Frequent loss to follow-up after diagnosis of hepatitis C virus infection: A barrier towards the elimination of hepatitis C virus

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Aleman, SooKarolinska Institutet (författare)

Frequent loss to follow-up after diagnosis of hepatitis C virus infection : A barrier towards the elimination of hepatitis C virus

Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

2020-06-14
Wiley-Blackwell Publishing Inc.2020
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:oru-81347
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-81347URI
https://doi.org/10.1111/liv.14469DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:144236026URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

Funding Agency:AbbVie
BACKGROUND: Previous studies on hepatitis C cascade of care have been mainly focused on diagnosis and treatment rate, while less attention has been given to patients lost to follow-up (LTFU) after diagnosis. Analyses of this latter issue on population level are missing.AIMS: In this nationwide study of people with HCV, we aimed to estimate the proportion LTFU after HCV diagnosis, characterize them, and analyze their other healthcare contacts.METHODS: Patients diagnosed with chronic HCV in the Swedish National Patient register during 2001-2011 and still alive December 31, 2013, were included. The number of cured patients without need of follow-up was estimated. Visits to HCV specialist care during 2012-2013 were analysed. For those LTFU, other specialist care contacts were studied.RESULTS: In total 29,217 patients were included, with 24,733 with need of HCV care. 61% (n=15,007) of them were LTFU from HCV care in 2012-2013 and 58% did not attend HCV care during the second year after HCV diagnosis. The departments of surgery/orthopedic or psychiatry/dependency were the most common other non-primary healthcare contacts. Predictors for LTFU were young age, male sex, low education, presence of psychiatric/dependency diagnosis, unmarried, and longer duration since diagnosis of HCV.CONCLUSIONS: This study showed that almost two-thirds of patients were LTFU after HCV diagnosis, with frequent occurrence early after diagnosis. Efforts to link patients back to HCV care, in combination with early and easy access to HCV treatment and harm reduction, are necessary to reach the HCV elimination goal.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Infektionsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Infectious Medicine hsv//eng
HCV
cascade
healthcare contacts
lost to follow-up

Biuppslag (personer, institutioner, konferenser, titlar ...)

Söderholm, JonasKarolinska Institutet (författare)
Büsch, KatharinaAbbVie AB, Stockholm, Sweden; Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden (författare)
Kövamees, JanAbbVie AB, Stockholm, Sweden (författare)
Duberg, Ann-Sofi,Docent,1957-Örebro universitet,Institutionen för hälsovetenskaper,partment of Infectious Diseases(Swepub:oru)adg (författare)
Karolinska InstitutetAbbVie AB, Stockholm, Sweden; Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:Liver international (Print): Wiley-Blackwell Publishing Inc.40:8, s. 1832-18401478-32231478-3231

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Av författaren/redakt...: Aleman, Soo; Söderholm, Jonas; Büsch, Katharina; Kövamees, Jan; Duberg, Ann-Sofi ...

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Av lärosätet: Örebro universitet; Karolinska Institutet

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