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European guidelines for the management of tuberculosis screening procedures in migrants: A systematic review

2025-04-02Artigo científico Acesso aberto
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dc.contributor.authorPinheiro, Marina
dc.contributor.authorValente, Carolina
dc.contributor.authorCruz, Margarida
dc.contributor.authorNascimento Moreira, David
dc.contributor.authorAguiar, Ana
dc.contributor.authorDuarte, Raquel
dc.date.accessioned2026-02-11T12:11:12Z
dc.date.available2026-02-11T12:11:12Z
dc.date.issued2025-04-02
dc.description.abstractBackground: This systematic review assesses the current available evidence across the WHO European region on the effectiveness and cost-effectiveness of the different approaches used for TB screening and also explores the facilitators and barriers that migrants face during screening programmes. Methods: We conducted an extensive, comprehensive, and systematic literature search across multiple databases, including MEDLINE, Cochrane, Scopus, and ISI Web of Knowledge, without any restrictions on publication date or language. In addition, we reviewed grey literature and reports. The data were meticulously analysed with a focus on screening of TB active disease and infection effectiveness indicators, and cost-effectiveness economic analyses as a primary objective and the comprehension of barriers and facilitators of screening as a secondary objective. Findings: Our review included 43 studies covering over 8 million migrants from 11 countries. The findings demonstrate that while screening uptake was high, coverage varied, and completion rates for preventive treatments were low. Economic analyses supported the high cost-effectiveness of the screening programmes, particularly when integrating both active TB and TBI screening strategies. Interpretation: This review underscores the cost-effectiveness and public health importance of TB screening in migrant populations within Europe. However, the disparities in screening practices highlight the urgent need for standardisation at the European level.eng
dc.description.sponsorshipThis study received financial support from the Fundação para a Ciência e Tecnologia I.P. (FCT, Foundation for Science and Technology) through the projects with the codes [UIDB/04750/2020 and LA/P/0064/2020] and DOI identifiers https://doi.org/10.54499/UIDB/04750/2020 and https://doi.org/10.54499/UIDB/04750/2020.
dc.identifier.citationPulmonology. 2025 Dec 31;31(1):2482855. doi: 10.1080/25310429.2025.2482855. Epub 2025 Apr 2
dc.identifier.doi10.1080/25310429.2025.2482855
dc.identifier.eissn2531-0437
dc.identifier.pmid40171660
dc.identifier.urihttp://hdl.handle.net/10400.18/10897
dc.language.isoeng
dc.peerreviewedyes
dc.publisherTaylor and Francis Group
dc.relationEpidemiology Research Unit - Institute of Public Health, University of Porto
dc.relationLaboratory for Integrative and Translational Research in Population Health
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/25310429.2025.2482855
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectTuberculosis
dc.subjectCost-Effectiveness
dc.subjectMigrants
dc.subjectScreening
dc.subjectPublic Health
dc.subjectEurope
dc.subjectPolíticas de Saúde
dc.titleEuropean guidelines for the management of tuberculosis screening procedures in migrants: A systematic revieweng
dc.typejournal article
dcterms.referenceshttps://www.tandfonline.com/doi/suppl/10.1080/25310429.2025.2482855?scroll=top
dspace.entity.typePublication
oaire.awardTitleEpidemiology Research Unit - Institute of Public Health, University of Porto
oaire.awardTitleLaboratory for Integrative and Translational Research in Population Health
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04750%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/LA%2FP%2F0064%2F2020/PT
oaire.citation.issue1
oaire.citation.startPage2482855
oaire.citation.titlePulmonology
oaire.citation.volume31
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isProjectOfPublication05f4f337-eeba-4c07-82ed-4202b21618a2
relation.isProjectOfPublication18ca3cb0-ef66-4dd8-b45e-4cb0654cd7e8
relation.isProjectOfPublication.latestForDiscovery05f4f337-eeba-4c07-82ed-4202b21618a2

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