{"id":"https://openalex.org/W4415741024","doi":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","title":"Efeito de sucessivas leituras da prova tubercul\u00ednica na aptid\u00e3o dos profissionais de sa\u00fade: estudo observacional operacional em cinco munic\u00edpios brasileiros de alta carga da tuberculose, 2023-2024","display_name":"Efeito de sucessivas leituras da prova tubercul\u00ednica na aptid\u00e3o dos profissionais de sa\u00fade: estudo observacional operacional em cinco munic\u00edpios brasileiros de alta carga da tuberculose, 2023-2024","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4415741024","doi":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt"},"language":"pt","primary_location":{"id":"doi:10.1590/s2237-96222025v34e20240795.pt","doi":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","is_oa":true,"landing_page_url":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","pdf_url":null,"source":{"id":"https://openalex.org/S2739206013","display_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","issn_l":"1679-4974","issn":["1679-4974","2237-9622"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-20","russia-white-list-1","scielo"],"host_organization":"https://openalex.org/P4310312316","host_organization_name":"Ministry of Health of Brasil","host_organization_lineage":["https://openalex.org/P4310312316"],"host_organization_lineage_names":["Ministry of Health of Brasil"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065416323","display_name":"Dinah Carvalho Cordeiro","orcid":"https://orcid.org/0000-0003-1830-8532","observed_orcids":["https://orcid.org/0000-0003-1830-8532"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Dinah Carvalho Cordeiro","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro,  Brazil"],"raw_orcid":"https://orcid.org/0000-0003-1830-8532","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro,  Brazil","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080787120","display_name":"Elisa Barroso de Aguiar","orcid":"https://orcid.org/0000-0001-7721-0485","observed_orcids":["https://orcid.org/0000-0001-7721-0485"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Elisa Barroso de Aguiar","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro,  Brazil"],"raw_orcid":"https://orcid.org/0000-0001-7721-0485","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro,  Brazil","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082585928","display_name":"Ronir Raggio Luiz","orcid":"https://orcid.org/0000-0002-7784-9905","observed_orcids":["https://orcid.org/0000-0002-7784-9905"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ronir Raggio Luiz","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro,  Brazil"],"raw_orcid":"https://orcid.org/0000-0002-7784-9905","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro,  Brazil","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007073358","display_name":"Daniel Souza Sacramento","orcid":"https://orcid.org/0000-0002-8782-1949","observed_orcids":["https://orcid.org/0000-0002-8782-1949"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Souza Sacramento","raw_affiliation_strings":["Secretaria Municipal de Sa\u00fade de Manaus,  Brazil"],"raw_orcid":"https://orcid.org/0000-0002-8782-1949","affiliations":[{"raw_affiliation_string":"Secretaria Municipal de Sa\u00fade de Manaus,  Brazil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120205980","display_name":"Priscilla L\u00facia Wolter Paolino","orcid":"https://orcid.org/0009-0009-5074-7042","observed_orcids":["https://orcid.org/0009-0009-5074-7042"]},"institutions":[{"id":"https://openalex.org/I4405266854","display_name":"REDE-TB (Rede Brasileira de Pesquisa em Tuberculose)","ror":"https://ror.org/002jr8840","country_code":"BR","type":"nonprofit","lineage":["https://openalex.org/I4405266854"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Priscilla L\u00facia Wolter Paolino","raw_affiliation_strings":["Rede Brasileira de Pesquisa em Tuberculose,  Brazil"],"raw_orcid":"https://orcid.org/0009-0009-5074-7042","affiliations":[{"raw_affiliation_string":"Rede Brasileira de Pesquisa em Tuberculose,  Brazil","institution_ids":["https://openalex.org/I4405266854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055580045","display_name":"Maria Jacirema Ferreira Gon\u00e7alves","orcid":"https://orcid.org/0000-0002-8460-8501","observed_orcids":["https://orcid.org/0000-0002-8460-8501"]},"institutions":[{"id":"https://openalex.org/I62885914","display_name":"Universidade Federal do Amazonas","ror":"https://ror.org/02263ky35","country_code":"BR","type":"education","lineage":["https://openalex.org/I62885914"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria Jacirema Ferreira Gon\u00e7alves","raw_affiliation_strings":["Universidade