Linkage to Care, Retention in Care and Treatment Uptake Among Patients Diagnosed With Chronic Hepatitis B in Norway, 2008–2022

IF 2.3 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Beatriz Valcarcel Salamanca, Asgeir Johannessen, Olav Dalgard, Robert Whittaker
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Abstract

People living with chronic hepatitis B infection (PLWHB) need life-long care to monitor liver health and treatment need. Data on clinical follow-up for PLWHB are essential to monitor the health system response to this infection. We used linked national registry data to calculate the proportion of diagnosed PLWHB in Norway linked to specialist care (LTC), treated and retained in specialist or primary care (RIC) from 2008 to 2022. We described the outcomes by time, age, sex, region of residence, place of birth and residence status. Using log-binomial regression, we explored how these factors were associated with ever being LTC and being RIC during the last 12 months of the study period. Among 10,542 diagnosed PLWHB, 8301 (79%) had ever been LTC and 2454 (23%) had received treatment. In the first 2 years after LTC, 64% were still RIC. At the end of the study period, 4476 (50%) of 8979 PLWHB still resident in Norway had been RIC in the last 12 months. PLWHB born outside Norway had a higher probability of LTC (relative risk [RR]: 1.24; 95% confidence interval [CI] 1.19–1.29) and RIC (RR: 1.67; 95% CI 1.53–1.84). Other significant associations with smaller effect sizes included a higher probability of LTC among PLWHB aged < 25 years and a lower probability of RIC when diagnosed from 2010 to 2013 or aged ≥ 65 years. The management of diagnosed PLWHB in Norway is suboptimal. Our study provides a framework for how key performance indicators can be monitored in ongoing national surveillance.

Abstract Image

2008-2022年挪威慢性乙型肝炎患者与护理、护理保留和治疗接受的联系
慢性乙型肝炎感染者需要终身护理,以监测肝脏健康和治疗需求。PLWHB临床随访数据对于监测卫生系统对这种感染的反应至关重要。我们使用相关的国家登记数据来计算挪威诊断的PLWHB与专科护理(LTC)相关的比例,从2008年到2022年,在专科或初级保健(RIC)治疗和保留。我们用时间、年龄、性别、居住地区、出生地点和居住状态来描述结果。使用对数二项回归,我们探讨了在研究期间的最后12个月内,这些因素如何与LTC和RIC相关。在确诊的10542例PLWHB中,8301例(79%)曾接受过LTC治疗,2454例(23%)接受过治疗。在LTC后的前2年,64%仍然是RIC。在研究期结束时,仍居住在挪威的8979名PLWHB中有4476名(50%)在过去12个月内进行了RIC。挪威以外出生的PLWHB患LTC(相对危险度[RR]: 1.24; 95%可信区间[CI] 1.19-1.29)和RIC (RR: 1.67; 95%可信区间[CI] 1.53-1.84)的概率较高。其他较小效应量的显著相关性包括:25岁PLWHB中LTC的概率较高,2010 - 2013年或≥65岁诊断为RIC的概率较低。在挪威,诊断为PLWHB的管理是次优的。我们的研究为如何在持续的国家监测中监测关键绩效指标提供了一个框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Viral Hepatitis
Journal of Viral Hepatitis 医学-病毒学
CiteScore
6.00
自引率
8.00%
发文量
138
审稿时长
1.5 months
期刊介绍: The Journal of Viral Hepatitis publishes reviews, original work (full papers) and short, rapid communications in the area of viral hepatitis. It solicits these articles from epidemiologists, clinicians, pathologists, virologists and specialists in transfusion medicine working in the field, thereby bringing together in a single journal the important issues in this expanding speciality. The Journal of Viral Hepatitis is a monthly journal, publishing reviews, original work (full papers) and short rapid communications in the area of viral hepatitis. It brings together in a single journal important issues in this rapidly expanding speciality including articles from: virologists; epidemiologists; clinicians; pathologists; specialists in transfusion medicine.
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