Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise
Identifieur interne : 007634 ( Ncbi/Merge ); précédent : 007633; suivant : 007635Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise
Auteurs : Kebede Deribe [Royaume-Uni, Éthiopie] ; Samuel Wanji [Cameroun] ; Oumer Shafi [Éthiopie] ; Edridah Muheki Tukahebwa [Ouganda] ; Irenee Umulisa [Rwanda] ; Gail Davey [Royaume-Uni]Source :
- International Health [ 1876-3413 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- normes : Évaluation de résultat (soins).
- épidémiologie : Éléphantiasis.
- Humains, Médecine tropicale, Méthode Delphi, Prévalence, Éradication de maladie, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- MESH :
- epidemiology : Elephantiasis.
- methods : Disease Eradication, Outcome Assessment (Health Care).
- standards : Outcome Assessment (Health Care).
- Delphi Technique, Humans, Prevalence, Tropical Medicine.
Abstract
Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.
This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses.
Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts.
Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.
Url:
DOI: 10.1093/inthealth/ihv043
PubMed: 26185194
PubMed Central: 4550552
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PMC:4550552Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.</p>
</sec>
<sec><title>Methods</title>
<p>This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses.</p>
</sec>
<sec><title>Results</title>
<p>Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts.</p>
</sec>
<sec><title>Conclusions</title>
<p>Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.</p>
</sec>
</div>
</front>
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<author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise</title>
<author><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea>
<wicri:noRegion>Brighton</wicri:noRegion>
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<affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</addr-line>
</nlm:aff>
<country xml:lang="fr">Éthiopie</country>
<wicri:regionArea>School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea>
<wicri:noRegion>Addis Ababa</wicri:noRegion>
</affiliation>
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<author><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name>
<affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Research Foundation for Tropical Diseases and Environment, Buea, Cameroon</addr-line>
</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Research Foundation for Tropical Diseases and Environment, Buea</wicri:regionArea>
<wicri:noRegion>Buea</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Department of Microbiology and Parasitology , University of Buea, Buea, Cameroon</addr-line>
</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Department of Microbiology and Parasitology , University of Buea, Buea</wicri:regionArea>
<wicri:noRegion>Buea</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name>
<affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Federal Ministry of Health, Addis Ababa, Ethiopia</addr-line>
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<country xml:lang="fr">Éthiopie</country>
<wicri:regionArea>Federal Ministry of Health, Addis Ababa</wicri:regionArea>
<wicri:noRegion>Addis Ababa</wicri:noRegion>
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<author><name sortKey="Muheki Tukahebwa, Edridah" sort="Muheki Tukahebwa, Edridah" uniqKey="Muheki Tukahebwa E" first="Edridah" last="Muheki Tukahebwa">Edridah Muheki Tukahebwa</name>
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</nlm:aff>
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<wicri:noRegion>Kampala</wicri:noRegion>
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<author><name sortKey="Umulisa, Irenee" sort="Umulisa, Irenee" uniqKey="Umulisa I" first="Irenee" last="Umulisa">Irenee Umulisa</name>
<affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Malaria and OPD Division, Rwanda Biomedical Center, Kigali, Rwanda</addr-line>
</nlm:aff>
<country xml:lang="fr">Rwanda</country>
<wicri:regionArea>Malaria and OPD Division, Rwanda Biomedical Center, Kigali</wicri:regionArea>
<wicri:noRegion>Kigali</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name>
<affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Brighton and Sussex Medical School, Falmer, Brighton, UK</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
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<series><title level="j">International Health</title>
<idno type="ISSN">1876-3413</idno>
<idno type="eISSN">1876-3405</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.</p>
</sec>
<sec><title>Methods</title>
<p>This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses.</p>
</sec>
<sec><title>Results</title>
<p>Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts.</p>
</sec>
<sec><title>Conclusions</title>
<p>Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.</p>
</sec>
</div>
</front>
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<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise.</title>
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<author><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name>
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<author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name>
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<author><name sortKey="Muheki Tukahebwa, Edridah" sort="Muheki Tukahebwa, Edridah" uniqKey="Muheki Tukahebwa E" first="Edridah" last="Muheki Tukahebwa">Edridah Muheki Tukahebwa</name>
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<author><name sortKey="Umulisa, Irenee" sort="Umulisa, Irenee" uniqKey="Umulisa I" first="Irenee" last="Umulisa">Irenee Umulisa</name>
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<author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise.</title>
<author><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name>
<affiliation wicri:level="1"><nlm:affiliation>Brighton and Sussex Medical School, Falmer, Brighton, UK School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia kebededeka@yahoo.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton, UK School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea>
<wicri:noRegion>Addis Ababa</wicri:noRegion>
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<author><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name>
<affiliation wicri:level="1"><nlm:affiliation>Research Foundation for Tropical Diseases and Environment, Buea, Cameroon Department of Microbiology and Parasitology , University of Buea, Buea, Cameroon.</nlm:affiliation>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Research Foundation for Tropical Diseases and Environment, Buea, Cameroon Department of Microbiology and Parasitology , University of Buea, Buea</wicri:regionArea>
<wicri:noRegion>Buea</wicri:noRegion>
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<author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name>
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<wicri:noRegion>Addis Ababa</wicri:noRegion>
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<author><name sortKey="Muheki Tukahebwa, Edridah" sort="Muheki Tukahebwa, Edridah" uniqKey="Muheki Tukahebwa E" first="Edridah" last="Muheki Tukahebwa">Edridah Muheki Tukahebwa</name>
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<country xml:lang="fr">Ouganda</country>
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<wicri:noRegion>Kampala</wicri:noRegion>
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<author><name sortKey="Umulisa, Irenee" sort="Umulisa, Irenee" uniqKey="Umulisa I" first="Irenee" last="Umulisa">Irenee Umulisa</name>
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<country xml:lang="fr">Rwanda</country>
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<author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name>
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<series><title level="j">International health</title>
<idno type="eISSN">1876-3405</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Delphi Technique</term>
<term>Disease Eradication (methods)</term>
<term>Elephantiasis (epidemiology)</term>
<term>Humans</term>
<term>Outcome Assessment (Health Care) (methods)</term>
<term>Outcome Assessment (Health Care) (standards)</term>
<term>Prevalence</term>
<term>Tropical Medicine</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Médecine tropicale</term>
<term>Méthode Delphi</term>
<term>Prévalence</term>
<term>Éléphantiasis (épidémiologie)</term>
<term>Éradication de maladie ()</term>
<term>Évaluation de résultat (soins) ()</term>
<term>Évaluation de résultat (soins) (normes)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Disease Eradication</term>
<term>Outcome Assessment (Health Care)</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Évaluation de résultat (soins)</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Outcome Assessment (Health Care)</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éléphantiasis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Delphi Technique</term>
<term>Humans</term>
<term>Prevalence</term>
<term>Tropical Medicine</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Médecine tropicale</term>
<term>Méthode Delphi</term>
<term>Prévalence</term>
<term>Éradication de maladie</term>
<term>Évaluation de résultat (soins)</term>
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<front><div type="abstract" xml:lang="en">Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.</div>
</front>
</TEI>
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