Assessing the Quality of Reporting to China’s National TB Surveillance Systems

Tao Li, Lijia Yang, Sarah E. Smith-Jeffcoat, Alice Wang, Hui Guo, Wei Chen, Xin Du and Hui Zhang
Additional contact information
Tao Li: National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Lijia Yang: National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Sarah E. Smith-Jeffcoat: Division of Global HIV and Tuberculosis, US Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
Alice Wang: Division of Global HIV and Tuberculosis, US Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
Hui Guo: Beijing Office, US Centers for Disease Control and Prevention, Beijing 100600, China
Wei Chen: National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Xin Du: National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Hui Zhang: National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

IJERPH, 2021, vol. 18, issue 5, 1-13

Abstract: (1) Background: The reliability of disease surveillance may be restricted by sensitivity or ability to capture all disease. Objective: To quantify under-reporting and concordance of recording persons with tuberculosis (TB) in national TB surveillance systems: the Infectious Disease Reporting System (IDRS) and Tuberculosis Information Management System (TBIMS). (2) Methods: This retrospective review includes 4698 patients identified in 2016 in China. County staff linked TB patients identified from facility-specific health and laboratory information systems with records in IDRS and TBIMS. Under-reporting was calculated, and timeliness, concordance, accuracy, and completeness were analyzed. Multivariable logistic regression was used to examine factors associated with under-reporting. (3) Results: We found that 505 (10.7%) patients were missing within IDRS and 1451 (30.9%) patients were missing within TBIMS. Of 171 patient records reviewed in IDRS and 170 patient records in TBIMS, 12.3% and 6.5% were found to be untimely, and 10.7% and 7.1% were found to have an inconsistent home address. The risk of under-reporting to both IDRS and TBIMS was greatest at tertiary health facilities and among non-residents; the risk of under-reporting to TBIMS was greatest with patients aged 65 or older and with extrapulmonary TB (EPTB). (4) Conclusions: It is important to improve the reporting and recording of TB patients. Local TB programs that focus on training, and mentoring high-burden hospitals, facilities that cater to EPTB, and migrant patients may improve reporting and recording.

Keywords: tuberculosis; surveillance; inventory study; under-reporting; accuracy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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