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HCV Cascade/Barriers in Philadelphia - "Meet the Professor:
Overcoming barriers to HCV care"
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Reported by Jules Levin
IDSA 2015 Oct 7-11 2015 San Diego, CA
Stacey B. Trooskin MD PhD
Drexel University College of Medicine
Philadelphia, PA
"The prevalence of HCV is high in our urban primary care practices....6029 patients tested, anti-HCV seroprevalence 8.23%.....integrating HCV testing into existing HIV & STI testing programs has advantages, 1183 tested, anti-HCV seroprevalence 11.5%...."Do One Thing" street outreach/testing, 1301 tested.....anti-HCV seroprevalence 3.9%/2.8% chronically infected: 58% were aware of infection but not engaged in care; 36% uninsured; 2 were insured but lacked PCP; 58% had an AUDIT-C score commensurate with an alcoholic use disorder; 80% had serious comorbidities such as mental illness & addiction"
New Philadelphia Study Highlights Need for HCV Community-Based Screening ($200 million needed)......http://www.natap.org/2014/HCV/021815_01.htm
Philadelphia/Impact of Integrating EMR HCV Testing Prompts in a Difficult to Navigate EMR System......http://www.natap.org/2015/CROI/croi_165.htm
Results from a Geographically Focused, Community-Based
HCV Screening, Linkage-to-Care and Patient Navigation Program.....JGIM/July 2015......http://www.natap.org/2014/HCV/021715_03.htm.......community-based HIV and HCV screening and linkage-to-care program in a medically underserved Philadelphia neighborhood with high rates of HIV and HCV infection
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