Outreach Strategies Increase HCC Screening in Cirrhosis

Share this content:
Outreach Strategies Increase HCC Screening in Cirrhosis
Outreach Strategies Increase HCC Screening in Cirrhosis

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Outreach strategies increase the percentage of patients with cirrhosis who undergo hepatocellular carcinoma (HCC) screening, according to a study published in the February issue of Gastroenterology.

Amit G. Singal, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues conducted a prospective study of patients with documented or suspected cirrhosis at a safety-net health system. Participants were randomized to groups that received mailed invitations for an ultrasound screening examination, mailed invitations for an ultrasound screening examination and patient navigation (assessment of barriers and motivational education for patients who declined screening), or usual care (600 in each group). Up to three reminder telephone calls were provided for patients who did not respond to outreach invitations within two weeks.

The researchers found that the proportion of patients who underwent HCC screening was greater for those who received the mailed invitation and navigation or received the mailed invitation alone compared with those who received usual care (47.2 and 44.5 versus 24.3 percent, respectively), in intent-to-treat analysis (P < 0.001 for both comparisons). There was no significant difference in screening rates between the outreach groups (P = 0.25). Consistent effects of the outreach program were seen in all subgroups.

"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

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

More in Home

Plasma Catecholamines Predict Post-Op A-Fib After Cardiac Sx

Plasma Catecholamines Predict Post-Op A-Fib After Cardiac Sx

Composite preoperative catecholamine marker linked to four-fold increased occurrence of POAF

Race, Sex Impact Risk of ESRD for Living Kidney Donors

Race, Sex Impact Risk of ESRD for Living ...

Increased risk of ESRD with black race and male sex; older age tied to increased risk in nonblack donors

Algorithm Integrated Into App Forecasts Glucose Levels

Algorithm Integrated Into App Forecasts Glucose Levels

Method using Gaussian process models produces personalized, nutrition-based forecast

is free, fast, and customized just for you!

Already a member?

Sign In Now »