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- Title
Effectiveness of a Risk Screener in Identifying Hepatitis C Virus in a Primary Care Setting.
- Authors
Drainoni, Mari-Lynn; Litwin, Alain H.; Smith, Bryce D.; Koppelman, Elisa A.; McKee, M. Diane; Christiansen, Cindy L.; Gifford, Allen L.; Weinbaum, Cindy M.; Southern, William N.
- Abstract
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, v2 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.
- Subjects
UNITED States; BLOOD transfusion; HEPATITIS C risk factors; MEDICAL screening; IDENTIFICATION -- Methodology; CENTERS for Disease Control &; Prevention (U.S.); CHI-squared test; LIVER diseases; MATERNAL-fetal exchange; HEALTH outcome assessment; PATIENTS; PRIMARY health care; RESEARCH funding; SERODIAGNOSIS; T-test (Statistics); PILOT projects; ENVIRONMENTAL exposure; INTRAVENOUS drug abusers; ALANINE aminotransferase; HEALTH care reminder systems; ELECTRONIC health records; SEXUAL partners; STATISTICAL models; DESCRIPTIVE statistics; HISTORY
- Publication
American Journal of Public Health, 2012, Vol 102, Issue 11, pe115
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2012.300659