International Journal of Preventive Medicine

: 2018  |  Volume : 9  |  Issue : 1  |  Page : 94-

Death outcome with successful treatment of tuberculosis patients

Al Asyary 
 Department of Public Health Sciences, The Graduate School, University of Muhammadiyah Prof. Dr. Hamka (UHAMKA), South Jakarta, Indonesia

Correspondence Address:
Al Asyary
Jl. Warung Buncit Raya No. 17, Pancoran, Jakarta Selatan 12790

How to cite this article:
Al Asyary. Death outcome with successful treatment of tuberculosis patients.Int J Prev Med 2018;9:94-94

How to cite this URL:
Al Asyary. Death outcome with successful treatment of tuberculosis patients. Int J Prev Med [serial online] 2018 [cited 2021 Jan 27 ];9:94-94
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Dear Editor,

I read the previous publication on death outcome after successful treatment of smear-positive tuberculosis (TB).[1] Moosazadeh et al. presented a cohort study in Iranian Registry Setting which concluded that the “Positive smear pulmonary TB even after successful treatment has an adverse effect on the patients' survival and leads to a decrease in their survival rate in the long run.”[1] I agree with the cohort methodology and survivals' data analysis of such an evidence. However, I am concerned about stratification[2] to analyze separately the effect of either diabetes, renal disease, cancer, previous TB treatment, or age group. I am wondering how the adjustable effects' result after these variables are stratified with death status in different population settings.

Furthermore, strategy of directly observed treatments therapy is an established approach to mitigate TB burden, particularly in developing countries.[3] The study of Moosazadeh et al. may reflect on this strategy in a way. A side effects' study is essential to confirm for further.

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1Moosazadeh M, Bahrampour A, Nasehi M, Khanjani N. Survival and predictors of death after successful treatment among smear positive tuberculosis: A cohort study. Int J Prev Med 2014;5:1005-12.
2Kleinbaum DG, Klein M. Survival Analysis. New York: Springer; 2010.
3World Health Organization, STOP TB Initiative (World Health Organization). Treatment of Tuberculosis: Guidelines. Geneva, Switzerland: World Health Organization; 2010.