Improving Quality of Patient Data for Treatment of Multidrug- or Rifampin-Resistant Tuberculosis

Emerg Infect Dis. 2020 Mar;26(3):e190997. doi: 10.3201/eid2603.190997. Epub 2020 Mar 17.

Abstract

International policy for treatment of multidrug- and rifampin-resistant tuberculosis (MDR/RR TB) relies largely on individual patient data (IPD) from observational studies of patients treated under routine conditions. We prepared guidance on which data to collect and what measures could improve consistency and utility for future evidence-based recommendations. We highlight critical stages in data collection at which improvements to uniformity, accuracy, and completeness could add value to IPD quality. Through a repetitive development process, we suggest essential patient- and treatment-related characteristics that should be collected by prospective contributors of observational IPD in MDR/RR TB.

Keywords: MDR TB; RR-TB; TB; antimicrobial resistance; bacteria; data collection standards; evidence-based medicine; meta-analysis; multidrug resistance; practice guideline; statistics and numerical data; therapy data collection; tuberculosis.

Publication types

  • Practice Guideline
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antitubercular Agents / pharmacology
  • Antitubercular Agents / therapeutic use*
  • Humans
  • Mycobacterium tuberculosis / drug effects*
  • Observational Studies as Topic / standards*
  • Quality Improvement
  • Rifampin / pharmacology
  • Rifampin / therapeutic use*
  • Tuberculosis, Multidrug-Resistant / drug therapy*
  • Tuberculosis, Pulmonary / drug therapy*

Substances

  • Antitubercular Agents
  • Rifampin