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dc.contributor.authorKiss, Debra
dc.contributor.authorChidwick, K
dc.contributor.authorGray, R
dc.contributor.authorYoo, J
dc.contributor.authorAufgang, M
dc.contributor.authorZekry, A
dc.date.accessioned2019-10-03T04:12:41Z
dc.date.available2019-10-03T04:12:41Z
dc.date.issued2018
dc.identifier.issn2208-794X
dc.identifier.doi10.31128/AJGP-02-18-4482
dc.identifier.urihttp://hdl.handle.net/10072/388033
dc.description.abstractBackground and objectives: Direct-acting antivirals (DAAs) became available for patients with chronic hepatitis C (CHC) in primary care in March 2016, yet not all patients will have undergone pre-treatment assessment. The aim of this study was to assess where patients with CHC are situated in the diagnosis and care continuum, to encourage general practitioners (GPs) to improve pretreatment assessment and increase DAA treatment uptake. Methods: This was a cross-sectional study of 4025 adult patients with CHC first recorded between 2013 and 2017, using the general practice data program MedicineInsight. Results: Only half of all patients with confirmed CHC had a hepatitis C virus qualitative RNA recorded, and few patients had all recommended pretreatment assessments. The majority had low aspartate aminotransferase to platelet ratio index (APRI) scores. Discussion: Incomplete pretreatment assessment is likely to be a reflection of the recent shift in management of CHC to primary care. The majority of patients have APRI results that suggest cirrhosis is unlikely, and they are potentially suitable for treatment in primary care. This highlights a substantial opportunity for GPs to recall patients for further assessment and treatment.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherRoyal Australian College of General Practitioners
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom639
dc.relation.ispartofpageto645
dc.relation.ispartofissue9
dc.relation.ispartofjournalAustralian Journal of General Practice
dc.relation.ispartofvolume47
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchcode119999
dc.titleInsights into the management of chronic hepatitis C in primary care using MedicineInsight.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKiss, D; Chidwick, K; Gray, R; Yoo, J; Aufgang, M; Zekry, A, Insights into the management of chronic hepatitis C in primary care using MedicineInsight., Australian Journal of General Practice, 2018, 47 (9), pp. 639-645
dc.date.updated2019-10-03T03:52:33Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyrightKiss, et al., Insights into the management of chronic hepatitis C in primary care using MedicineInsight. Australian Journal of General Practice 47 (9) pp.639-645. Available at https://doi.org/10.31128/AJGP-02-18-4482
gro.hasfulltextFull Text
gro.griffith.authorKiss, Debra L.


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