Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting

Mari Lynn Drainoni, Alain H. Litwin, Bryce D. Smith, Elisa A. Koppelman, Melissa D. McKee, Cindy L. Christiansen, Allen L. Gifford, Cindy M. Weinbaum, William N. Southern

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, χ 2 test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener. Results. Among screened patients, 27.8% (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4% (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, ≥ 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified. Conclusions. A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.

Original languageEnglish (US)
JournalAmerican Journal of Public Health
Volume102
Issue number11
DOIs
StatePublished - Nov 2012

Fingerprint

Hepacivirus
Primary Health Care
Electronic Health Records
Virus Diseases
Nonparametric Statistics
Alanine Transaminase
Pharmaceutical Preparations
Liver Diseases
Mothers
Demography
Physicians
Injections

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting. / Drainoni, Mari Lynn; Litwin, Alain H.; Smith, Bryce D.; Koppelman, Elisa A.; McKee, Melissa D.; Christiansen, Cindy L.; Gifford, Allen L.; Weinbaum, Cindy M.; Southern, William N.

In: American Journal of Public Health, Vol. 102, No. 11, 11.2012.

Research output: Contribution to journalArticle

Drainoni, Mari Lynn ; Litwin, Alain H. ; Smith, Bryce D. ; Koppelman, Elisa A. ; McKee, Melissa D. ; Christiansen, Cindy L. ; Gifford, Allen L. ; Weinbaum, Cindy M. ; Southern, William N. / Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting. In: American Journal of Public Health. 2012 ; Vol. 102, No. 11.
@article{3bf48229c1214dec903bcb259eafa3e4,
title = "Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting",
abstract = "Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, χ 2 test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener. Results. Among screened patients, 27.8{\%} (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4{\%} (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, ≥ 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified. Conclusions. A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.",
author = "Drainoni, {Mari Lynn} and Litwin, {Alain H.} and Smith, {Bryce D.} and Koppelman, {Elisa A.} and McKee, {Melissa D.} and Christiansen, {Cindy L.} and Gifford, {Allen L.} and Weinbaum, {Cindy M.} and Southern, {William N.}",
year = "2012",
month = "11",
doi = "10.2105/AJPH.2012.300659",
language = "English (US)",
volume = "102",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "11",

}

TY - JOUR

T1 - Effectiveness of a risk screener in identifying hepatitis C virus in a primary care setting

AU - Drainoni, Mari Lynn

AU - Litwin, Alain H.

AU - Smith, Bryce D.

AU - Koppelman, Elisa A.

AU - McKee, Melissa D.

AU - Christiansen, Cindy L.

AU - Gifford, Allen L.

AU - Weinbaum, Cindy M.

AU - Southern, William N.

PY - 2012/11

Y1 - 2012/11

N2 - Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, χ 2 test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener. Results. Among screened patients, 27.8% (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4% (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, ≥ 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified. Conclusions. A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.

AB - Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical records. We used the t test, χ 2 test, and rank-sum test to compare patients who had and had not been screened and developed an analytic model to identify the incremental value of each element of the screener. Results. Among screened patients, 27.8% (n = 902) were identified as having at least 1 risk factor. Of screened patients with risk factors, 55.4% (n = 500) were tested for HCV. Our analysis showed that 7 elements (injection drug use, intranasal drug use, elevated alanine aminotransferase, transfusions before 1992, ≥ 20 lifetime sex partners, maternal HCV, existing liver disease) accounted for all HCV infections identified. Conclusions. A brief risk screener with a paper-based clinical reminder was effective in increasing HCV testing in a primary care setting.

UR - http://www.scopus.com/inward/record.url?scp=84867494768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867494768&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2012.300659

DO - 10.2105/AJPH.2012.300659

M3 - Article

VL - 102

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 11

ER -