Electronic health record alerts enhance mass screening for chronic hepatitis B

To measure the effect of an electronic health record (EHR) alert on chronic hepatitis B (CHB) screening among at-risk Asian and Pacific Islanders (API). API patients who had not yet completed hepatitis B surface antigen (HBsAg) testing were identified by a novel EHR-based population health tool. At-...

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Bibliographic Details
Published in:Scientific reports 2020-11, Vol.10 (1), p.19153-19153, Article 19153
Main Authors: Chak, Eric, Li, Chin-Shang, Chen, Moon S., MacDonald, Scott, Bowlus, Christopher
Format: Article
Language:English
Subjects:
692/4020/4021/1607/234/2513/1549
692/700/459
Adolescent
Adult
Aged
Aged, 80 and over
Asian Americans
California
Electronic Health Records
Electronic medical records
Female
Hepatitis
Hepatitis B
Hepatitis B surface antigen
Hepatitis B, Chronic - diagnosis
Humanities and Social Sciences
Humans
Male
Mass Screening - methods
Middle Aged
multidisciplinary
NCT
NCT04240678
Oceanic Ancestry Group
Science
Science (multidisciplinary)
Young Adult
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Summary:To measure the effect of an electronic health record (EHR) alert on chronic hepatitis B (CHB) screening among at-risk Asian and Pacific Islanders (API). API patients who had not yet completed hepatitis B surface antigen (HBsAg) testing were identified by a novel EHR-based population health tool. At-risk API patients in Cohort 1 (primarily privately insured) and Cohort 2 (includes Medicare and/or Medicaid) were randomized to alert activation in their electronic medical charts or not. In total, 8299 API were found to be deficient in HBsAg completion at baseline within our health system. In Cohort 1, 1542 patients and 1568 patients were randomized to the alert and control respectively. In Cohort 2, 2599 patients and 2590 patients were randomized to the alert and control respectively. For both cohorts combined, 389 HBsAg tests were completed in the alert group compared to 177 HBsAg tests in the control group ( p  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-75842-8