Hepatitis C and HIV combined screening in primary care: A cluster randomized trial

Martínez-Sanz, Javier; Vivancos, María Jesús; Sánchez-Conde, Matilde; Gómez-Ayerbe, Cristina; Polo, Lidia; Labrador, C. Gómez; González, Patricia; Mesa, Alba; Muriel, Alfonso; Chamorro, Clotilde; Fuente, Yolanda de la; Elías, Pilar Pérez; Uranga, Almudena; Herrero, M. Carmen Sánchez; Ares, Sara; Barea, Rafael; Moreno, Santiago; Pérez-Elías, María Jesús

doi:10.1111/jvh.13413

Cited by 9 publications

(13 citation statements)

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“…A total of 4,717 HCV tests were performed, with 52 (1.1%) being positive. These results have been further described elsewhere ( 8 , 9 ).…”

Section: Resultssupporting

confidence: 62%

“…The comparison of these centers in terms of geographic characteristics, population, and providers is shown in Table S1 in the supplemental material. The initial work evaluated combined HCV and HIV screening and was previously published ( 8 ). Here, we present the specific results regarding the development of a questionnaire for targeted HCV screening.…”

Section: Methodsmentioning

confidence: 99%

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An Easy-to-Implement Risk Score for Targeted Hepatitis C Virus Testing in the General Population

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“…A total of 4,717 HCV tests were performed, with 52 (1.1%) being positive. These results have been further described elsewhere ( 8 , 9 ).…”

Section: Resultssupporting

confidence: 62%

Section: Methodsmentioning

confidence: 99%

An Easy-to-Implement Risk Score for Targeted Hepatitis C Virus Testing in the General Population

et al. 2022

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“…Universal opt-out HIV testing programs offered to all general medical admissions in a hospital have proven effective in improving HIV diagnosis in several studies ( 19 ). Formative strategies have proven to be helpful in primary care ( 17 , 18 , 20 ). However, data on these strategies in hospital settings are scarce.…”

Section: Discussionmentioning

confidence: 99%

HIV and HCV screening by non-infectious diseases physicians: can we improve testing and hidden infection rates?

Morales

Martínez‐Sanz

Vivancos-Gallego

et al. 2023

Front. Public Health

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BackgroundMissed opportunities for Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV) testing remain high. We aimed to ascertain the knowledge of screening guidelines and attitudes of non-infectious disease (ID) hospital physicians and assess the impact of a 1-h session on screening rates and diagnoses.MethodsThis interventional study consisted of a 1-h training session on HIV and HCV epidemiology and testing guidelines for non-ID physicians. Pre-and post-session questionnaires compared the knowledge of the guidelines and attitudes toward screening before and after the session. Rates of screening and diagnoses were compared in three 6 months periods: before, immediately after, and 24 months ±4 after the session.ResultsA total of 345 physicians from 31 departments participated in these sessions. Before the session, 19.9% (28% medical, 8% surgical) and 17.9% (30% medical, 2.7% surgical) were aware of HIV and HCV testing guidelines, respectively. The willingness to routinely test increased from 5.6 to 22%, whereas not ordering tests decreased from 34.1 to 2.4%. HIV screening rates significantly increased by 20% after the session (7.7 vs. 9.3 tests per 103 patients; p < 0.001), and the effect persisted until the long-term period. The HIV diagnosis rate increased globally (3.6 vs. 5.2 HIV diagnoses per 105 patients; p = 0.157), mainly because of medical services (4.7 vs. 7.7 per 105 patients; p = 0.082). The HCV screening rate increased significantly immediately and in the long term only in medical services (15.7 and 13.6%, respectively). The new active HCV infection rates increased immediately and declined steeply thereafter.ConclusionA short session for non-ID physicians can improve HIV/HCV screening, increase diagnosis, and contribute to disease elimination.

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“…Todo ello, ha facilitado el cribado de la infección en entornos de asistencia ambulatoria, evitando la pérdida de pacientes (Crespo et al, 2021;Gómez et al, 2020;Saludes et al, 2019Saludes et al, , 2020. Por otra parte, los comportamientos de riesgo asociados a esta población, así como la posibilidad de reinfección o de padecer otras infecciones, confirman que estos pacientes deberían de someterse a pruebas diagnósticas periódicas (Saludes et al, 2018), no solo para la reevaluación de la hepatitis C, sino también del VIH y VHB (en pacientes no vacunados) (Martínez-Sanz et al, 2021;Tucker et al, 2017).…”

Section: Discussionunclassified

Programa de certificación de Centros de Adicciones para la eliminación del virus de la hepatitis C en España. Proyecto HepCelentes

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Microelimination strategies for the hepatitis C virus (HCV) in vulnerable populations, such as users of Addiction Centres (AC), are key for the elimination of hepatitis C. The aim of the HepCelentes project was to design a certification program for AC from the generation of a guide with the criteria to favour the prevention, diagnosis, control, and treatment of HCV in Spain. The project was Las estrategias de microeliminación del virus de la hepatitis C (VHC) en poblaciones vulnerables, como los usuarios de los centros de adicciones (CA), son fundamentales para lograr la eliminación de la hepatitis C. El objetivo del proyecto HepCelentes fue diseñar un programa de certificación para los CA, a partir de la generación de una guía con los criterios para favorecer la prevención, diagnóstico, control

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Hepatitis C and HIV combined screening in primary care: A cluster randomized trial

Cited by 9 publications

References 23 publications

An Easy-to-Implement Risk Score for Targeted Hepatitis C Virus Testing in the General Population

An Easy-to-Implement Risk Score for Targeted Hepatitis C Virus Testing in the General Population

HIV and HCV screening by non-infectious diseases physicians: can we improve testing and hidden infection rates?

Programa de certificación de Centros de Adicciones para la eliminación del virus de la hepatitis C en España. Proyecto HepCelentes

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