Barriers to Successful Linkage to Care Among HCV Positive Individuals Presenting to a Major Tertiary Medical Center on Long Island, New York

Lier, Audun; Odekon, Kerim; Abeles, Ruth; Bronson, Silvia; Colon, Jacqueline; Mann, Ian; Coyle, Lily; Smith, Kalie; Fries, Bettina C.; Marcos, Luis A.

doi:10.1093/ofid/ofx163.395

Cited by 2 publications

(3 citation statements)

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“…A large study conducted in the US general population in 2014 showed that only 43% of those aware of having been diagnosed with CHC had access to outpatient care, whereas the remainder did not receive any treatment . Absence of linkage to care recognizes different causes: social stigmatization, inadequate treatment infrastructure, lack of awareness of disease and therapy benefits, dual‐step nature and costs of HCV tests (especially in LMICs), being a PWID, an MSM or an immigrant in Western countries and unemployment . Recent work by Bottero et al showed how, in a high‐risk population composed mainly of African immigrants, the adoption of a POCT‐based strategy can improve linkage to care (90% vs 60% with standard serology‐based testing) highlighting the importance of providing rapid results.…”

Section: The Cascade Of Carementioning

confidence: 99%

“…26,27 Absence of linkage to care recognizes different causes: social stigmatization, inadequate treatment infrastructure, lack of awareness of disease and therapy benefits, dual-step nature and costs of HCV tests (especially in LMICs), being a PWID, an MSM or an immigrant in Western countries and unemployment. 28,29 Recent work by Bottero et al 30 showed how, in a high-risk population composed mainly of African immigrants, the adoption of a POCTbased strategy can improve linkage to care (90% vs 60% with standard serology-based testing) highlighting the importance of providing rapid results. Another way to increase linkage to care is expanding the providers' pool, to guarantee an easier access to care.…”

Section: The C a Sc Ade Of C Arementioning

confidence: 99%

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Hepatitis C: Is eradication possible?

Lombardi

Mondelli

2019

Liver International

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Hepatitis C has a relevant global impact in terms of morbidity, mortality and economic costs, with more than 70 million people infected worldwide. In the resolution, “Transforming our world: the 2030 Agenda for Sustainable Development” was included as a focus area in the health‐related goal with world leaders pledging to “combat” it by 2030. In response, WHO drafted the Global Viral Hepatitis Strategy carrying the ambitious targets to reduce the number of deaths by two‐thirds and to increase treatment rates up to 80%. Despite the availability of highly effective therapeutic regimens based on direct‐acting antivirals many barriers to HCV eradication still remain. They are related to awareness of the infection, linkage to care, availability of the therapeutic drug regimens and reinfection. Overall, if an effective prophylactic vaccine will not be available, HCV eradication appears difficult to achieve in the future.

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Section: The Cascade Of Carementioning

confidence: 99%

Section: The C a Sc Ade Of C Arementioning

confidence: 99%

Hepatitis C: Is eradication possible?

Lombardi

Mondelli

2019

Liver International

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“…6 Despite the availability of effective treatment for HCV infection, many people diagnosed with HCV infection are not in care. [7][8][9] However, linking people to care can help engage them in treatment. 10,11 Health departments or other organizations wishing to help link people with HCV infection to care might consider various approaches depending on available resources and capacity, such as sending letters, making telephone calls, sending text messages, or conducting community-based case finding.…”

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confidence: 99%

Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

et al. 2020

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Objectives Hepatitis C virus (HCV) infection is a serious health problem in New York City. Although curative treatments are available, many people are out of care. The New York City Department of Health and Mental Hygiene (DOHMH) used surveillance data and various outreach methods to attempt to link to care people diagnosed with HCV infection from 2010 through 2015. Methods We randomly assigned people out of care (ie, no HCV test >6 months after first report) to 4 outreach groups: no outreach (control group); letter only; letter and telephone call; and letter, text message, and telephone call. Three months after outreach ended, we analyzed surveillance data to identify people with a subsequent HCV RNA or genotype test suggesting linkage to care. Results Of 2626 selected people, 199 (7.6%) had a subsequent HCV test. People in all 3 outreach groups had higher odds of a subsequent test than people in the control group (letter only: adjusted odds ratio [aOR] = 1.81 [95% CI, 1.18-2.91]; letter and telephone: aOR = 3.11 [95% CI, 1.67-5.79]; letter, text, and telephone: aOR = 3.17 [95% CI, 1.48-6.51]). People in the letter and telephone group had higher odds of a subsequent test than people in the letter-only group (aOR = 1.72; 95% CI, 1.04-2.74). Most people in the letter and telephone (136/200, 68.0%) and the letter, text, and telephone (71/99, 71.7%) groups could not be reached, primarily because telephone numbers were incorrect or out of service. Conclusion Reaching out to people soon after first report or prioritizing groups in which more recent contact information can be found might improve outcomes of future outreach.

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Barriers to Successful Linkage to Care Among HCV Positive Individuals Presenting to a Major Tertiary Medical Center on Long Island, New York

Cited by 2 publications

References 0 publications

Hepatitis C: Is eradication possible?

Hepatitis C: Is eradication possible?

Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

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