Modelling jurisdictional disparities in the cascade of care for chronic hepatitis B in Australia : impact of treatment uptake on mortality
Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved..
OBJECTIVE: Investigate the cascade of care for chronic hepatitis B (CHB) and estimate impacts of increasing treatment uptake on attributable burden, according to jurisdiction.
METHODS: A mathematical model of CHB in Australia was utilised, combined with notifiable disease and Medicare data. We estimated the proportion with CHB who were diagnosed, engaged in care and receiving treatment in each state/territory, and projected future mortality.
RESULTS: The highest uptake of all measures was in New South Wales, however, the largest increase over time occurred in Northern Territory. No jurisdiction is due to meet 2022 targets of treatment uptake or mortality reduction. Previously declining mortality is predicted to plateau or increase in all jurisdictions except Northern Territory. The largest gap in the cascade of care was most commonly diagnosed individuals not engaged in care; however, in Victoria and Tasmania it was lack of diagnosis.
CONCLUSIONS: Measures of the cascade of care varied substantially between jurisdictions; while all require improvements to reduce mortality, the specific gaps vary, as do potential impacts.
IMPLICATIONS FOR PUBLIC HEALTH: Improving the cascade of care for CHB will require jurisdictionally tailored approaches. If improvements are not made, more deaths will occur due to CHB in most states and territories.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
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| Enthalten in: |
Australian and New Zealand journal of public health - 47(2023), 1 vom: 15. Feb., Seite 100011 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
McCulloch, Karen [VerfasserIn] |
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| Links: |
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| Themen: |
Antiviral treatment |
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| Anmerkungen: |
Date Completed 13.02.2023 Date Revised 13.02.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.anzjph.2022.100011 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM351495193 |
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| 500 | |a Date Completed 13.02.2023 | ||
| 500 | |a Date Revised 13.02.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: Investigate the cascade of care for chronic hepatitis B (CHB) and estimate impacts of increasing treatment uptake on attributable burden, according to jurisdiction | ||
| 520 | |a METHODS: A mathematical model of CHB in Australia was utilised, combined with notifiable disease and Medicare data. We estimated the proportion with CHB who were diagnosed, engaged in care and receiving treatment in each state/territory, and projected future mortality | ||
| 520 | |a RESULTS: The highest uptake of all measures was in New South Wales, however, the largest increase over time occurred in Northern Territory. No jurisdiction is due to meet 2022 targets of treatment uptake or mortality reduction. Previously declining mortality is predicted to plateau or increase in all jurisdictions except Northern Territory. The largest gap in the cascade of care was most commonly diagnosed individuals not engaged in care; however, in Victoria and Tasmania it was lack of diagnosis | ||
| 520 | |a CONCLUSIONS: Measures of the cascade of care varied substantially between jurisdictions; while all require improvements to reduce mortality, the specific gaps vary, as do potential impacts | ||
| 520 | |a IMPLICATIONS FOR PUBLIC HEALTH: Improving the cascade of care for CHB will require jurisdictionally tailored approaches. If improvements are not made, more deaths will occur due to CHB in most states and territories | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Hepatitis B | |
| 650 | 4 | |a antiviral treatment | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a modelling | |
| 650 | 4 | |a public health | |
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| 700 | 1 | |a Allard, Nicole |e verfasserin |4 aut | |
| 700 | 1 | |a MacLachlan, Jennifer H |e verfasserin |4 aut | |
| 700 | 1 | |a Cowie, Benjamin C |e verfasserin |4 aut | |
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