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Conjugal Bereavement

Adherence to guideline‐recommended hepatitis B virus (HBV) care is suboptimal. We hypothesized that national hepatitis C eradication efforts during the era from 2015‐2017 would improve the quality of care for cHBV given increased recognition and specialty referrals for liver disease. The study described herein is a retrospective cohort study of veterans with at least one positive HBsAg (HBsAg+) result from January 1, 2003 to December 31st, 2017 using the VA Corporate Data Warehouse (CDW) analyzed by era (2003‐2004, 2005‐2009, 2010‐2014, 2015‐2017). Relevant covariates such as HCV coinfection, demographics, cirrhosis, and baseline laboratory testing were obtained through previously validated approaches. We evaluated completion of process measures within 2 years of the index HBsAg+ result: specialty care referral; testing of ALT, HBV‐DNA, HBeAg, anti‐HBe; testing for coinfection and/or vaccination for HAV, HCV, HDV, and HIV; and hepatocellular carcinoma (HCC) surveillance among those meeting criteria. 

Last Updated on: Jul 06, 2024

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