Outreach Strategies Can Up HCC Screening in Cirrhosis

Share this content:
Outreach Strategies Can Up HCC Screening in Cirrhosis
Outreach Strategies Can Up HCC Screening in Cirrhosis

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Outreach programs can increase hepatocellular carcinoma (HCC) screening rates among patients with documented or suspected cirrhosis, according to a study published online Nov. 5 in Gastroenterology.

Amit G. Singal, M.D., from the UT Southwestern Medical Center in Dallas, and colleagues performed a prospective study involving 1,800 patients with documented or suspected cirrhosis. Patients were randomized in a 1:1:1 ratio to receive mailed invitations for an ultrasound screening examination, to receive mailed invitations for an ultrasound screening examination and patient navigation (assessment of barriers and motivational education for patients who refused screening), or to usual care. Up to three reminder calls were made to patients who did not respond to outreach invitations.

Cirrhosis was documented and suspected in 79.6 and 20.4 percent of participants, respectively. The researchers found that the proportion of patients who underwent HCC screening was significantly greater among those who received the mailed invitation and navigation or the mailed invitation alone versus usual care (47.2 and 44.5 versus 24.3 percent, respectively; P < 0.001 for both), in an intent-to-treat analysis. There was no significant difference in screening rates between the outreach groups (P = 0.25). The effects of the outreach program were consistent across subgroups analyzed.

"In a prospective study, we found outreach strategies to double the percentage of patients with cirrhosis who underwent ultrasound screening for HCC," the authors write. "However, adding patient navigation to telephone reminders provided no significant additional benefit."

One author disclosed financial ties to the pharmaceutical industry.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions

More in Home

Nocturia May Be Reduced by Cutting Daily Intake of Salt

Nocturia May Be Reduced by Cutting Daily Intake ...

An easy way for patients to reduce nighttime urination and subsequent impact on sleep

Smoking Ups Long-Term Risks From Radiotherapy in Breast CA

Smoking Ups Long-Term Risks From Radiotherapy in Breast ...

Risk associated with radiotherapy for breast cancer is substantially reduced with smoking cessation

Impact of Breastfeeding on Child Development May Be Short-Lived

Impact of Breastfeeding on Child Development May Be ...

After propensity matching, only statistically significant outcome was hyperactivity at age 3 years

is free, fast, and customized just for you!

Already a member?

Sign In Now »