Hepatitis C virus in people with serious mental illness: An analysis of the care cascade at a tertiary health service with a pilot ‘identify and treat’ strategy

2021 ◽  
Author(s):  
Michael Braude ◽  
Timothy Phan ◽  
Danny Con ◽  
Ian Woolley ◽  
Suresh Sundram ◽  
...  
Keyword(s):  
Mental Illness ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Service ◽  
Serious Mental Illness ◽  
Care Cascade

scholarly journals Access to Direct-Acting Antiviral Treatment for Hepatitis C Virus Among Veterans With Serious Mental Illness

2020 ◽  
Vol 71 (2) ◽  
pp. 192-195
Author(s):  
Letitia E. Travaglini ◽  
Julie Kreyenbuhl ◽  
Meagan Graydon ◽  
Clayton H. Brown ◽  
Richard Goldberg ◽  
...  
Keyword(s):  
Mental Illness ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Serious Mental Illness ◽  
Antiviral Treatment ◽  
Direct Acting Antiviral ◽  
Direct Acting

scholarly journals Determinants of Hepatitis C Virus Prevalence in People With Serious Mental Illness

2021 ◽  
Vol 83 (1) ◽  
Author(s):  
Michael Rudi Braude ◽  
Timothy Phan ◽  
Anouk Dev ◽  
William Sievert
Keyword(s):  
Mental Illness ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Serious Mental Illness ◽  
Virus Prevalence

scholarly journals Understanding Associations Between Serious Mental Illness and Hepatitis C Virus Among Veterans: A National Multivariate Analysis

2009 ◽  
Vol 50 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Seth Himelhoch ◽  
John F. Mccarthy ◽  
Dara Ganoczy ◽  
Deborah Medoff ◽  
Amy Kilbourne ◽  
...  
Keyword(s):  
Mental Illness ◽  
Multivariate Analysis ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Serious Mental Illness

scholarly journals 1065. Hepatitis C Virus Care Cascade Assessment–One Step Closer to Micro-Elimination

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S561-S562
Author(s):  
Jehan F Chowdhury ◽  
Anna Winston ◽  
Tanya Zeina ◽  
Hong Gi Shim ◽  
Tine Vindenes
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Drug Use ◽  
Sustained Viral Response ◽  
The United States ◽  
World Health ◽  
Viral Response ◽  
Care Cascade ◽  
Care Gaps ◽  
Hcv Antibody

Abstract Background Hepatitis C virus (HCV) is a leading cause of advanced liver disease and death. In the United States about 3.5 million people are living with HCV, but only 50% are aware of the infection, 16% are prescribed treatment, and only 9% achieve sustained viral response. The World Health Organization published an HCV elimination goal for 2030 that strives to achieve a 65% reduction in HCV-related deaths and 90% reduction in transmission. An important step toward this goal is micro-elimination at local hospitals by addressing care gaps in the HCV care cascade. Figure 1 Methods We created a retrospective cohort of patients who tested positive for HCV antibody (HCV Ab+) between 2016 and 2018 at Tufts Medical Center in Boston, Massachusetts. We assessed achievement of care cascade steps including HCV viral load (VL) testing, linkage to care, treatment initiation, and sustained viral response (SVR). We also assessed patient demographics, clinical factors and HCV risk factors. We used STATA/IC 14.1 to conduct bivariate analysis to identify factors associated with loss to follow-up across each care cascade step. Results A total of 24,308 HCV antibody tests were done during this timeframe, of which 5% (n=1,222) were HCV Ab+. After excluding duplicate tests, 1,041 unique patients with HCV Ab+ were included. This cohort had a mean age of 47 years and were 61% male, 66% white, 72% on public insurance, 12% HIV-positive, 13% HCV treatment-experienced. The most frequent HCV risk factor was injection drug use, occurring in 64% of patients. Of patients with HCV Ab+, 76% (n=791) were tested for an HCV VL, of which 50% (n=393) had detectable VL and 50% (n=398) had undetectable VL. Of the patients with a detectable VL, 58% (n=226) were linked with care. Following care linkage, 69% (n=155) initiated treatment, of which 90% (n=139) completed treatment, of which 97% (n=135) achieved SVR (Figure 1). Factors that were significantly associated with getting a VL test and linking to care included private insurance, HIV co-infection, absence of intravenous drug use and cirrhosis; however, these factors were not significantly associated with achieving subsequent steps. Conclusion Assessment of the HCV care cascade at our hospital allowed us to identify clear care gaps and areas needing improvement towards a local micro-elimination. Disclosures All Authors: No reported disclosures

Trends in mental health service use by age among adults with serious mental illness

2019 ◽  
Vol 30 ◽  
pp. 71-73
Author(s):  
Natasha E. Latzman ◽  
Heather Ringeisen ◽  
Valerie L. Forman–Hoffman ◽  
Breda Munoz ◽  
Shari Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Serious Mental Illness ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Quantifying the risk of undetectedHIV, hepatitis B virus, or hepatitis C virus infection in Public Health Service increased risk donors

2019 ◽  
Vol 19 (9) ◽  
pp. 2583-2593 ◽  
Author(s):  
Jefferson M. Jones ◽  
Brian M. Gurbaxani ◽  
Alice Asher ◽  
Stephanie Sansom ◽  
Pallavi Annambhotla ◽  
...  
Keyword(s):  
Public Health ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Hepatitis B Virus ◽  
Virus Infection ◽  
Health Service ◽  
Public Health Service ◽  
Hepatitis C Virus Infection ◽  
Increased Risk ◽  
B Virus

scholarly journals Chronic Pain Treatment and Health Service Utilization of Veterans with Hepatitis C Virus Infection

Pain Medicine ◽  
2012 ◽  
Vol 13 (11) ◽  
pp. 1407-1416 ◽  
Author(s):  
Travis I. Lovejoy ◽  
Steven K. Dobscha ◽  
Renee Cavanagh ◽  
Dennis C. Turk ◽  
Benjamin J. Morasco
Keyword(s):  
Chronic Pain ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Virus Infection ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Pain Treatment ◽  
Hepatitis C Virus Infection ◽  
Chronic Pain Treatment

scholarly journals Birth Cohort Testing for Hepatitis C Virus — Indian Health Service 2012–2015

2016 ◽  
Vol 65 (18) ◽  
pp. 467-469 ◽  
Author(s):  
Brigg Reilley ◽  
Jessica Leston ◽  
Susan Hariri ◽  
Lisa Neel ◽  
Miles Rudd, ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Service ◽  
Birth Cohort ◽  
Indian Health Service ◽  
Indian Health
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