Poor adherence to AASLD guidelines for chronic hepatitis B Management and treatment in a large academic medical center.

ABSTRACT:

Objectives

Adherence to the American Association for the Study of Liver Disease (AASLD) guidelines for the management of chronic hepatitis B (CHB) has not been systematically assessed. We sought to comprehensively evaluate adherence to five key areas of these guidelines. We also evaluated physician and patient factors underlying nonadherence, and predictors of nonadherence such as physician type, patient demographic factors, and phase of CHB infection.

Methods

Nine hundred and sixty-two adult patients were retrospectively identified. Each patient chart was reviewed in detail. The primary outcome was adherence to five areas of the AASLD guidelines: (i) timely alanine aminotransferase (ALT)/hepatitis B virus DNA level checks needed to monitor inactive carrier and immune-tolera

SUBMITTER: Wu Y 

PROVIDER: S-EPMC4624277 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature