Sherean Farvardin|Jaimin Patel|Maleka Khambaty|Olutola A. Yerokun|Huram Mok|Jasmin A. Tiro|Adam C. Yopp|Neehar D. Parikh|Jorge A. Marrero|Amit G. Singal
Patient?reported barriers are associated with lower hepatocellular carcinoma surveillance rates in patients with cirrhosis
Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|University of Michigan–Ann Arbor|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center|Parkland Health & Hospital System|The University of Texas Southwestern Medical Center
20 patients cirrhosis nonadherent hepatocellular carcinoma hcc surveillance recommendations however studies evaluated impact patientlevel factors surveillance receipt characterized association hcc surveillance receipt patient knowledge attitudes perceived barriers racially diverse socioeconomically disadvantaged cohort patients cirrhosis patients cirrhosis followed large urban hospital invited complete survey hcc surveillance august 2014 december 2015 multivariable logistic regression performed identify factors associated hcc surveillance receipt 12month period preceding 6month period survey administration achieved response rate 718 n 541 753 patients demonstrated high levels hccrelated knowledge summary score 777 however 486 believed eating healthy diet precluded need hcc surveillance 340 believed hcc surveillance necessary normal physical exam andor lacked clinical symptoms patients expressed worry developing dying hcc nearly half 499 patients reported barriers receiving hcc surveillance including difficulty scheduling process 305 costs surveillance testing 253 transportation difficulties 173 hcc surveillance receipt significantly higher patients knew cirrhosis risk factor developing hcc odds ratio 309 95 confidence interval ci 125762 significantly lower reporting barriers surveillance 042 95 ci 025070 conclusion patients cirrhosis knowledgeable interested hcc surveillance however patientreported barriers associated lower surveillance rates clinical practice represent potential intervention targets improve hcc surveillance effectiveness h epatology 201765875884