Increasing success and evolving barriers in the hepatitis C cascade of care during the direct acting antiviral era
Fig 1
Cascade of care and reasons for lack of progression.
Of 187 patients meeting inclusion criteria, 120 (64%) completed an evaluation for HCV treatment, 119 (64%) were prescribed treatment, 114 (61%) were approved for treatment, 113 (60%) initiated treatment, 107 (57%) completed treatment, and 100 (53%) achieved a SVR. The largest lack of progression was seen from a referral to an evaluation with 51 patients never attending a scheduled clinic appointment. After an evaluation was completed, the most common reason for lack of progression was losing a patient to follow-up, defined as ≥5 attempts to contact the patient were made by phone as well as a letter sent to the patient’s most recent address with no response over at least three months.