Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China
Background. Tuberculosis (TB), a multisystemic disease with protean presentation, remains a major global health problem. Although concurrent pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) cases are commonly observed clinically, knowledge regarding concurrent PTB-EPTB is limited....
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| Format: | Article |
| Language: | English |
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2023-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2023/5562495 |
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| author | Wanli Kang Jiajia Yu Chen Liang Quanhong Wang Liang Li Jian Du Hongyan Chen Jianxiong Liu Jinshan Ma Mingwu Li Jingmin Qin Wei Shu Peilan Zong Yi Zhang Xiaofeng Yan Zhiyi Yang Zaoxian Mei Qunyi Deng Pu Wang Wenge Han Meiying Wu Ling Chen Xinguo Zhao Lei Tan Fujian Li Chao Zheng Hongwei Liu Xinjie Li Ertai A. Yingrong Du Fenglin Liu Wenyu Cui Song Yang Xiaohong Chen Junfeng Han Qingyao Xie Yanmei Feng Wenyu Liu Peijun Tang Jianyong Zhang Jian Zheng Dawei Chen Xiangyang Yao Tong Ren Yan Li Yuanyuan Li Lei Wu Qiang Song Mei Yang Jian Zhang Yuanyuan Liu Shuliang Guo Kun Yan Xinghua Shen Dan Lei Yanli Zhang Youcai Li Yongkang Dong Shenjie Tang |
| author_facet | Wanli Kang Jiajia Yu Chen Liang Quanhong Wang Liang Li Jian Du Hongyan Chen Jianxiong Liu Jinshan Ma Mingwu Li Jingmin Qin Wei Shu Peilan Zong Yi Zhang Xiaofeng Yan Zhiyi Yang Zaoxian Mei Qunyi Deng Pu Wang Wenge Han Meiying Wu Ling Chen Xinguo Zhao Lei Tan Fujian Li Chao Zheng Hongwei Liu Xinjie Li Ertai A. Yingrong Du Fenglin Liu Wenyu Cui Song Yang Xiaohong Chen Junfeng Han Qingyao Xie Yanmei Feng Wenyu Liu Peijun Tang Jianyong Zhang Jian Zheng Dawei Chen Xiangyang Yao Tong Ren Yan Li Yuanyuan Li Lei Wu Qiang Song Mei Yang Jian Zhang Yuanyuan Liu Shuliang Guo Kun Yan Xinghua Shen Dan Lei Yanli Zhang Youcai Li Yongkang Dong Shenjie Tang |
| author_sort | Wanli Kang |
| collection | DOAJ |
| description | Background. Tuberculosis (TB), a multisystemic disease with protean presentation, remains a major global health problem. Although concurrent pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) cases are commonly observed clinically, knowledge regarding concurrent PTB-EPTB is limited. Here, a large-scale multicenter observational study conducted in China aimed to study the epidemiology of concurrent PTB-EPTB cases by diagnostically defining TB types and then implementing association rules analysis. Methods. The retrospective study was conducted at 21 hospitals in 15 provinces in China and included all inpatients with confirmed TB diagnoses admitted from Jan 2011 to Dec 2017. Association rules analysis was conducted for cases with concurrent PTB and various types of EPTB using the Apriori algorithm. Results. Evaluation of 438,979TB inpatients indicated PTB was the most commonly diagnosed (82.05%) followed by tuberculous pleurisy (23.62%). Concurrent PTB-EPTB was found in 129,422 cases (29.48%) of which tuberculous pleurisy was the most common concurrent EPTB type observed. The multivariable logistic regression models demonstrated that odds ratios of concurrent PTB-EPTB cases varied by gender and age group. For PTB cases with concurrent EPTB, the strongest association was found between PTB and concurrent bronchial tuberculosis (lift = 1.09). For EPTB cases with concurrent PTB, the strongest association was found between pharyngeal/laryngeal tuberculosis and concurrent PTB (lift = 1.11). Confidence and lift values of concurrent PTB-EPTB cases varied with gender and age. Conclusions. Numerous concurrent PTB-EPTB case types were observed, with confidence and lift values varying with gender and age. Clinicians should screen for concurrent PTB-EPTB in order to improve treatment outcomes. |
| format | Article |
| id | doaj-art-5c7fa7267de64aa4bba38930ee70a9dd |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-5c7fa7267de64aa4bba38930ee70a9dd2025-08-20T03:26:25ZengWileyInternational Journal of Clinical Practice1742-12412023-01-01202310.1155/2023/5562495Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in ChinaWanli Kang0Jiajia Yu1Chen Liang2Quanhong Wang3Liang Li4Jian Du5Hongyan Chen6Jianxiong Liu7Jinshan Ma8Mingwu Li9Jingmin Qin10Wei Shu11Peilan Zong12Yi Zhang13Xiaofeng Yan14Zhiyi Yang15Zaoxian Mei16Qunyi Deng17Pu Wang18Wenge Han19Meiying Wu20Ling Chen21Xinguo Zhao22Lei Tan23Fujian Li24Chao Zheng25Hongwei Liu26Xinjie Li27Ertai A.28Yingrong Du29Fenglin Liu30Wenyu Cui31Song Yang32Xiaohong Chen33Junfeng Han34Qingyao Xie35Yanmei Feng36Wenyu Liu37Peijun Tang38Jianyong Zhang39Jian Zheng40Dawei Chen41Xiangyang Yao42Tong Ren43Yan Li44Yuanyuan Li45Lei Wu46Qiang Song47Mei Yang48Jian Zhang49Yuanyuan Liu50Shuliang Guo51Kun Yan52Xinghua Shen53Dan Lei54Yanli Zhang55Youcai Li56Yongkang Dong57Shenjie Tang58Beijing Chest HospitalBeijing Chest HospitalBeijing Chest HospitalTaiyuan Fourth People’s HospitalBeijing Chest HospitalBeijing Chest HospitalShenyang Chest HospitalGuang Zhou Chest HospitalChest Hospital of XinjiangThe Third People’s Hospital of KunmingShandong Provincial Chest HospitalBeijing