Identification of Risk Factors for Testing of Hepatitis C in Non-Birth Cohort Patients: Is Universal Screening Necessary?. (Record no. 8892)

000 -LEADER
fixed length control field 03215nam a22005177a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200902s20202020 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 32732681
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1932-0620
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/ADM.0000000000000702 [doi]
190 ## -
-- Smart A
190 ## -
-- Geboy A
190 ## -
-- Basch P
190 ## -
-- Nichols W
190 ## -
-- Zeymo A
190 ## -
-- Perez I
190 ## -
-- Hafeez M
190 ## -
-- Fleisher I
190 ## -
-- Fernandez S
190 ## -
-- Fishbein D
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Basch, Peter
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Zeymo, Alexander
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Fernandez, Stephen J
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Fishbein, Dawn
245 ## - TITLE STATEMENT
Title Identification of Risk Factors for Testing of Hepatitis C in Non-Birth Cohort Patients: Is Universal Screening Necessary?.
251 ## -
-- Journal of Addiction Medicine. 2020 Jul 20
252 ## -
-- J Addict Med. 2020 Jul 20
253 ## -
-- Journal of addiction medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
-- aheadofprint
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020
269 ## -
-- FY2021
520 ## - SUMMARY, ETC.
Summary, etc. OBJECTIVES: CDC reported that 45% of Hepatitis C (HCV) infected people denied known risk factors. Electronic health record RF-based, non-Birth Cohort (born outside of years 1945-1965) screening is challenging as risk factors are often input as nonsearchable data. Testing non-Birth Cohort patients solely based on risk factors has the potential to miss a substantial number of HCV infected patients. The aim was to determine the HCV antibody positive prevalence who would have been missed had providers only followed risk factor based screening recommendations.
520 ## - SUMMARY, ETC.
Summary, etc. METHODS: A 1:3 case-control retrospective nested chart review was conducted. HCV risk factors and opioid prescriptions were manually abstracted from the Electronic Health Record; other variables were collected using Explorys. In July 2015 HCV screening data was collected on non-Birth Cohort patients who were HCV tested across MedStar Health, as a presumptive marker for high risk. Univariate and multivariate logistic regression models were utilized to determine HCV antibody positive predictors.
520 ## - SUMMARY, ETC.
Summary, etc. RESULTS: Eighteen (23%) HCV antibody positive and 123 (49%) HCV antibody negative had no identified risk factors; 6 (33%) HCV antibody positive reported risk factors only after a positive test result. There was a significant interaction between age over 40 and opioid prescription use; these groups were 11x more likely to be HCV antibody positive (CI95 1.6-74.8).
520 ## - SUMMARY, ETC.
Summary, etc. CONCLUSIONS: HCV testing solely based on presence of risk factors in non-Birth Cohort patients has the potential to miss a significant number of HCV antibody positive patients. Given patient- and provider-level barriers in elucidating risk factors, universal HCV antibody screening may be warranted.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
656 ## - INDEX TERM--OCCUPATION
Occupation MedStar Institute for Quality and Safety
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Washington Hospital Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Heart & Vascular Institute
656 ## - INDEX TERM--OCCUPATION
Occupation Medicine/Infectious Diseases
657 ## - INDEX TERM--FUNCTION
Function Journal Article
857 ## -
-- https://dx.doi.org/10.1097/ADM.0000000000000702
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2020-09-02 32732681 2020-09-02 2020-09-02 Journal Article

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