Hepatitis C among drug users: consensus guidelines on management in general practice

Barry, Joseph; Bourke, Margaret; Buckley, Megan C.; Coughlan, Barbara; Crowley, Des; Cullen, William R.; Dooley, S.; Keating, Shay; Kelleher, Dermot; Moloney, John; Murray, FE; Pa, McCormick; MacMathúna, Padraic; O’Connor, John; O’Grady, John; O’Sullivan, Cait; O’Sullivan, Patrick; Quinn, Claire; Smyth, Bobby P; Sweeney, Brion

doi:10.1007/bf03167929

Cited by 7 publications

(3 citation statements)

References 27 publications

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“…Criteria for referral were most commonly listed for suspected colorectal cancer[8, 10, 12, 13, 15-20, 22, 23, 25, 27, 28, 30, 31, 33, 35, 36, 38, 40]. Other GI conditions for which some referral criteria were found included suspected upper GI cancer[9, 24, 25, 27-30, 38, 39], hepatitis[11, 14, 26, 30], and functional disorders such as irritable bowel syndrome, dyspepsia, diarrhoea and constipation[21, 30, 32, 34, 37]. We found four papers on the management of a variety of important GI conditions, but they did not contain criteria for referral: inflammatory bowel disease[42], pancreatitis [43-44] and acute gastrointestinal blood loss[45].…”

Section: Resultsmentioning

confidence: 99%

“…More recently, the Dublin Area Hepatitis C Initiative Group created criteria to help predict which patients with hepatitis C from drug use would benefit from therapy [11]. These criteria include HCV and PCR/phenotype testing, clinical and laboratory evaluation of liver status, freedom from unstable drug use, psychiatric history and social stability.…”

Section: Resultsmentioning

confidence: 99%

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Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

et al. 2011

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BackgroundDemands on gastroenterology are growing, as a result of the high prevalence of digestive diseases, the impact of colon cancer screening programs and an aging population. Prioritizing referrals to gastroenterology would assist in managing wait times. Our objectives were (1) to assess whether there were consistent criteria to guide referrals from family physicians for gastroenterological outpatient consultation and (2) to determine if there were different levels of urgency or priority in referral criteria.MethodsWe conducted a scoping review, searching Medline, Embase and Cochrane databases from 1997 to 2009, using the terms referral, triage, consultation and at least one from a list of gastroenterology-specific search terms. Of 2978 initial results, 51 papers were retrieved, and 20 were retained after review by two reviewers. Additional publications were identified through hand searches of retained papers, website searches and nomination by a panel of specialists.ResultsThirty-four papers, reports or websites were retained. No referral criteria covered the spectrum of disorders that might be referred by family physicians to gastroenterologists. Criteria for referral were most commonly listed for suspected colorectal cancer, followed by suspected upper GI cancer, hepatitis, and functional disorders.ConclusionsA clinical panel comprised of gastroenterologists and primary care providers, informed by this literature review, are completing the work of formulating a Gastroenterology Priority Referral Score, and plan to test the reliability and validity of the tool for determining the relative urgency for referral from primary care to gastroenterology.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

et al. 2011

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“…In the same year, a research lead initiative developed consensus guidelines on HCV management in general practice [ 67 ]. The effectiveness of these guidelines was later evaluated in a cluster randomised trial and were found to improve the uptake of screening in practices where the policy was implemented (OR = 3.76 CI = 1.3–11.3) [ 56 ].…”

Section: Epidemiology (32)mentioning

confidence: 99%

Hepatitis C virus infection in Irish drug users and prisoners – a scoping review

Crowley¹,

Murtagh

Cullen

et al. 2019

BMC Infect Dis

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Background Hepatitis C infection is a major public health concern globally. In Ireland, like other European countries, people who use drugs (PWUD) and prisoners carry a larger HCV disease burden than the general population. Recent advances in HCV management have made HCV elimination across Europe a realistic goal. Engaging these two marginalised and underserved populations remains a challenge. The aim of this review was to map key findings and identify gaps in the literature (published and unpublished) on HCV infection in Irish PWUD and prisoners. Methods A scoping review guided by the methodological framework set out by Levac and colleagues (based on previous work by Arksey & O’Malley). Results A total of 58 studies were identified and divided into the following categories; Epidemiology, Guidelines and Policy, Treatment Outcomes, HCV-related Health Issues and qualitative research reporting on Patients’ and Health Providers’ Experiences. This review identified significantly higher rates of HCV infection among Irish prisoners and PWUD than the general population. There are high levels of undiagnosed and untreated HCV infection in both groups. There is poor engagement by Irish PWUD with HCV services and barriers have been identified. Prison hepatology nurse services have a positive impact on treatment uptake and outcomes. Identified gaps in the literature include; lack of accurate epidemiological data on incident infection, untreated chronic HCV infection particularly in PWUD living outside Dublin and those not engaged with OST. Conclusion Ireland like other European countries has high levels of undiagnosed and untreated HCV infection. Collecting, synthesising and identifying gaps in the available literature is timely and will inform national HCV screening, treatment and prevention strategies. Electronic supplementary material The online version of this article (10.1186/s12879-019-4218-6) contains supplementary material, which is available to authorized users.

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Guidelines for the management of hepatitis C in general practice: a semi-qualitative interview survey of GPs’ views regarding content and implementation

et al. 2005

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Hepatitis C among drug users: consensus guidelines on management in general practice

Abstract: GPs have an important role to play in the care of patients at risk of, or infected with, HCV.

Cited by 7 publications

References 27 publications

Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

Criteria for Referring Patients With Outpatient Gastroenterological Disease for Specialist Consultation: A Review of the Literature

Hepatitis C virus infection in Irish drug users and prisoners – a scoping review

Guidelines for the management of hepatitis C in general practice: a semi-qualitative interview survey of GPs’ views regarding content and implementation

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