A Survey to Improve Identification and Therapy of Hepatitis C Testing the Knowledge Base of Front Line Primary Care Physicians

Abstract

Purpose: The CDC reports 3.2 million people in the United States with chronic hepatitis C, and timely referral is key to diagnosis and treatment. The primary aim of this study was to determine the current knowledge base of primary care physicians and practice patterns at a typical urban community hospital. Methods: A questionnaire with relevant questions about hepatitis C screening and treatment was given to internal medicine and family practice faculty and residents. 72% of the 113 questionnaires were fully completed and returned. Results: Forty two percent submitted incorrect answers regarding epidemiology of HCV, and 73% submitted incorrect answers regarding current therapy for HCV. 33% reported screening “baby boomers” and 46% submitted incorrect answers regarding the most sensitive screening test for HCV. 69% and 33% submitted correct answers for questions regarding common side effects of interferon and ribavarin, respectively. Conclusion: Government institutions and pharmaceutical companies are paying attention to educating the gastroenterologist about hepatitis C. This study concludes that more attention is needed to educate and improve the knowledge base of front line primary care physicians regarding this serious illness.