Examining hepatitis C virus testing practices in primary care clinics.

作者: M. Vega , S. B. Trooskin , V. J. Navarro , C. V. Almario

DOI: 10.1111/J.1365-2893.2011.01539.X

关键词: Health services researchRisk factorConfoundingCohort studyConfidence intervalOdds ratioMedicineRisk assessmentProspective cohort studyPediatrics

摘要: Prior studies found that hepatitis C virus (HCV) risk assessment and testing in primary care clinics were suboptimal. We aimed to determine the actual HCV rate among patients with factors identify variables predictive of testing. In order do so, we performed a prospective cohort study seen four urban clinics. At initial visit, given questionnaire listed they instructed check 'yes' or 'no' if did not have factor, respectively. Patients then handed this their physician during visit. Among those who acknowledged having factor via questionnaire, determined subsequent calculated adjusted odds ratios (aOR) 95% confidence intervals (CI) Of 578 individuals only 8% (46/578) tested for within 2 months tested, 11% (5/46) had positive antibody test result. The variable after adjusting confounders was specific identified documented chart by physicians [16% (26/159) vs 5% (20/419); aOR 4.5, CI 2.1-9.5]. summary, 92% setting, efforts improve such rates are clearly warranted.

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