Case-finding voor hepatitis B en C bij patiënten uit risicolanden

Epidemiology and management of hepatitis B and C in primary care in the Netherlands-data from the Rijnmond primary care database

“…This could be the consequence of the small number of viral hepatitis patients in every GP practice due to the low prevalence of viral hepatitis in the Netherlands (4). This has been confirmed in a recent Dutch qualitative study among GPs about finding of hepatitis B and C patients showed that many GPs indicated that they have limited knowledge about the (updated) GP guideline, lack of time during a consult to address hepatitis screening and an insufficient registration system (32). Although this study reported barriers for case finding, we believe this barriers (and possible interventions) are also applicable for the suboptimal management for viral hepatitis.…”

“…A decline in incidence has also been observed among other low-endemic countries such as United Kingdom and Iceland, possibly due to increased antiviral treatments using nationwide retrieval of lost to follow-up patients, and people who are imprisoned or inject(ed) drugs (29)(30)(31). However, the observed decline in incidence might also be caused by a potential decrease in diagnostic test for viral hepatitis in primary care, due to the barriers that GPs experience in case finding such as limited knowledge about viral hepatitis and subsequent risk groups or less attention for follow-up of abnormal liver tests (17,32). The increase of the number of GP practices in RPCD that originate from low-endemic areas of Rotterdam might also (partly) explain the decline in prevalence.…”

Epidemiology and management of hepatitis B and C in primary care in the Netherlands: data from the Rijnmond Primary Care database

“…This could be the consequence of the small number of viral hepatitis patients in every GP practice due to the low prevalence of viral hepatitis in the Netherlands ( 4 ). This has been confirmed in a recent Dutch qualitative study among GPs about case finding of hepatitis B and C patients showed that many GPs indicated that they have limited knowledge about the (updated) GP guideline, lack of time during a consult to address hepatitis screening and an insufficient registration system ( 32 ). Although this study reported barriers for case finding, we believe this barriers (and possible interventions) are also applicable for the suboptimal management for viral hepatitis.…”

“…A decline in incidence has also been observed among other low-endemic countries such as United Kingdom and Iceland, possibly due to increased antiviral treatments using nationwide retrieval of lost to follow-up patients, and people who are imprisoned or inject(ed) drugs ( 29–31 ). However, the observed decline in incidence might also be caused by a potential decrease in diagnostic test for viral hepatitis in primary care, due to the barriers that GPs experience in case finding such as limited knowledge about viral hepatitis and subsequent risk groups or less attention for follow-up of abnormal liver tests ( 17 , 32 ). The increase of the number of GP practices in RPCD that originate from low-endemic areas of Rotterdam might also (partly) explain the decline in prevalence.…”