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Developing a community HCV service: project ITTREAT (Integrated Community based Test - stage - TREAT) service for people who inject drugs

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posted on 2023-06-09, 08:16 authored by Ahmed Hashim, Margaret O'Sullivan, Hugh Williams, Sumita VermaSumita Verma
Liver disease is now the third most common cause of premature death in the UK, with chronic viral hepatitis being an important contributory factor. Often the diagnosis of chronic liver disease is only made when patients present late in the disease trajectory. This underscores the importance of near patient testing and linkage into care. The need for community based models for liver disease is in line with the recently commissioned National Liver report, which calls for assessment and treatment of high-risk individuals in the community. In this manuscript our objectives are to discuss the need for community services for individuals with hepatitis C virus (HCV) infection and give an overview of the different community models for HCV. Finally we describe our experiences in setting up a successful nurse led service for screening, stratification and treatment of HCV related liver disease at a substance misuse service. We highlight the important stages of this process including engaging with stakeholders, obtaining funding and service set up. We also explore the obstacles and challenges faced and summarise our key recommendations. A brief summary of interim clinical outcomes is also presented.

Funding

ITTREAT; Brighton and Hove Commissioners and Gilead Science

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Primary Health Care Research and Development

ISSN

1463-4236

Publisher

Cambridge University Press

Volume

19

Page range

110-120

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2017-10-12

First Open Access (FOA) Date

2018-06-04

First Compliant Deposit (FCD) Date

2017-10-12

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