Identification and management of hepatitis C patients in primary care clinics

摘要: OBJECTIVE: Previous survey-based research suggested that hepatitis C patients receive suboptimal care in primary settings. The aim of our study was to define the actual level clinics. METHODS: Medical records 229 antibodypositive (group 1), antibody-negative 2), and not tested for antibody 3) were reviewed assess indications testing subsequent management referral antibody-positive diagnosed In addition, compliance physicians with screening guidelines assessed. RESULTS: Only 16% group 1 10% 2 based on physician-identified risk factors. 1% 3 had documented discussion factors during their initial visit a physician. majority appropriately evaluated clinics, most (77%) RNApositive elevated liver enzymes referred subspecialty care. Of 59 who underwent biopsy, 40% bridging fibrosis or cirrhosis. CONCLUSIONS: Hepatitis is rarely initiated clinics Interventions should be developed optimize early diagnosis as significant disease may present despite absence symptoms. (Am J Gastroenterol 2003;98:639 ‐ 644. © 2003 by Am. Coll. Gastroenterology)