Unique ID issued by UMIN | UMIN000029755 |
---|---|
Receipt number | R000033993 |
Scientific Title | Promoting hospital-hospital referral system for hepatitis C virus carriers to hepatologist: multi-center study |
Date of disclosure of the study information | 2017/11/01 |
Last modified on | 2017/10/30 14:05:55 |
Promoting hospital-hospital referral system for hepatitis C virus carriers to hepatologist: multi-center study
Promoting hospital-hospital referral system for hepatitis C virus carriers to hepatologist: multi-center study
Promoting hospital-hospital referral system for hepatitis C virus carriers to hepatologist: multi-center study
Promoting hospital-hospital referral system for hepatitis C virus carriers to hepatologist: multi-center study
Japan |
Hepatitis C virus carriers
Hepato-biliary-pancreatic medicine |
Others
NO
Our object is developing an effective regional network for hepatitis treatment, where a core center, specialized hospitals and primary physicians cooperate with each other in accordance to eradicate hepatitis C virus (HCV) in patients with HCV-related liver disease. In the present situations, only a few patients who are required HCV treatment after HCV screening test, visited hepatologists. Moreover, HCV-positive patients do not always receive appropriate hepatitis treatment at medical institutions when they visit non-specialized hospitals for liver disease. In order to address these issues, we propose a new hospital-hospital/ clinics referral system. Many HCV carriers are detected by screening tests in non-specialized hospital. However, since non-specialists aren't very familiar with liver disease, they can't necessarily provide information to their patients regarding how to be treated with viral infection or whom to consult with. Because intra-hospital referral system has been introduced in several facilities, showing effectiveness in some extent, we can apply a hospital-hospital or clinic referral system to enlarge treatment subjects and take a step forward. To establish the effective hospital network, we need the convenient referral system to disseminate the importance of hepatitis treatment for the purpose of preventing the disease progression to liver cirrhosis or hepatocellular carcinoma (HCC).
Efficacy
We evaluate the effectiveness of hospital-hospital referral system for hepatitis C virus carriers to hepatologist.
Our primary endpoint of this study is to increase follow-up rate and treatment rate of HCV-positive patients who are proved positive by screening test.
Observational
18 | years-old | <= |
Not applicable |
Male and Female
1. At least 18 years old
2. With chronic genotype 1 and/or genotype 2 HCV infection
3. Patients providing written informed consent
1. Any organ failure not due to aging
2.Decompensated cirrhotic patients
3. HCC patients
4.. Under treatment of hepatitis virus eradication
5. Severe bacterial infection
6. Severe mental illness
7. Severe cardiac disease
8. Severe endocrine metabolic disease
9. Patients with malignant tumors
10. Determined who is inappropriate by doctor
2000
1st name | |
Middle name | |
Last name | Yuataka Sasaki |
Kumamoto University
Department of Gastroenterology and Hepatology Graduate School of Medical Sciences
1-1-1 Honjo, Chuou-ku, Kumamoto City, Kumamoto 860-8556, JAPAN.
096-373-5150
sasakiy@kumamoto-u.ac.jp
1st name | |
Middle name | |
Last name | Hiroko Setoyama |
Kumamoto University
Department of Gastroenterology and Hepatology Graduate School of Medical Sciences
1-1-1 Honjo, Chuou-ku, Kumamoto City, Kumamoto 860-8556, JAPAN.
096-373-5150
setoyamahiroko@kuh.kumamoto-u.ac.jp
Kumamoto University
Kumamoto University
Other
NO
2017 | Year | 11 | Month | 01 | Day |
Unpublished
Preinitiation
2017 | Year | 04 | Month | 26 | Day |
2017 | Year | 11 | Month | 01 | Day |
We totalize the data every 3 months for the following items.
(a) Total number of patients who visit our department
(b) Total number of referrals from partner hospitals
(c) Total number of HCV-Ab positive patients in partner hospitals
(d) The number of HCV-Ab positive patients who are already under the medical treatment. (Out of (c))
(e) The number of HCV-Ab positive patients who led to treatment. (Out of (a), (c))
We also calculate follow-up rate, treatment rate, referral rate based on these data.
(f) Follow-up rate = (b)/(c)-(d)
(g) Treatment rate = (e)/(c)-(d)
(h) Referral rate = (b)/(a)
2017 | Year | 10 | Month | 30 | Day |
2017 | Year | 10 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033993