PMO-017 Perinatal hepatitis B in a high prevalence inner city population: direct electronic referral improves care

Abstract

symptoms. A similar cohort was identified with age & sex matched controls with FC values <50 mg/g. All the patients who did not go on to have a complete colonoscopy were removed from further analysis. Patients' records were analysed electronically using the NHS Great Glasgow & Clyde Clinical Portal. Results 216 patients were identified with a FC of 50e100 mg/g. After exclusion criteria, 158 patients remained. Of these 82 underwent complete colonoscopy (mean age 36.7, M:F 1:2.2) which was abnormal in only six cases (three cases of a single adenoma<10 mm, one diverticulosis, one helminth infection & one non-specific acute inflammation). 280 patients were identified with a FC<50 mg/g. After exclusion criteria, 176 patients remained. Of these 65 underwent complete colonoscopy (mean age 36.6, M:F 1:2.3) which was abnormal in only eight cases (six cases of non-specific acute inflammation, one adenoma <10 mm & one diverticulosis). The colonoscopy outcome data, as expected, demonstrated that the pathology rate was very low in both groups. There was no difference in the rate of pathology detection between to two groups 1

Interventions to optimise the care continuum for chronic viral hepatitis: a systematic review and meta-analyses

“…Only two studies 68,69 reported an outcome related to HBV linkage to care. One 69 assessed the eff ect of a letter about local HBV services, and one 68 compared referral rates before and after institution of an electronic patient referral system (appendix).…”

Laboratory monitoring and antiviral treatment for chronic hepatitis B among routine care patients in the United States

“…13 Another study found that a seamless, direct electronic referral to hepatology for patients diagnosed with HBV during pregnancy-a point of universal screening in the US-significantly increased and accelerated linkage to care and treatment. 14 Likewise, the higher rates of follow-up observed under specialist care suggest that provider familiarity with monitoring and treatment guidelines is an important factor in ensuring that patients receive appropriate care. Chronic HBV is a complex and variable disease;…”

“…Rates of specialist referral increased from 28% to 78% after the implementation of this simple intervention 13 . Another study found that a seamless, direct electronic referral to hepatology for patients diagnosed with HBV during pregnancy—a point of universal screening in the US—significantly increased and accelerated linkage to care and treatment 14 …”