Chest HospitalJiangxi Chest (Third People) HospitalChang Chun Infectious Diseases HospitalChongqing Public Health Medical CenterFuzhou Pulmonary Hospital of FujianTianjin Haihe HospitalThird People’s Hospital of ShenzhenThe First Affiliated Hospital of Chongqing Medical UniversityWeifang No. 2 People’s HospitalThe Fifth People’s Hospital of SuzhouAffiliated Hospital of Zunyi Medical CollegeThe Fifth People’s Hospital of WuxiTB Hospital of Siping CityBaoding Hospital for Infectious DiseaseThe First Affiliated of XiaMen UniversityShenyang Chest HospitalGuang Zhou Chest HospitalChest Hospital of XinjiangThe Third People’s Hospital of KunmingShandong Provincial Chest HospitalChang Chun Infectious Diseases HospitalChongqing Public Health Medical CenterFuzhou Pulmonary Hospital of FujianTianjin Haihe HospitalThird People’s Hospital of ShenzhenThe First Affiliated Hospital of Chongqing Medical UniversityWeifang No. 2 People’s HospitalThe Fifth People’s Hospital of SuzhouAffiliated Hospital of Zunyi Medical CollegeThe Fifth People’s Hospital of WuxiBaoding Hospital for Infectious DiseaseThe First Affiliated of XiaMen UniversityShenyang Chest HospitalGuang Zhou Chest HospitalChest Hospital of XinjiangThe Third People’s Hospital of KunmingShandong Provincial Chest HospitalTaiyuan Fourth People’s HospitalChang Chun Infectious Diseases HospitalTianjin Haihe HospitalThe First Affiliated Hospital of Chongqing Medical UniversityWeifang No. 2 People’s HospitalThe Fifth People’s Hospital of SuzhouAffiliated Hospital of Zunyi Medical CollegeBaoding Hospital for Infectious DiseaseBeijing Chest HospitalTaiyuan Fourth People’s HospitalBeijing Chest HospitalBackground. Tuberculosis (TB), a multisystemic disease with protean presentation, remains a major global health problem. Although concurrent pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) cases are commonly observed clinically, knowledge regarding concurrent PTB-EPTB is limited. Here, a large-scale multicenter observational study conducted in China aimed to study the epidemiology of concurrent PTB-EPTB cases by diagnostically defining TB types and then implementing association rules analysis. Methods. The retrospective study was conducted at 21 hospitals in 15 provinces in China and included all inpatients with confirmed TB diagnoses admitted from Jan 2011 to Dec 2017. Association rules analysis was conducted for cases with concurrent PTB and various types of EPTB using the Apriori algorithm. Results. Evaluation of 438,979TB inpatients indicated PTB was the most commonly diagnosed (82.05%) followed by tuberculous pleurisy (23.62%). Concurrent PTB-EPTB was found in 129,422 cases (29.48%) of which tuberculous pleurisy was the most common concurrent EPTB type observed. The multivariable logistic regression models demonstrated that odds ratios of concurrent PTB-EPTB cases varied by gender and age group. For PTB cases with concurrent EPTB, the strongest association was found between PTB and concurrent bronchial tuberculosis (lift = 1.09). For EPTB cases with concurrent PTB, the strongest association was found between pharyngeal/laryngeal tuberculosis and concurrent PTB (lift = 1.11). Confidence and lift values of concurrent PTB-EPTB cases varied with gender and age. Conclusions. Numerous concurrent PTB-EPTB case types were observed, with confidence and lift values varying with gender and age. Clinicians should screen for concurrent PTB-EPTB in order to improve treatment outcomes.http://dx.doi.org/10.1155/2023/5562495 |
| spellingShingle | Wanli Kang Jiajia Yu Chen Liang Quanhong Wang Liang Li Jian Du Hongyan Chen Jianxiong Liu Jinshan Ma Mingwu Li Jingmin Qin Wei Shu Peilan Zong Yi Zhang Xiaofeng Yan Zhiyi Yang Zaoxian Mei Qunyi Deng Pu Wang Wenge Han Meiying Wu Ling Chen Xinguo Zhao Lei Tan Fujian Li Chao Zheng Hongwei Liu Xinjie Li Ertai A. Yingrong Du Fenglin Liu Wenyu Cui Song Yang Xiaohong Chen Junfeng Han Qingyao Xie Yanmei Feng Wenyu Liu Peijun Tang Jianyong Zhang Jian Zheng Dawei Chen Xiangyang Yao Tong Ren Yan Li Yuanyuan Li Lei Wu Qiang Song Mei Yang Jian Zhang Yuanyuan Liu Shuliang Guo Kun Yan Xinghua Shen Dan Lei Yanli Zhang Youcai Li Yongkang Dong Shenjie Tang Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China International Journal of Clinical Practice |
| title | Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China |
| title_full | Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China |
| title_fullStr | Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China |
| title_full_unstemmed | Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China |
| title_short | Epidemiology and Association Rules Analysis for Pulmonary Tuberculosis Cases with Extrapulmonary Tuberculosis from Age and Gender Perspective: A Large-Scale Retrospective Multicenter Observational Study in China |
| title_sort | epidemiology and association rules analysis for pulmonary tuberculosis cases with extrapulmonary tuberculosis from age and gender perspective a large scale retrospective multicenter observational study in china |
| url | http://dx.doi.org/10.1155/2023/5562495 |
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