caa a22 4500 445796847 CHVBK 20180317145128.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10620-010-1439-3 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1439-3 Hepatitis B and Hepatocellular Carcinoma Screening Among Asian Americans: Survey of Safety Net Healthcare Providers [Elektronische Daten] [Mandana Khalili, Jennifer Guy, Albert Yu, Alexander Li, Nadia Diamond-Smith, Susan Stewart, Moon Chen Jr., Tung Nguyen] Background: Physician patterns of screening for hepatitis B (HBV) and hepatocellular carcinoma (HCC) among Asian Americans are not well described. Aims: To describe HBV and HCC screening practices among providers with large Asian American populations. Methods: Providers within San Francisco's safety net system were surveyed with respect to HBV and HCC screening practices as well as knowledge, attitudes, and barriers to HCC screening. Results: Among the 109 respondents (response rate=72%), 62% were aged >40, 65% female, 24% Asian, 87% primary care providers, and 48% had >25% Asian patients. Only 76% had screened >50% of their Asian patients for HBV and 43% had vaccinated >50% of eligible patients against HBV. Although 94% knew Asians were disproportionately affected by HCC, only 79% had screened for HCC in >50% of their Asian patients with chronic hepatitis B (CHB). A majority believed that HCC screening in CHB reduces HCC mortality (70%) and is cost-effective (57%). The most common HCC screening modality was AFP with abdominal ultrasound every 6-12months (63%). Factors associated with HBV screening were familiarity with AASLD guidelines (OR 6.4, 95% CI 1.3-30.1, p=0.02) and having vaccinated >50% of eligible patients against HBV (OR 2.2, 95% CI 1.1-4.5, p=0.03). Factors associated with HCC screening using abdominal ultrasound every 6-12months were having >25% Asian patients (OR=4.5, 95% CI 1.3-15.3, p=0.02) and higher HCC knowledge score (OR=1.9 per item, 95% CI 1.01-3.6, p=0.045). Conclusions: HBV and HCC screening rates and HBV vaccination among Asians from physician report is suboptimal. HCC screening is associated with having more Asian patients and higher provider knowledge. Provider education is essential in increasing rates of HBV and HCC screening among Asian Americans. The Author(s), 2010 Hepatocellular carcinoma surveillance nationallicence Hepatitis B screening nationallicence Asian American nationallicence Provider practices nationallicence HCC : Hepatocellular carcinoma nationallicence HBV : Hepatitis B virus nationallicence CHB : Chronic hepatitis B infection nationallicence HBsAg : Hepatitis B surface antigen nationallicence Anti-HBs : Hepatitis B surface antibody nationallicence Anti-HBc : Hepatitis B core antibody nationallicence US : Ultrasound nationallicence CT : Computerized tomography nationallicence AFP : Alpha fetoprotein nationallicence AASLD : American Association for the Study of Liver Diseases nationallicence CDC : Centers for Disease Control and Prevention nationallicence Khalili Mandana Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut Guy Jennifer Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut Yu Albert Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, USA aut Li Alexander LA Care Health Plan, Los Angeles, CA, USA aut Diamond-Smith Nadia Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut Stewart Susan Department of Medicine, University of San Francisco, San Francisco, CA, USA aut Chen Jr. Moon Department of Internal Medicine, University of California Davis, Sacramento, CA, USA aut Nguyen Tung Department of Medicine, University of San Francisco, San Francisco, CA, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1516-1523 0163-2116 56:5<1516 2011 56 10620 https://doi.org/10.1007/s10620-010-1439-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1439-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Khalili Mandana Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Guy Jennifer Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Yu Albert Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Li Alexander LA Care Health Plan, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Diamond-Smith Nadia Department of Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, NH-3D, 94110, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Stewart Susan Department of Medicine, University of San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Chen Jr Moon Department of Internal Medicine, University of California Davis, Sacramento, CA, USA aut NATIONALLICENCE 700 1- Nguyen Tung Department of Medicine, University of San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1516-1523 0163-2116 56:5<1516 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer