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Enhancing linkage to care for hepatitis B, D, and C patients: A retrospective-prospective study

Elena Vargas-Accarino1,2, Ariadna Rando-Segura3, Adriana Palom2,4

  • 1Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.

Alimentary Pharmacology & Therapeutics
|August 28, 2024
PubMed

Insights

A strategy successfully reintegrated 47.2% of viral hepatitis patients into care. This initiative aimed to connect individuals diagnosed with hepatitis B, D, or C to essential medical management and reduce fatalities.

Area of Science:

  • Hepatology
  • Public Health
  • Infectious Diseases

Background:

  • The World Health Organization (WHO) targets a 65% reduction in viral hepatitis fatalities by 2030.
  • Viral hepatitis, including hepatitis B, D, and C, remains a significant global health concern.

Purpose of the Study:

  • To identify and re-engage all diagnosed individuals with hepatitis B, D, or C into appropriate medical care.
  • To investigate reasons for the lack of linkage to care among diagnosed patients.

Main Methods:

  • A retrospective-prospective search was conducted in a central laboratory database for patients with hepatitis B, D, or C virus (HBV, HDV, HCV) infection.
  • Patient records were reviewed, and individuals were contacted to offer specialist medical visits for reintegration into care.

Main Results:

  • Out of 3731 viral hepatitis patients, 644 (37%) with HBV, 20 (29%) with HDV, and 1116 (56%) with HCV were not linked to care.
  • A linkage strategy successfully reintegrated 64% of HBV, 100% of HDV, and 27% of HCV patients into care.
  • 35.8% of patients requiring linkage had moved or lacked contact data, highlighting logistical challenges.

Conclusions:

  • The implemented linkage strategy successfully reintegrated a significant proportion of eligible viral hepatitis patients into care.
  • Overall, 47.2% of eligible patients were linked to care, demonstrating the strategy's effectiveness in improving patient management.
  • Addressing barriers such as patient relocation and incomplete data is crucial for optimizing care linkage in viral hepatitis management.
Abstract

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