Identification of Risk Factors for Testing of Hepatitis C in Non-Birth Cohort Patients: Is Universal Screening Necessary?. (Record no. 5421)

MARC details
000 -LEADER
fixed length control field 03165nam a22004217a 4500
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fixed length control field 200902s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1932-0620
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/ADM.0000000000000702 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32732681
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Title Identification of Risk Factors for Testing of Hepatitis C in Non-Birth Cohort Patients: Is Universal Screening Necessary?.
251 ## - Source
Source Journal of Addiction Medicine. 2020 Jul 20
252 ## - Abbreviated Source
Abbreviated source J Addict Med. 2020 Jul 20
253 ## - Journal Name
Journal name Journal of addiction medicine
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Year 2020
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Manufacturer FY2021
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Publication status aheadofprint
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Date added to catalog 2020-09-02
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Abstract 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.
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Abstract 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.
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Abstract 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.
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Abstract 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).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Health Research Institute
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Institution MedStar Heart & Vascular Institute
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Institution MedStar Washington Hospital Center
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Department Medicine/Infectious Diseases
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Department MedStar Institute for Quality and Safety
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Medline publication type Journal Article
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Local Authors Basch, Peter
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Local Authors Fernandez, Stephen J
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Local Authors Fishbein, Dawn
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Local Authors Zeymo, Alexander
790 ## - Authors
All authors Basch P, Fernandez S, Fishbein D, Fleisher I, Geboy A, Hafeez M, Nichols W, Perez I, Smart A, Zeymo A
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/ADM.0000000000000702">https://dx.doi.org/10.1097/ADM.0000000000000702</a>
Public note https://dx.doi.org/10.1097/ADM.0000000000000702
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
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          MedStar Authors Catalog MedStar Authors Catalog 09/02/2020   32732681 32732681 09/02/2020 09/02/2020 Journal Article

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