1. 3382 Assessing Racial Disparities in Hepatitis C Retention of Care
- Author
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Keanan McGonigle, Austin T. Jones, Jenna L Miller, Patricia Kissinger, Kanayo R. Okeke-Eweni, Lisa Moreno-Walton, Morris M Kim, and David H. Yang
- Subjects
medicine.medical_specialty ,education.field_of_study ,business.industry ,Population ,Specialty ,Retrospective cohort study ,General Medicine ,Emergency department ,Hepatitis C ,medicine.disease ,Science and Health Policy/Ethics/Health Impacts/Outcomes Research ,Internal medicine ,medicine ,Population study ,education ,Viral hepatitis ,business ,Viral load - Abstract
OBJECTIVES/SPECIFIC AIMS: The objective of this study is to assess differences in outcomes between African Americans (AAs) and whites along the HCV care cascade. Primary outcome was retention in the HCV care cascade, measured in two ways. For viral RNA confirmation, retention was a percentage of those having screened antibody reactive. For hepatic ultrasound, primary care, HCV specialty clinic, treatment initiation, and sustained viral load (SVR), retention was a percentage of those found chronically infected by positive RNA viral load. Secondary outcome was time to follow-up from antibody screening to each subsequent step in the care cascade. METHODS/STUDY POPULATION: A retrospective cohort study was performed. AA and white patients who tested HCV antibody reactive from March to October 2015 at the University Medical Center (UMC) Emergency Department in New Orleans, LA were included in this study. Outcomes were assessed using the HCV Continuum of Care model, delineating successive stages of care from identification to cure. RESULTS/ANTICIPATED RESULTS: A total of 728 patients screened HCV antibody reactive, including 446 AAs and 282 whites. AAs (53.5 years, SD 10.2) were disproportionately older than whites (46.7 years, SD 11.9) (p
- Published
- 2019
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