Most Read Articles
Dr. Joseph Delano Fule Robles, 14 Nov 2017

A recent study conducted by The University of Hong Kong (HKU) revealed that long-term use of proton pump inhibitors (PPIs) is associated with a significantly increased risk of gastric cancer even in patients who have had Helicobacter pylori eradicated. 

6 days ago
Both hatha yoga and a low-FODMAP (Fermentable, Oligo-, Di-, Monosaccharides and Polyol) diet can alleviate gastrointestinal symptoms, as well as improve a range of other psychological and physiological health parameters, in patients with irritable bowel syndrome (IBS), a study has shown.
15 Nov 2017
Men with breast cancer have tumours that are typically of the human epidermal growth factor receptor 2-negative Luminal B subtype and positive for oestrogen receptor, progesterone receptor and androgen receptor, according to the results of the EORTC 10085/TBCRC/BIG/NABCG International Male Breast Cancer Program study.
21 hours ago
Long-term use of benzodiazepines is independently associated with lower diastolic and systolic blood pressure in ambulatory blood pressure monitoring (ABPM) among older but not younger patients, a study has found.

Factors affecting adherence to HBV guidelines

04 Aug 2017
WHO urges global attention over increasing hepatitis mortality rates.

Regardless of practice setting, the rates of adherence to hepatitis B virus (HBV) guidelines are unsatisfactory and influenced by several provider, patient and practice factors, reports a study.

To assess provider knowledge, attitudes and barriers to HBV care and management practices, researchers surveyed providers across various healthcare settings in San Francisco, USA. They used multivariate analyses to identify factors related to recommended HBV screening, vaccination and disease monitoring.

A total of 277 providers responded to the survey. Of these, 42 percent reported performing HBV screening in >50 percent of at-risk patients and 49 percent reported performing HBV vaccination in >50 percent of eligible patients.

Most providers reported appropriate monitoring of a majority of HBV-infected patients with alanine aminotransferase (79 percent) and HBV viral load (67 percent) every 6 to 12 months. However, hepatocellular carcinoma screening was performed only in 49 percent.

HBV screening was significantly associated with the following provider factors: speaking an Asian language (odds ratio [OR], 3.27), offering HBV treatment (OR, 3.00), having >25 percent of Asian patients in practice (OR, 2.10), practicing in safety net settings (OR, 7.51) and having higher barrier score (OR, 0.74). In addition, provider factors associated with appropriate HBV monitoring were speaking an Asian language (OR, 3.43) and age (OR, 0.68/decade).

Hepatocellular carcinoma screening correlated with having >25 percent of patients speaking English as a second language (OR, 4.26) and practicing in safety net settings (OR, 0.14).

“This study reinforces the importance of engaging primary care providers in development, dissemination and implementation of evidence-based HBV practice guidelines,” researchers said.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Dr. Joseph Delano Fule Robles, 14 Nov 2017

A recent study conducted by The University of Hong Kong (HKU) revealed that long-term use of proton pump inhibitors (PPIs) is associated with a significantly increased risk of gastric cancer even in patients who have had Helicobacter pylori eradicated. 

6 days ago
Both hatha yoga and a low-FODMAP (Fermentable, Oligo-, Di-, Monosaccharides and Polyol) diet can alleviate gastrointestinal symptoms, as well as improve a range of other psychological and physiological health parameters, in patients with irritable bowel syndrome (IBS), a study has shown.
15 Nov 2017
Men with breast cancer have tumours that are typically of the human epidermal growth factor receptor 2-negative Luminal B subtype and positive for oestrogen receptor, progesterone receptor and androgen receptor, according to the results of the EORTC 10085/TBCRC/BIG/NABCG International Male Breast Cancer Program study.
21 hours ago
Long-term use of benzodiazepines is independently associated with lower diastolic and systolic blood pressure in ambulatory blood pressure monitoring (ABPM) among older but not younger patients, a study has found.