TB Research

Mortality, risk factors, and causes of death among people with tuberculosis in Denmark, 1990-2018

Nordholm AC, Andersen AB, Wejse C, Norman A, Ekstrøm CT, Andersen PH, Lillebaek T, Koch A

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023-03

Abstract

Objectives This study aimed to analyze mortality, risk factors, and causes of death among people with tuberculosis (TB). Methods This is a population-based cohort study with patients with TB ≥18 years notified from 1990 to 2018 in Denmark, compared with sex- and age-matched controls. Mortality was assessed in Kaplan-Meier models and risk factors for death were estimated in Cox proportional hazards models. Results Overall mortality was twofold higher among people with TB compared with controls up to 15 years after TB diagnosis (hazard ratio [HR]: 2.18, 95% confidence interval [CI]: 2.06-2.29, P Conclusion People with TB had substantially inferior survival up to 15 years after TB diagnosis, in particular, socially disadvantaged Danes with TB with specific comorbidities. This may reflect unmet needs for enhanced treatment of other medical/social conditions during TB treatment.

MeSH terms

  • Humans
  • Tuberculosis
  • Cause of Death
  • Proportional Hazards Models
  • Risk Factors
  • Retrospective Studies
  • Cohort Studies
  • Comorbidity