Skip Navigation LinksHome > September 2011 - Volume 45 - Issue 8 > Patient Involvement in Healthcare is Associated With Higher...
Journal of Clinical Gastroenterology:
doi: 10.1097/MCG.0b013e31820989d3
LIVER, PANCREAS AND BILIARY TRACT: Original Articles

Patient Involvement in Healthcare is Associated With Higher Rates of Surveillance for Hepatocellular Carcinoma

Singal, Amit G. MD, MS*; Volk, Michael L. MD, MS*; Rakoski, Mina O. MD, MS*; Fu, Sherry MD*; Su, Grace L. MD*,†; McCurdy, Heather RN; Marrero, Jorge A. MD, MS*

Supplemental Author Material
Collapse Box

Abstract

Background: Surveillance for hepatocellular carcinoma (HCC) is recommended in patients with cirrhosis, but earlier studies suggest that it is used less than one-third of the time. Patient factors associated with surveillance rates are incompletely understood.

Goals: The aims of our study were to determine HCC surveillance rates in a tertiary-care center and to identify patient predictors of receiving surveillance.

Study: Patients with Child A or B cirrhosis seen in the University of Michigan liver clinics between October 2008 and March 2009 were enrolled to complete a self-administered survey. Surveillance rates and clinical data were extracted from the patient electronic medical record.

Results: Of the 160 patients enrolled, 74.4% had HCC surveillance performed in the past year. On multivariate analysis, predictors of receiving surveillance included male sex (odds ratio 7.1, 95% confidence interval, 1.2-43.2) and patient involvement in their care (odds ratio 3.4, 95% confidence interval, 1.5-7.9). Patients expressed high levels of concern regarding HCC, desired more information from their physicians, and wanted to be more involved in their care.

Conclusions: HCC surveillance rates in a tertiary-care center were significantly higher than earlier reported rates. Direct patient involvement in decisions regarding HCC surveillance may help to improve surveillance rates.

© 2011 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.