{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:59:11Z","timestamp":1787169551630,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to estimate the proportion of presumptive pulmonary tuberculosis (PTB) cases lost to follow-up (LTFU) before diagnosis at a tertiary care facility and explore associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A mixed-method study (sequential explanatory, QUAN-qual) was conducted at the pulmonary Outpatient Department of a tertiary care institute from November 2022 to June 2023. Quantitative data were collected using a semi-structured questionnaire and analyzed with IBM SPSS trial version 25. Qualitative data were obtained through in-depth interviews using the Health Care Access Barriers model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 160 cases, 63.7% were males, and 84.4% underwent sputum testing. The qualitative findings highlighted structural, financial, and cognitive constraints causing diagnostic delays. A total of 15.6% of pulmonary Tuberculosis (TB) cases were LTFU before diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study revealed significant pretreatment LTFU in pulmonary TB cases, influenced by factors such as healthcare access, socioeconomic status, literacy, and societal norms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_671_25","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T14:00:58Z","timestamp":1779544858000},"page":"1591-1597","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Presumptive pulmonary tuberculosis cases loss to follow up before diagnosis and its associated factors in tertiary care 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