Document Detail


Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting.
MedLine Citation:
PMID:  22994166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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, χ(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.
Authors:
Mari-Lynn Drainoni; Alain H Litwin; Bryce D Smith; Elisa A Koppelman; M Diane McKee; Cindy L Christiansen; Allen L Gifford; Cindy M Weinbaum; William N Southern
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-09-20
Journal Detail:
Title:  American journal of public health     Volume:  102     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-11     Completed Date:  2013-01-04     Revised Date:  2014-11-05    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e115-21     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Alanine Transaminase / blood
Continental Population Groups / statistics & numerical data
Female
Hepatitis C / diagnosis*
Humans
Insurance Coverage / statistics & numerical data
Insurance, Health / statistics & numerical data
Male
Primary Health Care / methods*
Reminder Systems*
Risk Factors
Grant Support
ID/Acronym/Agency:
HHSA2902006000012 T0#4//PHS HHS
Chemical
Reg. No./Substance:
EC 2.6.1.2/Alanine Transaminase
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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