School of Medicine, Tufts University, Boston, Massachusetts.
Division of Gastroenterology and Hepatology, Highland Hospital, Alameda Health System, Oakland, California.
Clin Gastroenterol Hepatol. 2019 Aug;17(9):1909-1911. doi: 10.1016/j.cgh.2018.10.003. Epub 2018 Oct 4.
Successful linkage and retention of newly diagnosed hepatitis B virus (HBV) patients is critical for disease monitoring. Existing studies have demonstrated significant gaps in the HBV care continuum among U.S. veterans and have mostly focused on adherence to laboratory testing or initial linkage. However, retention is especially important, given that decisions to start antiviral therapies are often not made until subsequent evaluation, and studies report high rates of becoming treatment-eligible among patients who were not eligible at initial evaluation. Given the existing system and socioeconomic barriers in access to care, understanding contributors to gaps and delays in HBV linkage and retention among safety-net populations is critical. We aim to evaluate prevalence and predictors of linkage and retention among HBV patients at an urban safety-net hospital.
成功地将新诊断的乙型肝炎病毒 (HBV) 患者与医疗系统相联系并维持其接受治疗，对疾病监测至关重要。现有研究表明，美国退伍军人的 HBV 治疗连续性方面存在显著差距，且大多数研究都集中在对实验室检测或初步联系的依从性上。然而，保持联系尤为重要，因为开始抗病毒治疗的决定通常要等到后续评估后才做出，而且研究报告称，在最初评估时不符合条件的患者中，有很高的比例会成为治疗合格者。鉴于现有的医疗系统和获得医疗服务的社会经济障碍，了解安全网人群中 HBV 患者联系和保持联系方面差距和延迟的原因至关重要。我们的目的是评估城市安全网医院中 HBV 患者的联系和保持率的流行率及其预测因素。
