Offers of Hepatitis C Care Do Not Lead to Treatment
- 78 Downloads
Since 2002, clinicians have been encouraged to offer chronic hepatitis C virus (HCV) treatment to patients with injection drug use histories. We conducted 69 baseline and 35 follow-up interviews between September 2002 and November 2004 with HCV patients who were treatment-naïve and receiving regular medical care at an HIV or methadone clinic in New York City at baseline. Of the 31 patients reinterviewed, 20 (65%) were offered treatment but only 2 (7%) were treated. Reasons for failure to be reinterviewed were loss to follow-up at the original site of care (30), death (6), and refusal to be reinterviewed (2). Whereas offers of HCV treatment may be increasing, there is a need to improve continuity of care, patient–provider communication, and patient education regarding HCV treatment options for treatment rates to improve.
KeywordsHealth status Hepatitis C treatment HIV coinfection Methadone maintenance treatment.
The authors gratefully acknowledge Alvin I. Mushlin, M.D., M.Sc. for his input and guidance; Eugenia Curet, Ph.D., Kim Alexander, M.S.W., Cecilia Schamisso, R.N., Jonathan Jacobs, M.D., Catherine Lopez, Leonard Berkowitz, M.D., Heather Wilantewicz, R.P.A.-C., Rose Tirelli, N.P., John Burgess, M.D., and Paul Falk, M.P.A. for their assistance in study recruitment; the study subjects for their participation; Michael Kattan, Ph.D. and Paul Fearn, M.A. for developing the rating scale and standard gamble assessment software; and Brian Edlin, M.D., Andrew Tallal, M.D., M.P.H., Stephen J. Ferrando, M.D., and Edgar Charles, M.D. for helpful comments on a previous draft. This study was supported in part by the New York City Council Speaker’s Fund for Public Health Research and the National Institutes of Health (K01 DA017179).
- 1.Management of Hepatitis C. NIH Consens. State Sci. Statements. 2002;19(3):1–41, Jun 10–12.Google Scholar
- 2.Schackman BR, Teixeira PA, et al. Evaluation Of Chronic Hepatitis C Health States By Patients Prior To Treatment And By Providers. Chicago, IL: Annual Meeting of the Society for Medical Decision Making; 2003Google Scholar