{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:17:17Z","timestamp":1793967437259,"version":"4.8.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Apesar dos esfor\u00e7os para a redu\u00e7\u00e3o da incid\u00eancia, o controle da tuberculose (TB) ainda representa um desafio para a cidade do Rio de Janeiro, Brasil. O objetivo deste artigo \u00e9 analisar a tend\u00eancia temporal e o efeito das a\u00e7\u00f5es de vigil\u00e2ncia de TB e do acesso aos servi\u00e7os de sa\u00fade na detec\u00e7\u00e3o de casos de TB na cidade do Rio de Janeiro (2014-2022). Realizou-se um estudo ecol\u00f3gico que avaliou todos os casos de TB notificados mensalmente em residentes da cidade do Rio de Janeiro. Foi elaborado um modelo de regress\u00e3o segmentada de joinpoint para identificar pontos de mudan\u00e7a na tend\u00eancia de notifica\u00e7\u00f5es e calcular a varia\u00e7\u00e3o percentual mensal. Modelos aditivos generalizados foram utilizados para avaliar o efeito da implanta\u00e7\u00e3o do teste r\u00e1pido molecular, das a\u00e7\u00f5es de vigil\u00e2ncia de TB e da cobertura de aten\u00e7\u00e3o prim\u00e1ria na detec\u00e7\u00e3o de casos de TB. De janeiro de 2014 a dezembro de 2022, houve uma mediana de 677 casos de TB por m\u00eas, com uma varia\u00e7\u00e3o mensal ascendente, de 0,49% (IC95%: 0,19; 0,79) de janeiro de 2014 a agosto de 2017 e de 0,72% (IC95%: 0,16; 1,29) de dezembro de 2020 a dezembro de 2022. Nos modelos m\u00faltiplos, o n\u00famero de visitas domiciliares e o percentual da cobertura de aten\u00e7\u00e3o prim\u00e1ria estiveram associados \u00e0 notifica\u00e7\u00e3o dos casos de TB. Conclui-se que o acesso aos servi\u00e7os de aten\u00e7\u00e3o prim\u00e1ria e o aumento das visitas domiciliares s\u00e3o essenciais para ampliar a detec\u00e7\u00e3o de casos de TB na cidade do Rio de Janeiro por meio do teste r\u00e1pido molecular.<\/jats:p>","DOI":"10.1590\/0102-311xpt056324","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T18:51:50Z","timestamp":1741373510000},"source":"Crossref","is-referenced-by-count":3,"title":["Influ\u00eancia da cobertura de aten\u00e7\u00e3o b\u00e1sica e das visitas domiciliares na detec\u00e7\u00e3o de casos de tuberculose na cidade do Rio de Janeiro, Brasil, 2014-2022"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1957-8545","authenticated-orcid":false,"given":"Fernanda de Alencar","family":"Lopes","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Secretaria Municipal de Sa\u00fade do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3250-6738","authenticated-orcid":false,"given":"Fernanda Carvalho de Queiroz","family":"Mello","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6344-0918","authenticated-orcid":false,"given":"Camila Silveira","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5870-4962","authenticated-orcid":false,"given":"Gledson","family":"Felippe","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8293-8603","authenticated-orcid":false,"given":"Raquel de Vasconcellos Carvalhaes de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5186-9791","authenticated-orcid":false,"given":"Marcel de Souza Borges","family":"Quintana","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7140-7172","authenticated-orcid":false,"given":"Yara Hahr Marques","family":"H\u00f6kerberg","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Est\u00e1cio de S\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Global tuberculosis report 2022","year":"2022"},{"key":"ref2","series-title":"Boletim Epidemiol\u00f3gico Tuberculose 2023; (n\u00famero especial)."},{"key":"ref3","series-title":"Gear up to end TB: introducing the end TB strategy."},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311xpt087723","article-title":"Tend\u00eancia temporal da avalia\u00e7\u00e3o do manejo adequado para diagn\u00f3stico e tratamento da tuberculose na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade no Brasil entre 2012-2018","volume":"40","author":"Pican\u00e7o L","year":"2024","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref5","series-title":"Rede de Teste R\u00e1pido para Tuberculose no Brasil: primeiro ano da implanta\u00e7\u00e3o","year":"2015"},{"issue":"5","key":"ref6","first-page":"CD009593","article-title":"Xpert Ultra versus Xpert MTB\/RIF for pulmonary tuberculosis and rifampicin resistance in adults with presumptive pulmonary tuberculosis","author":"Zifodya JS","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"ref7","series-title":"Of\u00edcio Circular n\u00ba 7\/2019\/CGDR\/DCCI\/SVS\/MS 2019. Atualiza\u00e7\u00e3o das recomenda\u00e7\u00f5es sobre o diagn\u00f3stico laboratorial da tuberculose","year":"2019"},{"issue":"22","key":"ref8","article-title":"Indicadores operacionais da tuberculose no Brasil e a COVID-19: an\u00e1lise comparativa dos anos de 2019 e 2020.","volume":"52","year":"2021","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/S2213-2600(20)30151-X","article-title":"Tackling two pandemics a plea on World Tuberculosis Day","volume":"8","author":"Wingfield T","year":"2020","journal-title":"Lancet Respir Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"790","DOI":"10.5588\/ijtld.16.0599","article-title":"Effect of Brazil's conditional cash transfer programme on tuberculosis incidence","volume":"21","author":"Nery JS","year":"2017","journal-title":"Int J Tuberc Lung Dis"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.5588\/ijtld.17.0907","article-title":"Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality","volume":"22","author":"De Souza RA","year":"2018","journal-title":"Int J Tuberc Lung Dis"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311xen219421","article-title":"Impacts of the 2017 Brazilian National Primary Care Policy on public primary health care in Rio de Janeiro, Brazil","volume":"38","author":"Garcia FL","year":"2022","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1590\/0103-1104202313701","article-title":"As mudan\u00e7as na pol\u00edtica de aten\u00e7\u00e3o prim\u00e1ria e a (in)sustentabilidade da Estrat\u00e9gia Sa\u00fade da Fam\u00edlia","volume":"47","author":"Mendon\u00e7a FF","year":"2023","journal-title":"Sa\u00fade Debate"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"k3532","DOI":"10.1136\/bmj.k3532","article-title":"The reporting of studies conducted using observational routinely collected health data statement for pharmacoepidemiology (RECORD-PE)","volume":"363","author":"Langan SM","year":"2018","journal-title":"BMJ"},{"key":"ref15","series-title":"Censo Demogr\u00e1fico de 2022."