Chronic HBV Carrier's Acceptance of Regular Surveilling Program in China  

作　　者：方清 郝友华 李磊 张振华 王俊忠 陈明发 康健 杨东亮 

机构地区：[1]Devivision of Clinical Immunology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology [2]Department of Infectious Diseases, the First College of Clinical Medical Sciences, China Three Gorges University [3]Yichang Central People's Hospital [4]Department of Infections Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

出　　处：《Journal of Huazhong University of Science and Technology(Medical Sciences)》2013年第2期288-292,共5页华中科技大学学报（医学英德文版）

基　　金：supported by grants from the National Mega Research Program of China(No.2008ZX10002-011);the National Key Basic Research Program of China(No.2005CB 522901,2007CB512804,2009CB522500);the National Natural Science Foundation of China(No.30571646);Deutsche Forschungsgemeinschaft(TRR60)to Dong-liang YANG

摘　　要：Long-term compliance with regular surveillance is important for the prevention and timely management of chronic hepatitis B （CHB）. However, there are no researches focusing on the compli- ance of hepatitis B virus infected patients in regular surveillance so far. The purpose of our study was to investigate the outpatient compliance with long-term regular surveillance in China. Data of 3257 CHB outpatients was pooled and analyzed to assess the outpatient＇s compliance with the long-term regular surveillance plan. In all outpatients, the non-follow-up and the follow-up group accounted for 73.2% and 26.8%, respectively. Among the follow-up outpatient＇s, only 48.9% received ongoing-follow-up and 51.1% were finally lost to follow-up; the median length of visiting duration was 25 months; and the predictive 1-, 2-, 3-, 4- and 5-year ongoing follow-up rate was 72.7%, 52.5%, 42.4%, 33.8%, and 26.3%, respectively. In conclusion, our survey proved that the regular long-term surveillance on Chinese chronic HBV carrier is difficult to be fully implemented. A large proportion of outpatients do not receive routine follow-up and are at risk of treatment delay due to various social reasons.Long-term compliance with regular surveillance is important for the prevention and timely management of chronic hepatitis B （CHB）. However, there are no researches focusing on the compli- ance of hepatitis B virus infected patients in regular surveillance so far. The purpose of our study was to investigate the outpatient compliance with long-term regular surveillance in China. Data of 3257 CHB outpatients was pooled and analyzed to assess the outpatient＇s compliance with the long-term regular surveillance plan. In all outpatients, the non-follow-up and the follow-up group accounted for 73.2% and 26.8%, respectively. Among the follow-up outpatient＇s, only 48.9% received ongoing-follow-up and 51.1% were finally lost to follow-up; the median length of visiting duration was 25 months; and the predictive 1-, 2-, 3-, 4- and 5-year ongoing follow-up rate was 72.7%, 52.5%, 42.4%, 33.8%, and 26.3%, respectively. In conclusion, our survey proved that the regular long-term surveillance on Chinese chronic HBV carrier is difficult to be fully implemented. A large proportion of outpatients do not receive routine follow-up and are at risk of treatment delay due to various social reasons.

关 键 词：hepatitis B virus COMPLIANCE FOLLOW-UP OUTPATIENT 

分 类 号：R446.6[医药卫生—诊断学]