To evaluate the effectiveness of a focused HCV micro-elimination program in improving the completion status of the HCV care cascade specifically among surgical patients.
Key Findings:
The study analyzed 114,968 surgical patients, revealing significant gaps in HCV RNA testing and specialist referrals, with only X% completing the cascade.
Demographic and departmental variations in antibody positivity were identified, indicating areas needing targeted interventions.
Key factors influencing adherence to HCV RNA screening were assessed, including physician awareness and departmental protocols.
Interpretation:
The implementation of a structured HCV micro-elimination program significantly impacts the completion of the HCV care cascade, highlighting the need for improved screening and referral processes to meet national health goals.
Limitations:
The study focused only on preoperative patients, which may not represent the broader population, potentially limiting generalizability.
Post-discharge outcomes, such as treatment initiation, were not evaluated, which could provide a more comprehensive understanding of the care cascade.
Conclusion:
Optimizing screening strategies and adherence to care protocols is essential for achieving HCV elimination targets in China, particularly in light of the national health strategy.
