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Engagement in the Hepatitis C Care Cascade Among Homeless Veterans, 2015.

Noska AJ, Belperio PS, Loomis TP, O'Toole TP, Backus LI. Engagement in the Hepatitis C Care Cascade Among Homeless Veterans, 2015. Public health reports (Washington, D.C. : 1974). 2017 Mar 1; 132(2):136-139.

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The Veterans Health Administration (VHA) is the largest provider of hepatitis C virus (HCV) care nationally and provides health care to > 200?000 homeless veterans each year. We used the VHA''s Corporate Data Warehouse and HCV Clinical Case Registry to evaluate engagement in the HCV care cascade among homeless and nonhomeless veterans in VHA care in 2015. We estimated that, among 242?740 homeless veterans in care and 5?424?712 nonhomeless veterans in care, 144?964 (13.4%) and 188?156 (3.5%), respectively, had chronic HCV infection. Compared with nonhomeless veterans, homeless veterans were more likely to be diagnosed with chronic HCV infection and linked to HCV care but less likely to have received antiviral therapy despite comparable sustained virologic response rates. Homelessness should not necessarily preclude HCV treatment eligibility with available all-oral antiviral regimens.

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