Evidence for the insufficient evaluation and undertreatment of chronic hepatitis B infection in a predominantly low-income and immigrant population

Journal of Gastroenterology and Hepatology
Chin W JungLoren G Miller

Abstract

Many physicians remain unaware of contemporary treatments for chronic hepatitis B (HBV) infection and do not treat their HBV-infected patients or refer them for treatment. The aim of the present study was to determine the rates of laboratory evaluation and treatment of HBV infection in a predominantly low-income and immigrant population. We identified adult patients who tested positive for hepatitis B surface antigen between 1 January 1994 and 30 April 2006. We reviewed patients' medical records to determine two outcomes: (i) receipt of pretreatment evaluation of HBV infection; and (ii) receipt of HBV treatment. We then examined clinical and demographic factors associated with these outcomes. Twenty-eight percent of 1231 HBV surface antigen-positive patients received additional laboratory evaluation of their infection. In a multivariate analysis, receipt of a HBV evaluation was independently associated with (P < 0.05) female sex, longer duration of HBV infection, more visits to a gastroenterology clinic and less recent health-care contact. Data on treatment were available for 56% of patients; among these, 16% received HBV treatment. In the multivariate analysis, receipt of HBV treatment was independently associated with (P < 0....Continue Reading

References

Jun 1, 1991·The Journal of Allergy and Clinical Immunology·R S ZeigerM Schatz
Mar 3, 1999·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·S M LinY F Liaw
Oct 21, 1999·The New England Journal of Medicine·J L DienstagN A Brown
Jan 13, 2000·Journal of General Internal Medicine·S R MajumdarS B Soumerai
Dec 4, 2001·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·A S LokUNKNOWN Practice Guidelines Committee, American Association for the Study of Liver Diseases
Jan 14, 2003·Archives of Internal Medicine·Christopher I LiJanet R Daling
Feb 28, 2003·The New England Journal of Medicine·Patrick MarcellinUNKNOWN Adefovir Dipivoxil 437 Study Group
Mar 5, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Anna S F LokUNKNOWN Practice Guidelines Committee, American Association for the Study of Liver Diseases (AASLD)
Apr 23, 2004·Journal of Human Hypertension·H SchellemanW M M Verschuren
Oct 8, 2004·The New England Journal of Medicine·Yun-Fan LiawUNKNOWN Cirrhosis Asian Lamivudine Multicentre Study Group
Jul 1, 2005·The New England Journal of Medicine·George K K LauUNKNOWN Peginterferon Alfa-2a HBeAg-Positive Chronic Hepatitis B Study Group
Jul 30, 2005·Journal of General Internal Medicine·James A MorrillRichard W Grant
Aug 17, 2005·Seminars in Liver Disease·Norah J Shire, Kenneth E Sherman
Nov 16, 2005·Journal of the American College of Cardiology·Rita F Redberg
Mar 10, 2006·The New England Journal of Medicine·Ting-Tsung ChangUNKNOWN BEHoLD AI463022 Study Group
Aug 17, 2006·Liver International : Official Journal of the International Association for the Study of the Liver·Scott K FungAnna S F Lok
Jan 30, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Anna S F Lok, Brian J McMahon
Jun 15, 2007·Orvosi hetilap·Beáta Gasztonyi
Oct 2, 2008·HIV Medicine·B G GazzardUNKNOWN BHIVA Treatment Guidelines Writing Group

❮ Previous
Next ❯

Citations

Apr 18, 2013·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Qing FangDong-Liang Yang
Apr 9, 2013·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Nghi B HaMindie H Nguyen
Sep 21, 2013·Digestive Diseases and Sciences·Blaire E BurmanMandana Khalili
Oct 15, 2013·Digestive Diseases and Sciences·Kevin C KuMindie H Nguyen
Nov 6, 2012·Journal of Viral Hepatitis·G AntonucciUNKNOWN Coorte Epatiti B SIMIT (COESI-B) Group
Jan 19, 2011·Internal Medicine Journal·C M N CroaghP V Desmond
Jul 19, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Paul MartinIra M Jacobson
May 13, 2015·Health and Quality of Life Outcomes·Seung Ju KimEun-Cheol Park
Oct 25, 2016·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Gianluca CuomoUNKNOWN HBV-RER Group
Sep 16, 2016·Clinical and Translational Gastroenterology·Ruma Rajbhandari, Raymond T Chung
Sep 7, 2019·European Journal of Gastroenterology & Hepatology·Dalia Morales-ArraezManuel Hernández-Guerra
May 27, 2014·Journal of Clinical Gastroenterology·Lindsay A UribeMindie H Nguyen
Mar 5, 2016·Journal of Viral Hepatitis·R RajbhandariR T Chung
Apr 3, 2020·Digestive Diseases and Sciences·Nizar A MukhtarMandana Khalili
Jun 17, 2015·World Journal of Gastroenterology : WJG·Stephanie D ChaoSamuel K So
Oct 9, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Tommaso StroffoliniUNKNOWN Collaborating group
Jul 31, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Paul MartinIra M Jacobson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antivirals

Antivirals are medications that are used specifically for treating viral infections. Discover the latest research on antivirals here.

Antivirals (ASM)

Antivirals are medications that are used specifically for treating viral infections. Discover the latest research on antivirals here.

Related Papers

Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology
Ya-juan LiJin-qun Zhong
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Yu-Tse TsanPau-Chung Chen
© 2022 Meta ULC. All rights reserved