Journal article

The cascade of care for Australians living with chronic hepatitis B: measuring access to diagnosis, management and treatment

Nicole L Allard, Jennifer H MacLachlan, Benjamin C Cowie

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH | WILEY | Published : 2015

Abstract

OBJECTIVE: To estimate the level of access to diagnosis, management and treatment for people living with chronic hepatitis B (CHB) in Australia, and to identify the gaps in clinical care for people living with CHB. METHODS: Analysis of publicly available population level data including infectious disease notifications, Medicare and Pharmaceutical Benefits Scheme utilisation data, census-based estimates of CHB prevalence and burden, and mathematical modelling. RESULTS: In 2012, of the estimated 218,567 Australians living with CHB, 57% had been diagnosed, 17,367 people (8%) received recommended HBV DNA viral load testing (without treatment) and 10,987 (5%) received antiviral therapy. CONCLUSIO..

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