Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 18 October 2017

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Mailed outreach program increases screening for cirrhosis in hepatocellular carcinoma

Mailed outreach program increases ultrasound screening of patients with cirrhosis for hepatocellular carcinoma, finds this month's issue of Gastroenterology.

News image

Surveillance of patients with cirrhosis increases early detection of hepatocellular carcinoma and prolongs survival. 

However, its effectiveness is limited by underuse, particularly among racial/ethnic minorities and individuals of low socioeconomic status. 

Dr Amit Singal and colleagues from Texas, USA compared the effectiveness of mailed outreach strategies, with and without patient navigation, in increasing the numbers of patients with cirrhosis undergoing surveillance for hepatocellular carcinoma in a racially diverse, and socioeconomically disadvantaged cohort.

The researchers performed a prospective study of patients with documented or suspected cirrhosis at a large safety-net health system from 2014 through 2016. 

Patients were assigned randomly to groups that received mailed invitations for an ultrasound screening examination, mailed invitations for an ultrasound screening examination and patient navigation, or usual care. 

The team documented cirrhosis for 80% of patients
Gastroenterology
Patients who did not respond to outreach invitations within 2 weeks received up to 3 reminder telephone calls. 

The team's primary outcome was completion of abdominal imaging within 6 months of randomization.

Baseline characteristics were similar among groups. 

The team documented cirrhosis, based on International Classification of Diseases, 9th revision, codes, for 80% of patients, and suspected, based on noninvasive markers of fibrosis, for 20%. 

The researchers found significantly greater proportions of patients who received the mailed invitation and navigation or the mailed invitation alone underwent hepatocellular carcinoma screening than patients who received usual care. 

However, the team noted that screening rates did not differ significantly between outreach the outreach groups. 

The effects of the outreach program were consistent in all subgroups, including Caucasian vs non-Caucasian race, documented vs suspected cirrhosis, Child–Pugh A vs B cirrhosis, and receipt of gastroenterology care.

Dr Singal's team concludes, "In a prospective study, we found outreach strategies to double the percentage of patients with cirrhosis who underwent ultrasound screening for hepatocellular carcinoma."

"However, adding patient navigation to telephone reminders provided no significant additional benefit."

Gastroenterol 2017: 152(3): 608–615.e4 
15 February 2017

Go to top of page Email this page Email this page to a colleague

 18 October 2017 
Predicting recurrence after curative rectal cancer surgery
 18 October 2017 
Prebiotic and changes in the human gut microbiota
 18 October 2017 
Hep E seroprevalence and hemodialysis
 17 October 2017 
Laparoscopic surgery use in Medicare patients with colon cancer
 17 October 2017 
Medication nonadherence and health care costs
 17 October 2017 
Asthma and IBD development
 16 October 2017 
Colorectal cancer screening and postpolypectomy surveillance colonoscopy
 16 October 2017 
Continuity of care after colorectal surgery
 16 October 2017 
Breastfeeding and the risk of IBD
 13 October 2017 
Treating patients with HCV and severe renal impairment
 13 October 2017 
Blood pressure management during abdominal surgery
 13 October 2017 
Food elimination diets for eosinophilic esophagitis
 12 October 2017 
Global recurrence of H. pylori
 12 October 2017 
Colonoscopy in an organized colorectal cancer screening program 
 12 October 2017 
Predicting advanced fibrosis in chronic hepatitis B
 11 October 2017 
Fecal microbiota transplantation for ulcerative colitis
 11 October 2017 
Sexual functioning in Hep C
 11 October 2017 
Ulcerative proctitis in pediatric-onset UC
 10 October 2017 
Quality standards in upper gastrointestinal endoscopy
 10 October 2017 
Eosinophilic esophagitis and swallowed topical corticosteroids
 10 October 2017 
Follow-up of positive results on fecal blood tests
 09 October 2017 
Diverticulitis and emergency department burden
 09 October 2017 
Clostridium difficile infection after ileostomy reversal
 09 October 2017 
Global recurrence rate of H. pylori
 06 October 2017 
Predicting nontreatment for Hep C
 06 October 2017 
Cow's milk–based formula and development of celiac disease
 06 October 2017 
Propofol for outpatient colonoscopy
 05 October 2017 
Pediatric candidates on the transplant wait list
 05 October 2017 
Incidence of sepsis in the USA
 05 October 2017 
Quality of life after chemoradiation in rectal cancer
 04 October 2017 
Peptic ulcer disease diagnosed in acute upper endoscopy
 04 October 2017 
Clinical practice guidelines in colon cancer
 04 October 2017 
Rural residence and risk of IBD
 03 October 2017 
Antibody tests and detecting celiac disease
 03 October 2017 
Novel candidate risk genes for IBD
 03 October 2017 
Environmental factors and IBD
 02 October 2017 
Full publication of Gastroenerology abstracts
 02 October 2017 
Interferon-free therapy in advanced liver disease
 02 October 2017 
Burden of NAFLD with advanced fibrosis in the USA
 29 September 2017 
Inpatient Gastroenterology training experience
 29 September 2017 
Proteomic analysis of IBD
 28 September 2017 
Social networking-based discussion group by ERCP doctors
 28 September 2017 
Incidence of biopsy-verified celiac disease
 27 September 2017 
Predictors of nonadherence in IBD
 27 September 2017 
Hep C treatment in the era of direct-acting anti-viral agents
 27 September 2017 
Function of trypsin-3 in IBS
 26 September 2017 
Chronic pancreatitis and pancreatic cancer risk
 26 September 2017 
Factors associated with the risk of metachronous gastric neoplasm
 26 September 2017 
Treatment of hyperactive delirium in advanced cancer
 25 September 2017 
Lenalidomide for advanced liver cancer
 25 September 2017 
Silibinin nanoparticles inhibit HCV infection
 22 September 2017 
Perforation after colonic endoscopic mucosal resection
 22 September 2017 
Medical management and colectomy rates
 22 September 2017 
MRI for liver metastatic colorectal cancer
 21 September 2017 
Adenomatous colorectal polyps in young cancer survivors
 21 September 2017 
Predicting mucosal healing in treated celiac disease patients
 21 September 2017 
Antireflux surgery and recurrence of GERD
 20 September 2017 
Rifaximin and spontaneous bacterial peritonitis in cirrhosis
 20 September 2017 
Omega-3 PUFA and colorectal cancer survival
 20 September 2017 
Beta-blockers and cardiopulmonary exercise testing in liver disease

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2017 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us