Federal do Amazonas,  Brazil"],"raw_orcid":"https://orcid.org/0000-0002-8460-8501","affiliations":[{"raw_affiliation_string":"Universidade Federal do Amazonas,  Brazil","institution_ids":["https://openalex.org/I62885914"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078414538","display_name":"Anete Trajman","orcid":"https://orcid.org/0000-0002-4000-4984","observed_orcids":["https://orcid.org/0000-0002-4000-4984"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Anete Trajman","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro,  Brazil"],"raw_orcid":"https://orcid.org/0000-0002-4000-4984","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro,  Brazil","institution_ids":["https://openalex.org/I122140584"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.5947,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.57905791,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"34","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13309","display_name":"Reliability and Agreement in Measurement","score":0.006800000090152025,"subfield":{"id":"https://openalex.org/subfields/1804","display_name":"Statistics, Probability and Uncertainty"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.0052999998442828655,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tuberculin-skin-test","display_name":"tuberculin skin test","score":0.8610000014305115},{"id":"https://openalex.org/keywords/health-professions-education","display_name":"health professions education","score":0.35600000619888306},{"id":"https://openalex.org/keywords/interobserver-agreement","display_name":"interobserver agreement","score":0.5270000100135803},{"id":"https://openalex.org/keywords/sensitivity-and-specificity","display_name":"sensitivity and specificity","score":0.6800000071525574},{"id":"https://openalex.org/keywords/repeated-reading","display_name":"repeated reading","score":0.38199999928474426},{"id":"https://openalex.org/keywords/health-workforce-capacity-building","display_name":"health workforce capacity building","score":0.4300000071525574},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.34700000286102295},{"id":"https://openalex.org/keywords/tuberculosis-control-program","display_name":"tuberculosis control program","score":0.3140000104904175}],"concepts":[{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.7081000208854675},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.41510000824928284},{"id":"https://openalex.org/C2986587452","wikidata":"https://www.wikidata.org/wiki/Q938438","display_name":"Statistical analysis","level":2,"score":0.3903000056743622},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.351500004529953},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.23849999904632568},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.1808999925851822},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.1647000014781952},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.1388999968767166},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.12939999997615814},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.12150000035762787}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1590/s2237-96222025v34e20240795.pt","doi":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","is_oa":true,"landing_page_url":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","pdf_url":null,"source":{"id":"https://openalex.org/S2739206013","display_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","issn_l":"1679-4974","issn":["1679-4974","2237-9622"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-20","russia-white-list-1","scielo"],"host_organization":"https://openalex.org/P4310312316","host_organization_name":"Ministry of Health of Brasil","host_organization_lineage":["https://openalex.org/P4310312316"],"host_organization_lineage_names":["Ministry of Health of Brasil"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1590/s2237-96222025v34e20240795.pt","doi":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","is_oa":true,"landing_page_url":"https://doi.org/10.1590/s2237-96222025v34e20240795.pt","pdf_url":null,"source":{"id":"https://openalex.org/S2739206013","display_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","issn_l":"1679-4974","issn":["1679-4974","2237-9622"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-20","russia-white-list-1","scielo"],"host_organization":"https://openalex.org/P4310312316","host_organization_name":"Ministry of Health of Brasil","host_organization_lineage":["https://openalex.org/P4310312316"],"host_organization_lineage_names":["Ministry of Health of Brasil"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Epidemiologia e Servi\u00e7os de