Infrequent Clinical Assessment of Chronic Hepatitis B Patients in United States General Healthcare Settings

Clin Infect Dis. 2016 Nov 1;63(9):1205-1208. doi: 10.1093/cid/ciw516. Epub 2016 Aug 2.

Abstract

Among 2338 chronic hepatitis B patients followed during 2006-2013 in the Chronic Hepatitis Cohort Study, 78% had ≥1 alanine aminotransferase and 37% had ≥1 hepatitis B virus DNA level assessed annually. Among cirrhotic patients, 46% never had hepatic imaging. Patients in this cohort were insufficiently monitored for disease activity and hepatocellular carcinoma.

Keywords: chronic hepatitis B; clinical assessment; general healthcare; monitoring.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antiviral Agents / therapeutic use
  • Cohort Studies
  • Continuity of Patient Care
  • Delivery of Health Care*
  • Female
  • Follow-Up Studies
  • Hepatitis B, Chronic / complications
  • Hepatitis B, Chronic / drug therapy
  • Hepatitis B, Chronic / physiopathology
  • Hepatitis B, Chronic / therapy*
  • Humans
  • Liver Cirrhosis / virology
  • Male
  • Middle Aged
  • United States
  • Young Adult

Substances

  • Antiviral Agents