title: Raising standards in UK TB control: introducing cohort review.
abstract: Cohort review has been used internationally to support tuberculosis (TB) control. We describe its first use in the UK by a London TB service. Improvements were noted in case management and contact tracing, weaknesses identified and important service changes put in place. Key areas of impact were directly observed therapy (DOT) provision (a greater proportion of cases offered DOT, and in response to low uptake resources diverted to create posts responsible for patient-centred DOT delivery), and contact tracing (more contacts per case screened and assessed). Cohort review enables whole system review and improvement. It has subsequently been adopted across the UK.
authors.affiliation: Field Epidemiology Services-Victoria, Public Health England, , London, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Anderson
authors.forename: Jacqueline
authors.initials: J
authors.lastname: White
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abubakar
authors.forename: Marc
authors.initials: M
authors.lastname: Lipman
authors.forename: Surinder
authors.initials: S
authors.lastname: Tamne
authors.forename: Sarah R
authors.initials: SR
authors.lastname: Anderson
authors.forename: Jennifer
authors.initials: J
authors.lastname: Dekoningh
authors.forename: Susan
authors.initials: S
authors.lastname: Dart
mesh_terms: D000328:Adult; D019090:Case Management / Q000592:standards*; D015331:Cohort Studies; D016358:Contact Tracing; D023801:Directly Observed Therapy / Q000592:standards; D005260:Female; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D058996:Quality Improvement; D016896:Treatment Outcome; D014376:Tuberculosis / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
keywords: Tuberculosis