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Delivering tertiary tuberculosis care virtually
  1. Louise Turnbull1,
  2. Christine Bell2,
  3. Stefanie Davies3,
  4. Fran Child4
  1. 1Paediatric Respiratory Department, Royal Manchester Children's Hospital, Manchester, UK
  2. 2Tuberculosis Team, Manchester Royal Infirmary, Manchester, UK
  3. 3Epidemiology and Information Analyst, North West Field Service, Public Health England North Region, Manchester, UK
  4. 4Paediatric Respiratory Medicine, , Manchester, UK
  1. Correspondence to Dr Louise Turnbull, Paediatric Respiratory Department, Royal Manchester Children's Hospital, Manchester M13 9WL, UK; louise.turnbull{at}mft.nhs.uk

Abstract

Objective To assess the impact of a virtual multidisciplinary team (MDT) review panel in reducing travel for children with a rare disease (tuberculosis (TB)) without compromising clinical outcomes.

Design Retrospective review of patients discussed in a virtual MDT panel. Independent pre-intervention and post-intervention data from Public Health England.

Setting Paediatric departments across North West England.

Patients Children aged <16 years with suspected TB infection/disease.

Intervention Weekly, virtual MDT discussion between district paediatricians and a tertiary TB team.

Main outcome measure Care closer to home, time from presentation to treatment.

Results 45% (37 of 82) children received care closer to home. Median time from presentation to treatment reduced by 28% (from 18 to 13 days). 21% more children were diagnosed before developing symptoms (76% of children presented with symptoms pre-intervention, 55% post-intervention). 5 children incorrectly labelled with latent TB infection were treated for TB disease.

Conclusions A clinical network supported by virtual MDT reviews can improve treatment for children with rare diseases while providing care close to home.

  • health services research
  • qualitative research
  • information technology

Data availability statement

Data are available upon reasonable request. Data available if required.

Statistics from Altmetric.com

Data availability statement

Data are available upon reasonable request. Data available if required.

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Footnotes

  • Contributors All authors contributed to the data collection. SD provided the cohort review data from Public Health England. LT and FC wrote the article with input from CB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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