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Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry
In the United States, there is poor clinician adherence to the American Association for the Study of Liver Disease and other guidelines for chronic hepatitis B virus (CHB) management. This prospective cohort study evaluated whether a CHB registry improves CHB management. We included patients with CH...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The American Society of Tropical Medicine and Hygiene
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294691/ https://www.ncbi.nlm.nih.gov/pubmed/35895360 http://dx.doi.org/10.4269/ajtmh.21-1013 |
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author | DeSilva, Malini B. Settgast, Ann Chrenka, Ella Kodet, Amy J. Walker, Patricia F. |
author_facet | DeSilva, Malini B. Settgast, Ann Chrenka, Ella Kodet, Amy J. Walker, Patricia F. |
author_sort | DeSilva, Malini B. |
collection | PubMed |
description | In the United States, there is poor clinician adherence to the American Association for the Study of Liver Disease and other guidelines for chronic hepatitis B virus (CHB) management. This prospective cohort study evaluated whether a CHB registry improves CHB management. We included patients with CHB aged ≥ 18 years and who had a clinical encounter during September 1, 2016–August 31, 2019. We divided patients into three groups based on care received before September 1, 2019: 1) CIH: primary care clinician at HealthPartners Center for International Health, 2) GI: not CIH and seen by gastroenterology within previous 18 months, and 3) primary care (PC): not CIH and not seen by gastroenterology within previous 18 months. We created and implemented a CHB registry at CIH that allowed staff to identify and perform outreach to patients overdue for CHB management. Patients with laboratory testing (i.e., alanine transaminase and hepatitis B virus DNA) and hepatocellular carcinoma screening in the previous 12 months were considered up to date (UTD). We compared UTD rates between groups at baseline (September 1, 2019) and pilot CHB registry end (February 28, 2020). We evaluated 4,872 patients, 52% of whom were female: 213 CIH, 656 GI, and 4,003 PC. At baseline, GI patients were most UTD (69%) followed by CIH (51%) and PC (11%). At pilot end the percent of UTD patients at CIH increased by 11%, GI decreased by 10%, and PC was unchanged. CHB registry use standardized care and increased the percent of CHB patients with recent laboratory testing and HCC screening. |
format | Online Article Text |
id | pubmed-9294691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The American Society of Tropical Medicine and Hygiene |
record_format | MEDLINE/PubMed |
spelling | pubmed-92946912022-07-21 Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry DeSilva, Malini B. Settgast, Ann Chrenka, Ella Kodet, Amy J. Walker, Patricia F. Am J Trop Med Hyg Research Article In the United States, there is poor clinician adherence to the American Association for the Study of Liver Disease and other guidelines for chronic hepatitis B virus (CHB) management. This prospective cohort study evaluated whether a CHB registry improves CHB management. We included patients with CHB aged ≥ 18 years and who had a clinical encounter during September 1, 2016–August 31, 2019. We divided patients into three groups based on care received before September 1, 2019: 1) CIH: primary care clinician at HealthPartners Center for International Health, 2) GI: not CIH and seen by gastroenterology within previous 18 months, and 3) primary care (PC): not CIH and not seen by gastroenterology within previous 18 months. We created and implemented a CHB registry at CIH that allowed staff to identify and perform outreach to patients overdue for CHB management. Patients with laboratory testing (i.e., alanine transaminase and hepatitis B virus DNA) and hepatocellular carcinoma screening in the previous 12 months were considered up to date (UTD). We compared UTD rates between groups at baseline (September 1, 2019) and pilot CHB registry end (February 28, 2020). We evaluated 4,872 patients, 52% of whom were female: 213 CIH, 656 GI, and 4,003 PC. At baseline, GI patients were most UTD (69%) followed by CIH (51%) and PC (11%). At pilot end the percent of UTD patients at CIH increased by 11%, GI decreased by 10%, and PC was unchanged. CHB registry use standardized care and increased the percent of CHB patients with recent laboratory testing and HCC screening. The American Society of Tropical Medicine and Hygiene 2022-07 2022-06-13 /pmc/articles/PMC9294691/ /pubmed/35895360 http://dx.doi.org/10.4269/ajtmh.21-1013 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article DeSilva, Malini B. Settgast, Ann Chrenka, Ella Kodet, Amy J. Walker, Patricia F. Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title | Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title_full | Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title_fullStr | Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title_full_unstemmed | Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title_short | Improving Care for Patients with Chronic Hepatitis B via Establishment of a Disease Registry |
title_sort | improving care for patients with chronic hepatitis b via establishment of a disease registry |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294691/ https://www.ncbi.nlm.nih.gov/pubmed/35895360 http://dx.doi.org/10.4269/ajtmh.21-1013 |
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