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. 2022 Jul 1;140(1):99-101.
doi: 10.1097/AOG.0000000000004822. Epub 2022 Jun 7.

Hepatitis C Virus Testing During Pregnancy After Universal Screening Recommendations

Harvey W Kaufman  1 , Ademola Osinubi, William A Meyer 3rd, Mohammed Khan, Xiaohua Huang, Lakshmi Panagiotakopoulos, William W Thompson, Noele Nelson, Carolyn Wester
Affiliations

Hepatitis C Virus Testing During Pregnancy After Universal Screening Recommendations

Harvey W Kaufman et al. Obstet Gynecol. .

Abstract

The study evaluates the effect of the 2020 Centers for Disease Control and Prevention and U.S. Preventive Services Task Force recommendations on hepatitis C virus (HCV) screening among pregnant persons nationally and by health insurance type. The study included 5,048,428 pregnant persons aged 15-44 years with either Medicaid or commercial health insurance who had obstetric panel testing performed by Quest Diagnostics, January 2011-June 2021. Antibody screening for HCV infection increased before and accelerated after the updated recommendations in early 2020. Disparities in HCV testing by health insurance status were substantial over the entire study period. Despite substantial progress in the proportion of pregnant persons screened for HCV infection, current testing rates fall short of universal recommendations.

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Figures

Fig. 1.
Fig. 1.. Pregnant persons with an obstetric panel test combined with hepatitis C virus antibody screens (percentage): quarter (Q) 1 2011 through Q2 2021.
Fig. 2.
Fig. 2.. Pregnant persons with an obstetric panel test combined with hepatitis C virus antibody screens (percentage), by commercial insurance (blue line) and Medicaid insurance (brown line): quarter (Q) 1 2011 through Q2 2021.
Figure
Figure
No available caption
See this image and copyright information in PMC

References

    1. U.S Preventive Services Task Force; Owens DK, Davidson KW, Krist AH, Barry MJ, Cabana M, et al. Hepatitis C virus infection in adolescents and adults: screening: US Preventive Services Task Force statement. JAMA 2020;323:970–75. doi: 10.1001/jama.2020.1123 - DOI - PubMed
    1. Schillie S, Wester C, Osborne M, Wesolowski L, Ryerson AB. CDC Recommendations for hepatitis C screening among adults—United States, 2020. MMWR Recomm Rep 2020;69:1–17. doi:10.15585/mmwr.rr6902a1 - DOI - PMC - PubMed
    1. American College of Obstetricians and Gynecologists. Routine hepatitis C virus screening in pregnant individuals. Accessed June 4, 2021. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articl...

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