| Registro completo |
| Provedor de dados: |
BJID
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| País: |
Brazil
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| Título: |
How are HCV-infected patients being identified in Brazil: a multicenter study
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| Autores: |
Portari-Filho,Luiz H.
Álvares-da-Silva,Mario R.
Gonzalez,Aline
Ferreira,Adalgisa P.
Nogueira,Cristiane V.
Mendes-Correa,Maria C.
Lima,José M.
Lopes,Edmundo P.
Brandão,Carlos E.
Ivantes,Cláudia
Lyra,André
Lindenberg,Andreia
Ferraz,Maria L.
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| Data: |
2019-01-01
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| Ano: |
2019
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| Palavras-chave: |
Epidemiology
Hepatitis C
HCV
Brazil
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| Resumo: |
ABSTRACT Background: Hepatitis C is an important health problem. In Brazil, 1-2 million people are infected. Despite this expressive number, and the availability of very successful treatment, many patients remained undiagnosed mainly because of the asymptomatic nature of the infection. Objectives: To describe epidemiological characteristics of HCV-infected patients seen at referral centers in Brazil, the source of referral, and the time spanned to reach a reference center, in order to improve the identification of undiagnosed patients. Methods: Multicenter observational, cross-sectional study carried out in 15 centers of Brazil, between January/2016 and June/2017. Data of patients with a confirmed diagnosis (anti-HCV and HCV-RNA) were collected by interview using standard questionnaires and by review of charts. Results: Two thousand patients were included; 55.1% were male, mean age 58 ± 11 years. Only 14.9% had higher education and 84.2% received up to five monthly minimum Brazilian wages (approximately US$260.00/month). The time between diagnosis and beginning of follow-up was 22.9 months. The most common reasons for testing were check-up (33.2%) and blood donation (19%). General practitioners diagnosed most of the patients (30.1%). Fibrosis stage was mainly evaluated by liver biopsy (61.5%) and 31.3% of the patients were cirrhotic at diagnosis. Conclusions: This multicenter Brazilian study showed that the mean time to reach a referral center for treatment was almost two years. Primary care physicians diagnoses most hepatitis C cases in the country. Population campaigns and medical education should be encouraged to intensify screening of asymptomatic individuals, considering the efficiency of check-ups in identifying new patients.
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| Tipo: |
Info:eu-repo/semantics/article
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| Idioma: |
Inglês
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| Identificador: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702019000100034
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| Editor: |
Brazilian Society of Infectious Diseases
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| Relação: |
10.1016/j.bjid.2019.01.006
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| Formato: |
text/html
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| Fonte: |
Brazilian Journal of Infectious Diseases v.23 n.1 2019
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| Direitos: |
info:eu-repo/semantics/openAccess
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