Treatment Outcomes of Hepatitis C-Infected Patients in Specialty Clinic vs. Primary Care Physician Clinic: A Comparative Analysis.
Gastroenterol Res Pract
; 2019: 8434602, 2019.
Article
em En
| MEDLINE
| ID: mdl-31281352
ABSTRACT
BACKGROUND:
Oral direct-acting antivirals (DAAs) provide an exceptional opportunity to treat hepatitis C virus (HCV) infection. GOALS We compared the treatment outcomes between specialty and primary care physician (PCP) clinics for patients treated with DAAs.METHODS:
We performed a retrospective analysis of patients treated for HCV in our PCP clinics and specialty; liver and gastroenterology clinics and gastroenterology clinics. We used the two-sided t-test and the chi-square test to compare the means of continuous and categorical variables, respectively.RESULTS:
Data from a total of 377 patients was analyzed (PCP clinic n = 185 and specialty clinic n = 192). There was no significant difference between age, race, and gender. Model for End-Stage Liver Disease (MELD) and Child-Turcotte-Pugh (CTP) scores were comparable at baseline. Greater than 90% of the patients achieved sustained virological response (SVR) with no difference between the groups.CONCLUSIONS:
Uncomplicated patients can be treated for hepatitis C by their PCPs with DAAs with similar treatment outcomes to specialty clinics. There should be explicit guidelines on patient eligibility for treatment by PCPs vs. specialists.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Guideline
/
Prognostic_studies
Idioma:
En
Revista:
Gastroenterol Res Pract
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos