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Linkage to Care for Hepatitis C: Creating a Cascade of Care to
Identify Gaps at the Individual Hospital Level (Bellevue Hospital-NYC)
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Reported by Jules Levin
IDSA 2015 Oct 7-11 San Diego, CA
Asher Schranz MD1, Jason Halperin MD, MPH2, Andrea Liu3, Henry Lee3, Harold Horowitz MD4 and Ellie Carmody MD, MPH4
1Internal Medicine, New York University;; 2Infectious Diseases, Tulane University, 4New York University School of Medicine, 4Infectious Diseases, New York University
We performed a retrospective chart review of all patients at BHC with a positive anti-HCV antibody test between January 2014 and February 2015. Referral to care was defined as a request for an appointment in hepatitis, infectious disease or gastroenterology clinic at BHC. Patients were linked to care if they had a visit to one of these clinics by the end of the review period in April 2015. Patients were excluded if they were under the custody of the Department of Corrections, as follow-up visits could not be tracked reliably. Additional exclusion criteria included death during the study period and undetectable viral RNA, as this indicates spontaneously cleared or successfully treated infection and does not routinely require specialist care. Patients were determined to be already linked to care if the HCV antibody was sent on or after the appointment date with an HCV-treating provider.
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