Tuberculosis outcomes among international migrants living in Europe compared with the nonmigrant population: A systematic review and meta-analysis
Notice bibliographique
Résumé
• Being migrant predisposes to different tuberculosis (TB) outcomes compared with nonmigrants in Europe. • Lower TB mortality risk and higher TB mortality risk characterize migrants in Europe. • Migrants in Europe showed a higher risk of loss to follow-up during TB treatment. • No differences were found in treatment success rates between migrants and nonmigrants. Migration status refers to socioeconomic factors that challenge access to the health care system and increase the risk of developing tuberculosis (TB) with worse outcomes. This systematic review and meta-analysis aimed to investigate the outcomes of TB among international migrants arriving in Europe compared with the nonmigrant population. A systematic review and meta-analysis were conducted to identify studies investigating TB-related outcomes among migrants and nonmigrants in Europe. Six investigators searched PubMed, Scopus, and Web of Science from inception to March 2024 and screened the abstracts of potentially eligible articles. Studies reporting TB-related outcomes in both migrants and nonmigrants were also included. Studies with migrant definitions other than the one from the inclusion criteria, with no control group, and with no discernible data, including nonhuman samples or written in a non-English language, were excluded. Data were reported as relative risks (RRs) or odds ratios with their 95% confidence intervals (CIs). The risk of bias was assessed using the Newcastle–Ottawa Scale (PROSPERO Registration number: CRD42024529629). Of the 1,109 papers screened, 34 were included, consisting of 601,293 participants (459,670 nonmigrants and 141,623 migrants). The meta-analysis, adjusted for potential confounders, showed that migrants presented a lower mortality risk (RR = 0.391, 95% CI: 0.276-0.554; P <0.0001; I 2 = 71.6%), a lower rate of treatment completion (RR = 0.313; 95% CI: 0.163-0.600; P <0.0001), and a higher rate of loss to follow-up (RR = 4.331, 95% CI: 1.542-12.163, P = 0.005; I 2 = 55.8%). Treatment success, cure, not evaluated, and sustained treatment success showed no significant differences between migrants and nonmigrants. No adjusted analyses could be performed for cure, not evaluated, and sustained treatment success. Only three studies had a high risk of bias. Migrants living in Europe have lower mortality rates; however, TB management is affected by a higher risk of loss to follow-up and discontinuation. Therefore, migrant-targeted TB care is necessary to improve the fight against TB in Europe.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,009 | 0,002 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».