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Missed opportunities for hepatitis C treatment at a tertiary care hospital in South Australia

World Journal of Hepatology 2022年第8期14卷 1576-1583页

作者： sreec.nth sibhi raja Suzanne Edwards Jeffrey Stewart Dep Huynh Department of Gastroenterology The Queen Elizabeth HospitalWoodville 5011South AustraliaAustralia Department of Statistician School of Public HealthUniversity of AdelaideAdelaide 5000South AustraliaAustralia

BACKGROUND Hepatitis C is a global epidemic and an estimated 230000 Australians were living with chronic hepatitis C in *** effective public health policy and state commitment,Australia has utilised the advent of direct acting antiviral(DAA)therapy to transform the therapeutic landscape for hepatitis C virus(HCV).However,treatment rates are falling and novel public health approaches are required to maintain momentum for HCV *** discourse in cascades of care have focused on expanding testing capabilities but less attention has been given to linking previously diagnosed patients back to *** simple and focused study rests on the premise that hospital admissions are an excellent opportunity to identify and refer previously diagnosed patients for HCV *** To assess whether inpatients with HCV are appropriately referred on for *** We conducted a retrospective single centre cohort study that examined all patients with HCV presenting to The Queen Elizabeth Hospital(QEH)inpatient service between January 1 and December 31,*** is a tertiary care hospital in South *** main inclusion criteria were patients with active HCV infection who were eligible for DAA *** study cohort was identified using a comprehensive list of diagnosis based on international classification of diseases-10 AM codes for chronic viral *** were excluded from the analysis if they had previously received DAA therapy or spontaneously cleared *** presenting with decompensated liver cirrhosis or other systemic medical conditions conferring poor short-term prognosis were also excluded from the *** primary outcome of our study was referral of patients for HCV *** outcomes included assessment of factors predicting treatment *** There were 309 inpatients identified with hepatitis C as a principal or additional diagnosis between January 1 and December 31,*** these patients,

关键词： Hepatitis C Viral hepatitis Treatment cascade Hepatology Public health Missed opportunities

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