Case finding for hepatitis C in primary care: a cost utility analysis

Case finding for hepatitis C in primary care: a cost utility analysis.

BACKGROUND Hepatitis C is an important public health problem. The need for more intensified action to identify those infected with the virus has been recognized. Primary care is an important setting for case finding. OBJECTIVES To estimate the cost utility of case finding for hepatitis C in primary care, specifically amongst former injecting drug users (IDUs). METHODS A Markov model was dev...

Case-finding for hepatitis C in primary care: a mixed-methods service evaluation.

BACKGROUND Hepatitis C is often asymptomatic, presenting with liver failure and cancer decades after infection. People who inject drugs (PWID) and immigrant populations from countries with a moderate-to-high prevalence of hepatitis C virus (HCV) are the main risk groups. Deaths and hospital admissions due to HCV cirrhosis tripled between 1998 and 2010, but the majority of people with chronic HC...

Screening for hepatocellular carcinoma in patients with hepatitis C cirrhosis: a cost-utility analysis

Screening for Hepatitis C in injecting drug users: a cost utility analysis.

BACKGROUND Hepatitis C is a major public health problem of increasing importance among injecting drug users, among whom screening has been proposed. We therefore estimated the cost utility of screening for hepatitis C infection among people with a history of injecting drug use in contact with drug misuse services. METHODS A spreadsheet-based model of screening using ELISA followed by polymera...

Determinants of successful chronic hepatitis C case finding among patients receiving opioid maintenance treatment in a primary care setting.

AIMS Injection drug users are at high risk for chronic hepatitis C virus infection (CHC). Opioid maintenance treatment (OMT) offers a unique opportunity to screen for CHC. This study proposed the hypothesis that a general practitioner (GP) with special interest in addiction medicine can achieve CHC screening rates comparable to specialized centres and aimed to investigate determinants for a suc...