Delivering tertiary tuberculosis care virtually

Louise Turnbull; Christine Bell; Stefanie Davies; Fran Child

doi:10.1136/archdischild-2020-320421

Delivering tertiary tuberculosis care virtually

Louise Turnbull^*
, Christine Bell
, Stefanie Davies
, Fran Child

^*Corresponding author for this work

National Field Services (North West)

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

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.

Original language	English
Pages (from-to)	1226-1228
Number of pages	3
Journal	Archives of Disease in Childhood
Volume	106
Issue number	12
Early online date	19 Nov 2021
DOIs	https://doi.org/10.1136/archdischild-2020-320421
Publication status	Published - 1 Dec 2021

Bibliographical note

Funding information: No funding information.

Open Access: No Open Access licence.

Publisher Copyright: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Citation: Turnbull L, Bell C, Davies S, et al. Delivering tertiary tuberculosis care virtually. Archives of Disease in Childhood 2021;106:1226-1228.

DOI: http://dx.doi.org/10.1136/archdischild-2020-320421

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

health services research
information technology
qualitative research

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10.1136/archdischild-2020-320421

Cite this

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title = "Delivering tertiary tuberculosis care virtually",

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.",

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author = "Louise Turnbull and Christine Bell and Stefanie Davies and Fran Child",

note = "Funding information: No funding information. Open Access: No Open Access licence. Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. Citation: Turnbull L, Bell C, Davies S, et al. Delivering tertiary tuberculosis care virtually. Archives of Disease in Childhood 2021;106:1226-1228. DOI: http://dx.doi.org/10.1136/archdischild-2020-320421",

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AU - Bell, Christine

AU - Davies, Stefanie

AU - Child, Fran

N1 - Funding information: No funding information. Open Access: No Open Access licence. Publisher Copyright: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. Citation: Turnbull L, Bell C, Davies S, et al. Delivering tertiary tuberculosis care virtually. Archives of Disease in Childhood 2021;106:1226-1228. DOI: http://dx.doi.org/10.1136/archdischild-2020-320421

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N2 - 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.

AB - 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.

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ER -

Delivering tertiary tuberculosis care virtually

Abstract

Bibliographical note

UN SDGs

Keywords

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