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Addressing Barriers to Care in Hepatocellular Carcinoma: Promoting Equity and Access

Sindhu Vikash1, Fnu Vikash1, Aarushi Sudan1

  • 1Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, USA.

Cureus
|August 15, 2023
PubMed

Insights

Chronic hepatitis B virus infection, a leading cause of liver cancer, faces surveillance barriers. Continuity of care is crucial for managing hepatitis B virus infection and preventing advanced liver cancer.

Area of Science:

  • Hepatology
  • Oncology
  • Public Health

Background:

  • Chronic hepatitis B virus (HBV) infection is a primary driver of hepatocellular carcinoma (HCC).
  • Viral hepatitis mortality is projected to exceed that of HIV, tuberculosis, and malaria by 2040.
  • Significant barriers impede effective surveillance for chronic HBV infection (CHBVI).

Observation:

  • A 40-year-old male with CHBVI developed HCC and underwent surgical resection.
  • The patient experienced an interruption in insurance and medication, leading to a lack of continuous care.
  • This discontinuity resulted in HCC progression and widespread metastasis.

Findings:

  • Healthcare disparities significantly impact patient outcomes in chronic HBV infection management.
  • Loss of continuous care following treatment interruption can lead to disease progression and mortality.
  • The case underscores the critical need for uninterrupted medical care in managing HBV-related HCC.

Implications:

  • Addressing healthcare disparities is essential for improving outcomes in patients with chronic viral hepatitis.
  • Ensuring continuity of care is paramount for effective management of HBV infection and prevention of HCC.
  • This case highlights the urgent need for improved surveillance and access to consistent treatment for CHBVI patients.

Keywords:
hbeag-negativehealthcare disparityhepatitis b virushepatocellular carcinomapre-core mutantracial disparityracial inequities

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