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We sought to determine the outcomes of a screening program for hepatitis C virus(HCV) infection.Of 536 veterans initially screened between July 2000 and June 2001 for risk factors and then tested positive for antibody for HCV,only 260(48.5%) kept their initial appointments for further evaluation;51 were not viremic and only 19(9.1%) were treatment eligible.Of the 276 who did not keep their initial appointments,92 were subsequently evaluated over the next 2 years and 23(25%) were treatment eligible,along with another 15 from the first group.Thus,with appropriate intervention and long-term follow-up,there were 57 treatment candidates.In conclusion,most veterans who tested positive either failed to keep their appointment or were ineligible for treatment when first evaluated.Over the following 2 years,some were lost to follow-up,many continued to have contraindication(s) to antiviral therapy,and relatively few were treatment candidates.
We sought to determine the results of a screening program for hepatitis C virus (HCV) infection. Of 536 veterans initially screened between July 2000 and June 2001 for risk factors and then tested positive for antibody for HCV, only 260 (48.5%) kept their were appointments for further evaluation; 51 were not viremic and only 19 (9.1%) were treatment eligible. Of the 276 who did not keep their initial appointments, 92 were taken evaluated over the next 2 years and 23 (25%) were treatment eligible , along with another 15 from the first group.Thus, with appropriate intervention and long-term follow-up, there are 57 treatment candidates. In conclusion, most veterans who tested positive either failed to keep their appointment or were ineligible for treatment when first evaluated. Over the following 2 years, some were lost to follow-up, many continued to have contraindication (s) to antiviral therapy, and relatively few were treatment candidates.