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Table 4 describes concordance between clinical observers and TMs in 5 major domains: staging (37.6% agreement), co-trimoxazole management (71.6% agreement), ART management (75.5% agreement), ADR management (69.7% agreement), and diagnosis of OIs and other infectious diseases (49.1% agreement).
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In the nurse versus physician arm, actual agreement on ART recommendation was 77.9%, compared with agreement of 45.9% expected by chance.
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Clinical officers and physicians also showed the strongest – almost perfect – agreement in their final ART recommendation and TB status, but had lower strength of agreement for WHO clinical stage than nurses and physicians.
Among the seven study variables, nurses and physicians had the strongest agreement in their final ART recommendation, their assignment of WHO clinical stage, and their assessment of current TB status.
In our study, no elevated risk of CMM was observed following ART, in agreement with previous studies on fertility treatment (Hannibal et al., 2008a), and treatment with clomiphene citrate (Rossing et al., 1995).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com