STUDY Abstract: THU-412 Among 1945–1965 birth cohort patients with at least one additional hepatitis C virus risk factor, one in eight were positive for HCV antibody: an underserved safety-net population experience – G. Hirode, et al.
Study Aims and Results: This study conducted in an urban hospital (Oakland, CA) evaluated a pilot program that integrated HCV screening into an outpatient endoscopy unit. Using the U.S. Preventative Services Task Force’s HCV screening guidelines, this study screened adults undergoing outpatient endoscopy from 2015 to 2017. None of the 1,752 adults evaluated were previously tested for HCV, of which 67% were found eligible.
Conclusions: Among those who completed HCV testing, the prevalence of HCV antibody-positive results was 3.4%. The highest occurrence of positive HCV-antibody results occurred in baby boomers (born 1945–1965) who had other risk factors (HIV positive, hepatitis B virus positive, history of intravenous drug use, previously incarcerated, or blood transfusion pre-1992). HCV prevalence was 12.5% in baby boomers with other HCV risk factors; the prevalence was nearly 27% in U.S.-born baby boomers with other HCV risk factors.
Editorial Comments: The part of this study that I find most noteworthy is the high number of adults who had not been previously screened for HCV. This shows the value of creating safety-net programs in order to identify people who meet HCV screening criteria, and might not otherwise be screened.
Share This Page