ArticleDigestive diseases and sciences2014
Hepatitis B management in vulnerable populations: gaps in disease monitoring and opportunities for improved care.
Article in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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Who cites it
28 citing papers in PubMed.
- A Comparative Trial of Improving Care for Underserved Asian Americans Infected with Hepatitis B Virus.Digestive diseases and sciences · 2023Trial
- Clinician-Level Knowledge and Barriers to Hepatocellular Carcinoma Surveillance.JAMA network open · 2024Article
- Assessing Adherence to US LI-RADS Follow-up Recommendations in Vulnerable Patients Undergoing Hepatocellular Carcinoma Surveillance.Radiology. Imaging cancer · 2024Article
- Training the healthcare workforce to support task-shifting and viral hepatitis elimination: a global review of English language online trainings and in-person workshops for management of hepatitis B and C infection.BMC health services research · 2023Review
- Training the healthcare workforce: the global experience with telementorship for hepatitis B and hepatitis C.BMC health services research · 2023Article
- Article
- Patient-, Provider-, and System-Level Barriers to Surveillance for Hepatocellular Carcinoma in High-Risk Patients in the USA: a Scoping Review.Journal of gastrointestinal cancer · 2023Article
- Racial Disparities in Treatment Initiation and Outcomes of Chronic Hepatitis B Virus Infection in North America.JAMA network open · 2023Observational
- Leveraging a community-based participatory approach to improve linkage to care for HBV.Clinical liver disease · 2023Article
- Improving Long-Term Adherence to Monitoring/Treatment in Underserved Asian Americans with Chronic Hepatitis B (CHB) through a Multicomponent Culturally Tailored Intervention: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2022Article
- Review of Updated Hepatitis B Vaccine Recommendations and Potential Challenges With Implementation.Gastroenterology & hepatology · 2022Article
- Patient Knowledge, Beliefs and Barriers to Hepatitis B Care: Results of a Multicenter, Multiethnic Patient Survey.Digestive diseases and sciences · 2021Article
- Knowledge and Perceptions of Hepatitis B and Hepatocellular Carcinoma Screening Guidelines Among Trainees: A Tale of Three Centers.Digestive diseases and sciences · 2020Article
- A Patient-Centered Hepatitis B Virus (HBV) Educational Intervention Improves HBV Care Among Underserved Safety-Net Populations.Journal of clinical gastroenterology · 2020Article
- Barriers to Disease Monitoring and Liver Cancer Surveillance Among Patients with Chronic Hepatitis B in the United States.Journal of community health · 2019Review
- Management of Chronic Hepatitis B: Knowledge and Practices of Physicians in Pakistan.Journal of clinical and experimental hepatology · 2018Article
- Liver Disease Monitoring Practices After Hepatitis C Cure in the Underserved Population.Hepatology communications · 2018Article
- High Prevalence of Cirrhosis at Initial Presentation Among Safety-Net Adults with Chronic Hepatitis B Virus Infection.Journal of clinical and experimental hepatology · 2018Article
- Review
- Provider, Patient, and Practice Factors Shape Hepatitis B Prevention and Management by Primary Care Providers.Journal of clinical gastroenterology · 2017Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundHepatitis B (HBV) is prevalent in certain US populations and regular HBV disease monitoring is critical to reducing associated morbidity and mortality. Adherence to established HBV monitoring guidelines among primary care providers is unknown.
aimsThe purpose of this study was to evaluate HBV disease monitoring patterns and factors associated with adherence to HBV management guidelines in the primary care setting.
methodsPrimary providers within the San Francisco safety net healthcare system were surveyed for HBV management practices, knowledge, attitudes, and barriers to HBV care. Medical records from 1,727 HBV-infected patients were also reviewed retrospectively.
resultsOf 148 (45 %) responding providers, 79 % reported ALT and 44 % reported HBV viral load testing every 6-12 months. Most providers were knowledgeable about HBV but 43 % were unfamiliar with HBV management guidelines. Patient characteristics included: mean age 51 years, 54 % male and 67 % Asian. Within the past year, 75 % had ALT, 24 % viral load, 21 % HBeAg tested, and 40 % of at-risk patients had abdominal imaging for HCC. Provider familiarity with guidelines (OR 1.02, 95 % CI 1.00-1.03), Asian patient race (OR 4.18, 95 % CI 2.40-7.27), and patient age were associated with recommended HBV monitoring. Provider HBV knowledge and attitudes were positively associated, while provider age and perceived barriers were negatively associated with HCC surveillance.
conclusionsComprehensive HBV disease monitoring including HCC screening with imaging were suboptimal. While familiarity with AASLD guidelines and patient factors were associated with HBV monitoring, only provider and practice factors were associated with HCC surveillance. These findings highlight the importance of targeted provider education to improve HBV care.
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