WSMP Ferdiana

PARTNERSHIPS FOR ENHANCED ENGAGEMENT IN RESEARCH (PEER)
Women in Science Mentoring Program (2020)

Spinal tuberculosis in Indonesia: 5-year epidemiology, risk factors and quality of life outcomes

PI: Astri Ferdiana, Department of Public Health Faculty of Medicine, University of Mataram and Gadjah Mada University, Indonesia

Project Dates: February 2022 - May 2023

Project Overview:

Project team conducting in-depth interviews. Photo credit: Dr. Ferdiana

Tuberculosis (TB) is a significant public health problem in Indonesia. In 2019, tuberculosis was the third leading cause of death and the fourth highest contributor to DALYs in Indonesia.

Indonesia's TB burden has reached 1 million cases, placing the second country in the world for the total TB burden (8.5% of global). One of the manifestations of TB is extrapulmonary TB, including TB of the musculoskeletal system. Spinal Tuberculosis (spinal TB, spondylitis TB, Pott's disease) is the most common manifestation of musculoskeletal TB and accounts for about 50% of cases or about 1-2% of all TB cases. One of the consequences of untreated spondylitis is paraplegia/quadriplegia and spinal deformities. There is a lack of data on the burden of spinal TB in Indonesia.

In efforts to determine the prevalence and epidemiological characteristics of spinal TB in 5 hospitals in Indonesia between 2017-2021; the physical and mental health outcomes of patients with spinal TB after being discharged from the hospital, and the quality of life and participation level of patients with spinal TB after being discharged from the hospital, the project team will aim to describe the epidemiology and characteristics of spinal TB patients in Indonesia, and to identify factors that affects the quality of life of spinal TB patients.

Methods:

Retrospective review of medical record in five hospitals (iptomangunkusumo General Hospital, Jakarta; Fatmawati General Hospital, Jakarta; General Hospital Dr. Soetomo, Surabaya; Dr. Sardjito General Hospital, Yogyakarta, and Orthopedic hospital Dr.Soeharso Surakarta)
Cross sectional survey in four provinces - Jakarta, Surabaya, Yogyakarta and Surakarta.
In-depth interview in two provinces (Yogyakarta and Surakarta).

Data collection has been completed in three hospitals with 537 medical records, and in currently ongoing in two hospitals with estimated 3.653 medical records for review.


USAID and NAS visit Dr Ferdiana's team in Surakarta, Indonesia Feb 2023

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