A Resident Initiative Improves Hepatitis C Screening Rates in Primary Care Clinics

Wong, Katherine; Abdelqader, Abdelhai; Camire, Lyn; Farshidpour, Maham; Singh, Simita; Abuwalla, Zach; Weisman, David

doi:10.4300/jgme-d-17-00199.1

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Furthermore, while EMR appears to be a cornerstone for automated alerts, given the simplicity of identifying screening candidates based solely on date of birth, additional strategies to augment EMR-based testing have resulted in significant increases in screening rates, including one study employing targeted education of resident physicians which found an increase from 62% at baseline to 81% at 6 months postintervention. 22 Similar increases in screening rates employing education plus EMR reminders in a resident physician context resulted in up to a 3-fold increase in HCV testing rates. [23][24] Outpatient Primary care and outpatient specialty clinics are the cornerstone of population-based screening and the focus of most EMR alert-based interventions.…”

Section: Emr Alertsmentioning

confidence: 97%

Assessing the Effectiveness of Strategies in US Birth Cohort Screening for Hepatitis C Infection

Tsay¹,

Lim²

2020

Journal of Clinical and Translational Hepatology

View full text Add to dashboard Cite

Chronic hepatitis C infection in the USA is a highly morbid condition and current guidelines recommend one-time screening among the birth cohort . Understanding strategies to optimize screening can help inform future hepatitis C virus (HCV) screening guidelines. A focused literature search was performed using PubMed and manual abstract review from major hepatology conferences over the past 2 years. The search strategy involved using Medical Subject Headings terms for hepatitis C, screening, birth cohort, baby boomers, and 1945-1965. The review was limited to data from the USA. A total of 327 articles were identified and 36 abstracts were included, with studies published between 2012-2019. Strategies including clinician education, electronic medical record alerts, reflex HCV RNA testing, point-of-care testing, multisite (outpatient, inpatient, emergency department, endoscopy suite) initiatives, direct patient solicitation, and utilization of non-physician providers have increased HCV screening rates. However, broad implementation remains less than optimal. Barriers include lack of patient acceptance to screening and engagement in the HCV care cascade. The Veterans Affairs Healthcare System has achieved higher birth cohort screening rates through an integrated approach requiring high-level engagement by leadership and institutional commitment. Multiple strategies for increasing birth cohort screening have been successful, but overall rates of HCV screening remain low. These strategies can inform public health efforts to implement emerging national recommendations for expansion of HCV screening to all U.S. adults age 18 or older.

show abstract

Section: Emr Alertsmentioning

confidence: 97%

Assessing the Effectiveness of Strategies in US Birth Cohort Screening for Hepatitis C Infection

Tsay¹,

Lim²

2020

Journal of Clinical and Translational Hepatology

View full text Add to dashboard Cite

show abstract

Hepatitis C Virus Diagnosis and the Holy Grail

Applegate

Fajardo

Sacks

2018

Infectious Disease Clinics of North America

View full text Add to dashboard Cite

The world has embraced the call for global elimination of hepatitis C virus by 2030. The unprecedented speed of therapeutic development and increased access to direct-acting antivirals has made elimination a possibility. We must screen hundreds of millions of people to diagnose and treat those currently infected. Global access to hepatitis C virus diagnostics will be a keystone to success. Key challenges must be overcome and systems optimized to ensure widespread access to existing diagnostics. Although promising technologies may soon transform the landscape, innovative strategies are needed to stimulate investment and accelerate the development of point-of-care hepatitis C virus diagnostics.

show abstract

Interventions to enhance testing, linkage to care, and treatment initiation for hepatitis C virus infection: a systematic review and meta-analysis

Cunningham

Wheeler

Hajarizadeh

et al. 2022

The Lancet Gastroenterology & Hepatology

View full text Add to dashboard Cite

A Resident Initiative Improves Hepatitis C Screening Rates in Primary Care Clinics

Abstract: An educational intervention designed and implemented by residents significantly increased the screening and testing rates for HCV in community-based resident clinics.

Cited by 4 publications

References 3 publications

Assessing the Effectiveness of Strategies in US Birth Cohort Screening for Hepatitis C Infection

Assessing the Effectiveness of Strategies in US Birth Cohort Screening for Hepatitis C Infection

Hepatitis C Virus Diagnosis and the Holy Grail

Interventions to enhance testing, linkage to care, and treatment initiation for hepatitis C virus infection: a systematic review and meta-analysis

Contact Info

Product

Resources

About