Expected and actual case ascertainment and treatment rates for children infected with hepatitis c in florida and the united states: Epidemiologic evidence from statewide and nationwide surveys

Aymin Delgado-Borrego, Lesley J Smith, Maureen M. Jonas, Cyndena A. Hall, Betania Negre, Sergio H. Jordan, Matthew Ogrodowicz, Roshan Raza, David Ludwig, Tracie L Miller, Steven E Lipshultz, Regino Gonzalez-Peralta, Raymond T. Chung

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: To evaluate the rate of pediatric hepatitis C virus (HCV) case ascertainment relative to the estimated number of actual cases. Study design: Data from Florida and United States health departments were used to assess pediatric HCV case ascertainment rates in Florida and nationwide. The percentage of children infected with HCV from Miami-Dade County receiving medical care by a pediatric gastroenterologist was estimated based on data obtained from physician questionnaires. Results: From 2000 through 2009, 2007 children were identified as having positive HCV antibody tests in Florida, only 12% of the expected number (n = 12 155). An estimated 1.6% of the expected children with HCV who tested Ab-positive (37 of 1935) were actively followed by a pediatric gastroenterologist in Miami-Dade County, Florida. Across the United States, only 4.9% of the expected cases have been identified. Conclusions: The identification of children infected with HCV in the nation as a whole is grossly inadequate. Only a small fraction of cases are identified. In Florida, less than 2% of children identified receive treatment. Lack of identification and lack of treatment of children infected with HCV constitute critical public health problems. Strategies to increase awareness of HCV infection and to screen at-risk individuals could substantially improve morbidity and mortality while reducing health care costs.

Original languageEnglish
Pages (from-to)915-921
Number of pages7
JournalJournal of Pediatrics
Volume161
Issue number5
DOIs
StatePublished - Nov 1 2012

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Hepacivirus
Hepatitis
Pediatrics
Therapeutics
United States Dept. of Health and Human Services
Hepatitis C Antibodies
Virus Diseases
Surveys and Questionnaires
Health Care Costs
Public Health
Morbidity
Physicians
Mortality

Keywords

  • HCV
  • Hepatitis C virus
  • Institute of Medicine
  • IOM
  • Medical Emergency Relief International
  • MERLIN
  • National Health and Nutrition Examination Survey
  • NHANES
  • Sustained virologic response
  • SVR

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Expected and actual case ascertainment and treatment rates for children infected with hepatitis c in florida and the united states : Epidemiologic evidence from statewide and nationwide surveys. / Delgado-Borrego, Aymin; Smith, Lesley J; Jonas, Maureen M.; Hall, Cyndena A.; Negre, Betania; Jordan, Sergio H.; Ogrodowicz, Matthew; Raza, Roshan; Ludwig, David; Miller, Tracie L; Lipshultz, Steven E; Gonzalez-Peralta, Regino; Chung, Raymond T.

In: Journal of Pediatrics, Vol. 161, No. 5, 01.11.2012, p. 915-921.

Research output: Contribution to journalArticle

Delgado-Borrego, A, Smith, LJ, Jonas, MM, Hall, CA, Negre, B, Jordan, SH, Ogrodowicz, M, Raza, R, Ludwig, D, Miller, TL, Lipshultz, SE, Gonzalez-Peralta, R & Chung, RT 2012, 'Expected and actual case ascertainment and treatment rates for children infected with hepatitis c in florida and the united states: Epidemiologic evidence from statewide and nationwide surveys', Journal of Pediatrics, vol. 161, no. 5, pp. 915-921. https://doi.org/10.1016/j.jpeds.2012.05.002
Delgado-Borrego, Aymin ; Smith, Lesley J ; Jonas, Maureen M. ; Hall, Cyndena A. ; Negre, Betania ; Jordan, Sergio H. ; Ogrodowicz, Matthew ; Raza, Roshan ; Ludwig, David ; Miller, Tracie L ; Lipshultz, Steven E ; Gonzalez-Peralta, Regino ; Chung, Raymond T. / Expected and actual case ascertainment and treatment rates for children infected with hepatitis c in florida and the united states : Epidemiologic evidence from statewide and nationwide surveys. In: Journal of Pediatrics. 2012 ; Vol. 161, No. 5. pp. 915-921.
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abstract = "Objective: To evaluate the rate of pediatric hepatitis C virus (HCV) case ascertainment relative to the estimated number of actual cases. Study design: Data from Florida and United States health departments were used to assess pediatric HCV case ascertainment rates in Florida and nationwide. The percentage of children infected with HCV from Miami-Dade County receiving medical care by a pediatric gastroenterologist was estimated based on data obtained from physician questionnaires. Results: From 2000 through 2009, 2007 children were identified as having positive HCV antibody tests in Florida, only 12{\%} of the expected number (n = 12 155). An estimated 1.6{\%} of the expected children with HCV who tested Ab-positive (37 of 1935) were actively followed by a pediatric gastroenterologist in Miami-Dade County, Florida. Across the United States, only 4.9{\%} of the expected cases have been identified. Conclusions: The identification of children infected with HCV in the nation as a whole is grossly inadequate. Only a small fraction of cases are identified. In Florida, less than 2{\%} of children identified receive treatment. Lack of identification and lack of treatment of children infected with HCV constitute critical public health problems. Strategies to increase awareness of HCV infection and to screen at-risk individuals could substantially improve morbidity and mortality while reducing health care costs.",
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