ArticleLiver international : official journal of the International Association for the Study of the Liver2013
Formal hepatitis C education enhances HCV care coordination, expedites HCV treatment and improves antiviral response.
Article in Liver international : official journal of the International Association for the Study of the Liver, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 53 citations in OpenAlex.
- A novel mHealth application for improving HIV and Hepatitis C knowledge in individuals with opioid use disorder: A pilot study.Drug and alcohol dependence · 2018Trial
- Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations.Gastro hep advances · 2025Article
- Exploring the Perspectives of Unhoused Adults and Providers Across the HCV Care Continuum.Clinical nursing research · 2024Article
- Rapid point-of-care testing for hepatitis C - assessment of feasibility, knowledge of participants and outcomes.Gastroenterology and hepatology from bed to bench · 2024Article
- Care for Vulnerable Populations with Chronic Liver Disease: A Safety-Net Perspective.Healthcare (Basel, Switzerland) · 2023Review
- Reliving it All Over Again: Uncanny Temporalities of Injection Drug Use and Hepatitis C Diagnosis in Southwest Virginia, USA.Medical anthropology · 2023Article
- Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial.Open forum infectious diseases · 2023Article
- Innovations in education: A prospective study of storytelling narratives to enhance hepatitis C virus knowledge among substance users.World journal of hepatology · 2022Article
- Formal Hepatitis C Education Increases Willingness to Receive Therapy in an On-site Shelter-Based HCV Model of Care in Persons Experiencing Homelessness.Open forum infectious diseases · 2022Article
- Illness perception about hepatitis C virus infection: a cross-sectional study from Khyber Pakhtunkhwa Pakistan.BMC infectious diseases · 2022Article
- Coordination, Cost, and Changing Epidemiology-Considerations in the Hepatitis C Care Cascade.Hepatology communications · 2021Article
- Knowledge among patients with Hepatitis C initiating on direct-acting antiviral treatment in rural Rwanda: A prospective cohort study.Global health action · 2021Article
- HEPATITIS C PSYCHOEDUCATION CURRICULUM TOPICS GENERATED BY GROUP MEMBERS.Social work with groups · 2021Article
- Impact of routine opt-out HIV/HCV screening on testing uptake at a syringe services program: An interrupted time series analysis.The International journal on drug policy · 2020Article
- A Patient-Centered Hepatitis B Virus (HBV) Educational Intervention Improves HBV Care Among Underserved Safety-Net Populations.Journal of clinical gastroenterology · 2020Article
- Recommendations for Implementing Hepatitis C Virus Care in Homeless Shelters: The Stakeholder Perspective.Hepatology communications · 2020Article
- Hepatitis C Treatment Cascade in a Federally Qualified Health Center.Journal of community health · 2020Article
- Integrating primary and secondary care to optimize hepatitis C treatment: development and evaluation of a multidisciplinary educational Masterclass series.The Journal of antimicrobial chemotherapy · 2019Article
- HepCare Europe: a new user-friendly hepatitis C care service model. What have we learned? What are the remaining challenges?The Journal of antimicrobial chemotherapy · 2019Article
- Race and Hepatitis C Care Continuum in an Underserved Birth Cohort.Journal of general internal medicine · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND &
aimsFormal Hepatitis C virus (HCV) education improves HCV knowledge but the impact on treatment uptake and outcome is not well described. We aimed to evaluate the impact of formal HCV patient education on primary provider-specialist HCV comanagement and treatment.
methodsPrimary care providers within the San Francisco safety-net health care system were surveyed and the records of HCV-infected patients before and after institution of a formal HCV education class by liver specialty (2006-2011) were reviewed retrospectively.
resultsCharacteristics of 118 patients who received anti-HCV therapy were: mean age 51, 73% males and ~50% White and uninsured. The time to initiation of HCV treatment was shorter among those who received formal education (median 136 vs 284 days, P < 0.0001). When controlling for age, gender, race and HCV viral load, non-1 genotype (OR 6.17, 95% CI 2.3-12.7, P = 0.0003) and receipt of HCV education (OR 3.0, 95% CI 1.1-7.9, P = 0.03) were associated with sustained virologic treatment response. Among 94 provider respondents (response rate = 38%), mean age was 42, 62% were White, and 63% female. Most providers agreed that the HCV education class increased patients' HCV knowledge (70%), interest in HCV treatment (52%), and provider-patient communication (56%). A positive provider attitude (Coef 1.5, 95% CI 0.1-2.9 percent, P = 0.039) was independently associated with referral rate to education class.
conclusionsFormal HCV education expedites HCV therapy and improves virologic response rates. As primary care provider attitude plays a significant role in referral to HCV education class, improving provider knowledge will likely enhance access to HCV specialty services in the vulnerable population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.