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Tackling a worrisome rate of lost to follow-up among migrants with hepatitis B in French Guiana.
Vo-Quang, E; Vignier, N; Adenis, A; Adriouch, L; Lucarelli, A; Guarmit, B; Nacher, M.
Afiliación
  • Vo-Quang E; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Comité de coordination de la lutte contre l'infection par le VIH, COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana. Electronic address: erwan.voquang@gmail.co
  • Vignier N; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Comité de coordination de la lutte contre l'infection par le VIH, COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Service Hôpital de jour adulte, HDJA, Cent
  • Adenis A; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Comité de coordination de la lutte contre l'infection par le VIH, COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; DFR Santé, Université de Guyane, Cayenne,
  • Adriouch L; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
  • Lucarelli A; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Comité de coordination de la lutte contre l'infection par le VIH, COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
  • Guarmit B; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
  • Nacher M; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana; DFR Santé, Université de Guyane, Cayenne, French Guiana.
Infect Dis Now ; : 104974, 2024 Sep 08.
Article en En | MEDLINE | ID: mdl-39255907
ABSTRACT

OBJECTIVES:

Management of Hepatitis B virus (HBV)-infected patients, whether they are receiving treatment or not, necessitates long-term follow-up. This study evaluated the rate of lost to follow-up (LTFU) among HBV-infected patients and the feasibility of a callback strategy to re-engage these patients in HBV care. PATIENTS AND

METHODS:

We conducted a retrospective study involving HBV-infected patients attending the outpatient clinic at Cayenne Hospital, French Guiana. LTFU was defined as patients who had not attended the clinic for more than 18 months. A callback strategy was implemented to re-engage LTFU patients in HBV care.

RESULTS:

Between 1st January 2015 and 31st December 2018, 203 HBV-infected patients were referred to the outpatient clinic; 95/203 (46.8 %) were LTFU, resulting in a crude LTFU rate of 2.6 (95 % CI, 2.1-3.2) per 100 person-years. At baseline, patients aged 30-40 years (aOR, 0.48; 95 %CI, 0.24-0.95) and those who initiated treatment (aOR, 0.26; 95 %CI, 0.10-0.60) were less likely to be LTFU. Through application of the callback strategy, 55/95 (58 %) patients were successfully contacted, and 46/55 (84 %) attended the outpatient clinic for a liver assessment. The EASL criteria for treatment eligibility were met by 3/46 (4 %) patients. Compared to non-LTFU patients, LTFU patients were more likely to be in informal employment (p = 0.03) and to be receiving state medical assistance (p < 0.01), and had lower levels of knowledge about their condition (p < 0.01).

CONCLUSIONS:

The callback strategy to re-engage LTFU patients in HBV care is feasible and effectively identifies those eligible for antiviral therapy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Caribe ingles / Guyana Idioma: En Revista: Infect Dis Now Año: 2024 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Caribe ingles / Guyana Idioma: En Revista: Infect Dis Now Año: 2024 Tipo del documento: Article Pais de publicación: Francia