...
首页> 外文期刊>European journal of gastroenterology and hepatology >Evaluation of immigration status, race and language barriers on chronic hepatitis C virus infection management and treatment outcomes.
【24h】

Evaluation of immigration status, race and language barriers on chronic hepatitis C virus infection management and treatment outcomes.

机译:评估慢性丙型肝炎病毒感染管理和治疗结果的移民状况,种族和语言障碍。

获取原文
获取原文并翻译 | 示例
           

摘要

OBJECTIVE: Hepatitis C virus (HCV) prevalence in certain Canadian immigrant populations is higher than that of the overall population. Disparities in care related to immigration status as well as to race and language are well recognized. Identifying and understanding these disparities is vital to the provision of optimal and inclusive HCV care. METHODS AND MATERIALS: HCV RNA-positive patients assessed at The Ottawa Hospital Viral Hepatitis Clinic between June 2000 and June 2007 were identified using a clinical database. As measures of access to care, liver biopsy rates, treatment initiation rates, supportive care provision (i.e. erythropoietin for treatment-related anemia) and sustained virological response (SVR) rates were assessed as a function of immigration status, race and spoken language. RESULTS: Nine hundred and ten patients were evaluated, of which 20% were immigrants. Biopsy rates (54 vs. 51%), HCV treatment initiation (37 vs. 38%), erythropoietin prescription (13 vs. 18%) and SVR rates (52 vs. 51%) did not differ between immigrants and Canadian-born individuals. Spoken language and race did not influence access to treatment. SVR was predicted by genotype, HIV status and race. CONCLUSION: In the context of a multidisciplinary, multilingual universal health care system, by studying the influence of barriers to HCV investigation and successful therapy can be abrogated.
机译:目的:加拿大某些移民人群中的丙型肝炎病毒(HCV)患病率高于总人群。与移民身份以及种族和语言有关的照护方面的差异得到了公认。识别和理解这些差异对于提供最佳和包容的HCV护理至关重要。方法和材料:使用临床数据库鉴定了2000年6月至2007年6月在渥太华医院病毒性肝炎诊所评估的HCV RNA阳性患者。作为获得护理的指标,评估了肝活检率,治疗起始率,支持治疗的提供率(即用于治疗相关性贫血的促红细胞生成素)和持续病毒学应答(SVR)率与移民状况,种族和口头语言的关系。结果:共评估了910例患者,其中20%是移民。在加拿大移民和加拿大出生的个体之间,活检率(54比51%),开始HCV治疗(37比38%),促红细胞生成素处方(13比18%)和SVR率(52比51%)没有差异。 。口语和种族不影响获得治疗的机会。 SVR通过基因型,HIV状况和种族来预测。结论:在多学科,多语言的全民医疗保健体系中,通过研究障碍对HCV调查和成功治疗的影响可以被废除。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号