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3382 Assessing Racial Disparities in Hepatitis C Retention of Care

Authors :
Keanan McGonigle
Austin T. Jones
Jenna L Miller
Patricia Kissinger
Kanayo R. Okeke-Eweni
Lisa Moreno-Walton
Morris M Kim
David H. Yang
Source :
Journal of Clinical and Translational Science
Publication Year :
2019
Publisher :
Cambridge University Press (CUP), 2019.

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

Details

ISSN :
20598661
Volume :
3
Database :
OpenAIRE
Journal :
Journal of Clinical and Translational Science
Accession number :
edsair.doi.dedup.....aa1b3644680cf1b73c161df6ef74ea32
Full Text :
https://doi.org/10.1017/cts.2019.270