberculosis
mortality
HIV
bacteria
HIV/AIDS and other retroviruses
respiratory infections
url https://wwwnc.cdc.gov/eid/article/30/11/24-0329_article
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AT susanmray mortalityratesaftertuberculosistreatmentgeorgiausa20082019
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