},{"key":"ref16","series-title":"Informa\u00e7\u00e3o e gest\u00e3o da aten\u00e7\u00e3o b\u00e1sica."},{"key":"ref17","article-title":"Portaria n\u00ba 703, de 21 de outubro de 2011.","year":"2011","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref18","article-title":"Portaria n\u00ba 2.539, de 26 de setembro de 2019. Altera as Portarias de Consolida\u00e7\u00e3o n\u00ba 2\/GM\/MS, de 28 de setembro de 2017, e n\u00ba 6, de 28 de setembro de 2017, para instituir a equipe de Aten\u00e7\u00e3o Prim\u00e1ria - eAP e dispor sobre o financiamento de equipe de Sa\u00fade Bucal - eSB com carga hor\u00e1ria diferenciada.","year":"2019","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/biomet\/65.2.297","article-title":"On a measure of lack of fit in time series models","volume":"65","author":"Ljung GM","year":"1978","journal-title":"Biometrika"},{"key":"ref20","first-page":"427","article-title":"Distribution of the estimators for autoregressive time series with a unit root","volume":"74","author":"Dickey DA","year":"1979","journal-title":"J Am Stat Assoc"},{"key":"ref21","first-page":"20","article-title":"Segmented an R Package to fit regression models with broken-line relationships","volume":"8","author":"Muggeo VMR","year":"2008","journal-title":"R News"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1002\/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z","article-title":"Permutation tests for joinpoint regression with applications to cancer rates","volume":"19","author":"Kim HJ","year":"2000","journal-title":"Stat Med"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"3670","DOI":"10.1002\/sim.3733","article-title":"Estimating average annual per cent change in trend analysis","volume":"28","author":"Clegg LX","year":"2009","journal-title":"Stat Med"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1198\/016214504000000980","article-title":"Stable and efficient multiple smoothing parameter estimation for generalized additive models","volume":"99","author":"Wood SN","year":"2004","journal-title":"J Am Stat Assoc"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1467-9868.2010.00749.x","article-title":"Fast stable restricted maximum likelihood and marginal likelihood estimation of semiparametric generalized linear models","volume":"73","author":"Wood SN","year":"2011","journal-title":"J R Stat Soc Series B Stat Methodol"},{"key":"ref26","series-title":"Generalized additive models: an introduction with R.","author":"Wood SN","year":"2017","edition":"2\u00aa"},{"key":"ref27","series-title":"ggplot2: elegant graphics for data analysis.","author":"Wickham H","year":"2016"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"2003890","DOI":"10.1183\/13993003.03890-2020","article-title":"Impact of the COVID-19 pandemic on tuberculosis laboratory services in Europe.","volume":"57","author":"Nikolayevskyy V","year":"2021","journal-title":"Eur Respir J"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"2100426","DOI":"10.2807\/1560-7917.ES.2021.26.24.2100426","article-title":"Impact of the COVID-19 pandemic on tuberculosis national reference laboratory services in the WHO European Region, March to November 2020","volume":"26","author":"Maurer FP","year":"2021","journal-title":"Euro Surveill"},{"key":"ref30","series-title":"Nota T\u00e9cnica GDPP n\u00ba 01\/2020: recomenda\u00e7\u00f5es sobre a dispensa\u00e7\u00e3o dos medicamentos de tuberculose \u00e0s equipes de aten\u00e7\u00e3o prim\u00e1ria do Munic\u00edpio do Rio de Janeiro frente \u00e0 pandemia de COVID-19."},{"key":"ref31","series-title":"Nota T\u00e9cnica GDPP n\u00ba 02\/2020: recomenda\u00e7\u00f5es sobre preven\u00e7\u00e3o, diagn\u00f3stico e tratamento de tuberculose frente \u00e0 pandemia de COVID-19."},{"key":"ref32","doi-asserted-by":"crossref","first-page":"e","DOI":"10.1590\/0034-761220220135","article-title":"Alinhamento partid\u00e1rio e oferta de pol\u00edticas p\u00fablicas no Brasil.","volume":"57","author":"Lira E","year":"2023","journal-title":"Rev Adm P\u00fablica"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"4593","DOI":"10.1590\/1413-812320182412.25432019","article-title":"A crise econ\u00f4mica e a aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade no SUS da cidade do Rio de Janeiro, Brasil","volume":"24","author":"Melo EA","year":"2019","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref34","first-page":"200","article-title":"Expans\u00e3o da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade no munic\u00edpio do Rio de Janeiro em 2010: o desafio do acesso e a completude das equipes de sa\u00fade da fam\u00edlia.","volume":"15","author":"Sim\u00f5es PP","year":"2017","journal-title":"Revista do Hospital Universit\u00e1rio Pedro Ernesto"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1590\/1413-81232021266.01012021","article-title":"A implanta\u00e7\u00e3o em larga escala 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