title: Equitable tuberculosis care in the North West of England: analysis of tuberculosis cohort review data.
abstract: In the United Kingdom, tuberculosis (TB) predominantly affects the most deprived populations, yet the extent to which deprivation affects TB care outcomes is unknown.
  
  
  
  Since 2011, the North West TB Cohort Audit collaboration has undertaken quarterly reviews of outcomes against consensus-defined care standard indicators for all individuals notified with TB. We investigated associations between adverse TB care outcomes and Index of Multiple Deprivation (IMD) 2010 scores measured at lower super output area of residence using logistic regression models.
  
  
  
  Of 1831 individuals notified with TB between 2011 and 2014, 62% (1131/1831) came from the most deprived national quintile areas. In single variable analysis, greater deprivation was significantly associated with increased likelihood of the completion of a standardised risk assessment (OR 2.99, 95%CI 5.27-19.65) and offer of a human immunodeficiency virus test (OR 1.72, 95%CI 1.10-2.62). In multivariable analysis, there were no significant associations.
  
  
  
  TB patients in the most deprived areas had similar care indicators across a range of standards to those of individuals living in the more affluent areas, suggesting that the delivery of TB care in the North West of England is equitable. The extent to which the cohort review process contributes to, and sustains, this standard of care deserves further study.
authors.affiliation: Department of Public Health and Policy, University of Liverpool, Liverpool, UK; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; North West Public Health England Centre, Liverpool, Liverpool, UK.
authors.forename: P
authors.initials: P
authors.lastname: MacPherson
authors.affiliation: Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Centre for Applied Health Research & Delivery, Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: S B
authors.initials: SB
authors.lastname: Squire
authors.affiliation: Public Health England Field Epidemiology Service North West, Liverpool, UK.
authors.forename: P
authors.initials: P
authors.lastname: Cleary
authors.affiliation: Public Health England Field Epidemiology Service North West, Liverpool, UK.
authors.forename: S
authors.initials: S
authors.lastname: Davies
authors.affiliation: Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Centre for Applied Health Research & Delivery, Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: C
authors.initials: C
authors.lastname: Wake
authors.affiliation: North West Public Health England Centre, Liverpool, Liverpool, UK.
authors.forename: K
authors.initials: K
authors.lastname: Dee
authors.affiliation: TB Section, Liverpool Community Health, Liverpool, UK.
authors.forename: J
authors.initials: J
authors.lastname: Walker
authors.affiliation: Department of TB Services, Pennine Acute Hospitals NHS Trust, Oldham, UK.
authors.forename: S
authors.initials: S
authors.lastname: Farrow
authors.affiliation: North Manchester General Hospital, Manchester, UK.
authors.forename: P
authors.initials: P
authors.lastname: McMaster
authors.affiliation: Department of Respiratory Medicine, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK; Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.
authors.forename: M
authors.initials: M
authors.lastname: Woodhead
authors.affiliation: Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: D J
authors.initials: DJ
authors.lastname: Sloan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005006:Ethnicity; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D014376:Tuberculosis / Q000453:epidemiology* / Q000628:therapy*; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult