Tackling a worrisome rate of lost to follow-up among migrants with hepatitis B in French Guiana - 16/10/24
, N. Vignier a, b, c, d, e, A. Adenis a, b, f, g, L. Adriouch a, A. Lucarelli a, b, B Guarmit a, M. Nacher a, fHighlights |
• | LTFU remains prevalent among individuals with HBV infection. |
• | Callback strategy to re-engage LTFU patients in HBV care proved feasible. |
• | Lack of knowledge on HBV infection was associated with LTFU status. |
Abstract |
Objectives |
Management of Hepatitis B virus (HBV)-infected patients, whether they are receiving treatment or not, necessitates long-term follow-up. This study evaluated the rate of lost to follow-up (LTFU) among HBV-infected patients and the feasibility of a callback strategy to re-engage these patients in HBV care.
Patients and methods |
We conducted a retrospective study involving HBV-infected patients attending the outpatient clinic at Cayenne Hospital, French Guiana. LTFU was defined as patients who had not attended the clinic for more than 18 months. A callback strategy was implemented to re-engage LTFU patients in HBV care.
Results |
Between 1st January 2015 and 31st December 2018, 203 HBV-infected patients were referred to the outpatient clinic; 95/203 (46.8 %) were LTFU, resulting in a crude LTFU rate of 2.6 (95 % CI, 2.1–3.2) per 100 person-years. At baseline, patients aged 30–40 years (aOR, 0.48; 95 %CI, 0.24–0.95) and those who initiated treatment (aOR, 0.26; 95 %CI, 0.10–0.60) were less likely to be LTFU. Through application of the callback strategy, 55/95 (58 %) patients were successfully contacted, and 46/55 (84 %) attended the outpatient clinic for a liver assessment. The EASL criteria for treatment eligibility were met by 3/46 (4 %) patients. Compared to non-LTFU patients, LTFU patients were more likely to be in informal employment (p = 0.03) and to be receiving state medical assistance (p < 0.01), and had lower levels of knowledge about their condition (p < 0.01).
Conclusions |
The callback strategy to re-engage LTFU patients in HBV care is feasible and effectively identifies those eligible for antiviral therapy.
Le texte complet de cet article est disponible en PDF.Abbreviations : HBV, LTFU, HCV, EASL, aOR
Keywords : Hepatitis B, Lost to follow-up, Migrants, French Guiana
Plan
Vol 54 - N° 7
Article 104974- octobre 2024 Retour au numéro
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