Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 Doctors Need Management-Skills Upgrade On Hepatitis C A DG review of: " Management of hepatitis C patients by primary care physicians in the USA: results of a national survey " - Journal of Viral Hepatitis By Anne MacLennan Patients with hepatitis C may be being under-diagnosed and under-referred. Specific educational initiatives and practice guidelines for primary care doctors are critical to optimize recognition of patients at risk for this disease and, furthermore, to ensure appropriate testing and referral. These are the views of investigators from the Division of Gastroenterology, Department of Internal Medicine, and the Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, United States. Although hepatitis C is a major health problem worldwide, little research has been done to assess the knowledge base and practice patterns of primary care doctors on the disease. These researchers surveyed a nationwide cohort of primary care doctors in the US to determine their knowledge base and practice patterns. The survey was developed specifically to assess doctors' knowledge of risk factors for hepatitis C, management of hepatitis C patients and attitudes regarding testing for the disease. Of 4,000 primary care doctors to whom it was mailed, a total of 1,412 (39 percent) of doctors completed the survey. More than 90 percent of respondents correctly identified the most common risk factor for hepatitis C. However, only 59 percent indicated they ask all patients about hepatitis C risk factors. Seventy percent said they test all patients with risk factors, and 78 percent test all patients with elevated liver enzymes for hepatitis C. Although most doctors (72 percent) would refer to a specialist any patient who is positive for the hepatitis C virus (HCV) and who has elevated aminotransferase levels, only 28 percent would refer an HCV-positive patient with normal aminotransferase levels. Overall, about one-fourth of doctors did not know what treatment they would recommend for hepatitis C patients. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 Doctors Need Management-Skills Upgrade On Hepatitis C A DG review of: " Management of hepatitis C patients by primary care physicians in the USA: results of a national survey " - Journal of Viral Hepatitis By Anne MacLennan Patients with hepatitis C may be being under-diagnosed and under-referred. Specific educational initiatives and practice guidelines for primary care doctors are critical to optimize recognition of patients at risk for this disease and, furthermore, to ensure appropriate testing and referral. These are the views of investigators from the Division of Gastroenterology, Department of Internal Medicine, and the Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, United States. Although hepatitis C is a major health problem worldwide, little research has been done to assess the knowledge base and practice patterns of primary care doctors on the disease. These researchers surveyed a nationwide cohort of primary care doctors in the US to determine their knowledge base and practice patterns. The survey was developed specifically to assess doctors' knowledge of risk factors for hepatitis C, management of hepatitis C patients and attitudes regarding testing for the disease. Of 4,000 primary care doctors to whom it was mailed, a total of 1,412 (39 percent) of doctors completed the survey. More than 90 percent of respondents correctly identified the most common risk factor for hepatitis C. However, only 59 percent indicated they ask all patients about hepatitis C risk factors. Seventy percent said they test all patients with risk factors, and 78 percent test all patients with elevated liver enzymes for hepatitis C. Although most doctors (72 percent) would refer to a specialist any patient who is positive for the hepatitis C virus (HCV) and who has elevated aminotransferase levels, only 28 percent would refer an HCV-positive patient with normal aminotransferase levels. Overall, about one-fourth of doctors did not know what treatment they would recommend for hepatitis C patients. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 Doctors Need Management-Skills Upgrade On Hepatitis C A DG review of: " Management of hepatitis C patients by primary care physicians in the USA: results of a national survey " - Journal of Viral Hepatitis By Anne MacLennan Patients with hepatitis C may be being under-diagnosed and under-referred. Specific educational initiatives and practice guidelines for primary care doctors are critical to optimize recognition of patients at risk for this disease and, furthermore, to ensure appropriate testing and referral. These are the views of investigators from the Division of Gastroenterology, Department of Internal Medicine, and the Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, United States. Although hepatitis C is a major health problem worldwide, little research has been done to assess the knowledge base and practice patterns of primary care doctors on the disease. These researchers surveyed a nationwide cohort of primary care doctors in the US to determine their knowledge base and practice patterns. The survey was developed specifically to assess doctors' knowledge of risk factors for hepatitis C, management of hepatitis C patients and attitudes regarding testing for the disease. Of 4,000 primary care doctors to whom it was mailed, a total of 1,412 (39 percent) of doctors completed the survey. More than 90 percent of respondents correctly identified the most common risk factor for hepatitis C. However, only 59 percent indicated they ask all patients about hepatitis C risk factors. Seventy percent said they test all patients with risk factors, and 78 percent test all patients with elevated liver enzymes for hepatitis C. Although most doctors (72 percent) would refer to a specialist any patient who is positive for the hepatitis C virus (HCV) and who has elevated aminotransferase levels, only 28 percent would refer an HCV-positive patient with normal aminotransferase levels. Overall, about one-fourth of doctors did not know what treatment they would recommend for hepatitis C patients. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 Doctors Need Management-Skills Upgrade On Hepatitis C A DG review of: " Management of hepatitis C patients by primary care physicians in the USA: results of a national survey " - Journal of Viral Hepatitis By Anne MacLennan Patients with hepatitis C may be being under-diagnosed and under-referred. Specific educational initiatives and practice guidelines for primary care doctors are critical to optimize recognition of patients at risk for this disease and, furthermore, to ensure appropriate testing and referral. These are the views of investigators from the Division of Gastroenterology, Department of Internal Medicine, and the Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, United States. Although hepatitis C is a major health problem worldwide, little research has been done to assess the knowledge base and practice patterns of primary care doctors on the disease. These researchers surveyed a nationwide cohort of primary care doctors in the US to determine their knowledge base and practice patterns. The survey was developed specifically to assess doctors' knowledge of risk factors for hepatitis C, management of hepatitis C patients and attitudes regarding testing for the disease. Of 4,000 primary care doctors to whom it was mailed, a total of 1,412 (39 percent) of doctors completed the survey. More than 90 percent of respondents correctly identified the most common risk factor for hepatitis C. However, only 59 percent indicated they ask all patients about hepatitis C risk factors. Seventy percent said they test all patients with risk factors, and 78 percent test all patients with elevated liver enzymes for hepatitis C. Although most doctors (72 percent) would refer to a specialist any patient who is positive for the hepatitis C virus (HCV) and who has elevated aminotransferase levels, only 28 percent would refer an HCV-positive patient with normal aminotransferase levels. Overall, about one-fourth of doctors did not know what treatment they would recommend for hepatitis C patients. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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