Historique
Article de Périodique
Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting (2012)
Auteur(s) :
DRAINONI, M. L. ;
LITWIN, A. H. ;
SMITH, B. D. ;
KOPPELMAN, E. A. ;
McKEE, M. D. ;
CHRISTIANSEN, C. L. ;
GIFFORD, A. L. ;
WEINBAUM, C. M. ;
SOUTHERN, W. N.
Année
2012
Page(s) :
e115-e121
Langue(s) :
Anglais
Refs biblio. :
25
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
HEPATITE
;
DEPISTAGE
;
POPULATION A RISQUE
;
EFFICACITE
;
FACTEUR DE RISQUE
;
INJECTION
;
VOIE NASALE
;
QUESTIONNAIRE
;
MEDECIN GENERALISTE
Note générale :
Analyse dans le Flyer n°53, p. 4-6
Résumé :
OBJECTIVES: We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers.
METHODS: A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, chi(2) test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener.
RESULTS: Among screened patients, 27.8% (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4% (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, >= 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified.
CONCLUSIONS: A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.
METHODS: A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, chi(2) test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener.
RESULTS: Among screened patients, 27.8% (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4% (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, >= 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified.
CONCLUSIONS: A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.
Affiliation :
Department of Health and Policy Management, Boston University School of Public Health, Boston, MA, USA