Sa\u00fade","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G2019208706","display_name":null,"funder_award_id":"E-26/200.395/2023","funder_id":"https://openalex.org/F4320322749","funder_display_name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro"},{"id":"https://openalex.org/G2424489673","display_name":null,"funder_award_id":"TB REACH #10429","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"},{"id":"https://openalex.org/G2635321362","display_name":null,"funder_award_id":"445684/2023-2","funder_id":"https://openalex.org/F4320322749","funder_display_name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro"},{"id":"https://openalex.org/G2683007810","display_name":null,"funder_award_id":"E-26/200.395/2023","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"},{"id":"https://openalex.org/G2962230429","display_name":null,"funder_award_id":"TB REACH #10429","funder_id":"https://openalex.org/F4320322749","funder_display_name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro"},{"id":"https://openalex.org/G453866716","display_name":null,"funder_award_id":"445684 /2023-2","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"}],"funders":[{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"},{"id":"https://openalex.org/F4320322749","display_name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro","ror":"https://ror.org/03kk0s825"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2037259158","https://openalex.org/W2516091697","https://openalex.org/W3193301539","https://openalex.org/W4408177178"],"related_works":["https://openalex.org/W4415741001","https://openalex.org/W4415741053","https://openalex.org/W1946683499","https://openalex.org/W3205310565","https://openalex.org/W3035822419","https://openalex.org/W3017791031","https://openalex.org/W2178867349","https://openalex.org/W2064699746","https://openalex.org/W7103998723","https://openalex.org/W1554240877"],"abstract_inverted_index":{"Resumo":[0],"Objetivo":[1],"Verificar":[2],"o":[3,57,93,185],"efeito":[4,218],"de":[5,15,19,27,78,82,85,117,167,187,189,219,233,245],"sucessivas":[6,221],"leituras":[7,26,118,130,147,156,166,220],"da":[8,36,89,249],"prova":[9,90],"tubercul\u00ednica":[10],"na":[11,222],"aptid\u00e3o":[12],"dos":[13,131,135,204,224],"profissionais":[14,28,109,132],"sa\u00fade.":[16],"M\u00e9todos":[17],"Tratou-se":[18],"estudo":[20],"observacional":[21],"operacional":[22],"que":[23,226],"comparou":[24],"as":[25,47,103,129,134,242],"e":[29,53,110,133,151,160,163,177,182,196,198],"multiplicadores":[30,136],"em":[31,38,61,87],"capacita\u00e7\u00f5es":[32],"conduzidas":[33],"pelo":[34,73],"Minist\u00e9rio":[35,248],"Sa\u00fade":[37,250],"cinco":[39],"munic\u00edpios":[40],"brasileiros.":[41],"Calculou-se":[42],"a":[43,49,51,54,178,230],"diferen\u00e7a":[44,126],"m\u00e9dia":[45,127],"entre":[46,128,148,157],"leituras,":[48],"concord\u00e2ncia,":[50],"sensibilidade":[52,176],"especificidade":[55,179],"considerando":[56],"multiplicador":[58],"como":[59],"padr\u00e3o-ouro":[60],"cada":[62],"uma":[63],"das":[64,211],"primeiras":[65,213],"50":[66,212],"leituras.":[67,113,214],"A":[68,125,142,175],"concord\u00e2ncia":[69,143],"interobservador":[70],"foi":[71,80,121,137,144,227],"avaliada":[72],"\u00edndice":[74],"Kappa.":[75],"O":[76,114],"banco":[77],"dados":[79],"oriundo":[81],"um":[83],"programa":[84],"capacita\u00e7\u00e3o":[86,246],"leitura":[88,232],"tubercul\u00ednica.":[91],"Utilizou-se":[92],"software":[94],"Statistical":[95],"Package":[96],"for":[97],"the":[98],"Social":[99],"Sciences":[100],"Statistics":[101],"para":[102,146,155,165,184,200],"an\u00e1lises":[104],"descritivas.":[105],"Resultados":[106],"Capacitaram-se":[107],"168":[108],"houve":[111,217],"5.929":[112],"n\u00famero":[115],"m\u00e9dio":[116],"por":[119],"profissional":[120],"35,3\u00b129,2":[122],"(m\u00ednimo=5,":[123],"m\u00e1ximo=122).":[124],"0,01":[138],"mm":[139,150,159,162,169,191],"(\u00b10,70":[140],"mm).":[141],"93,0%":[145,183],"0":[149],"4":[152],"mm,":[153],"74,8%":[154],"5":[158,190],"9":[161],"88,2%":[164,197],"10":[168,201],"ou":[170],"mais":[171],"(Kappa":[172],"ponderado":[173],"0,864).":[174],"foram":[180],"96,5%":[181],"ponto":[186],"corte":[188],"(mais":[192],"usado":[193],"no":[194],"Brasil)":[195],"95,0%":[199],"mm.":[202],"Nenhum":[203],"par\u00e2metros":[205],"avaliados":[206],"sofreu":[207],"altera\u00e7\u00e3o":[208],"ao":[209],"longo":[210],"Conclus\u00e3o":[215],"N\u00e3o":[216],"habilidade":[223],"profissionais,":[225],"elevada":[228],"desde":[229],"primeira":[231],"acordo":[234],"com":[235],"todos":[236],"os":[237],"par\u00e2metros.":[238],"Esses":[239],"achados":[240],"corroboram":[241],"novas":[243],"recomenda\u00e7\u00f5es":[244],"do":[247],"rec\u00e9m-publicadas.":[251]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2025-10-31T00:00:00"}