Impact of COVID-19 pandemic on diagnosis and treatment access of patients with viral hepatitis in Turkey
| dc.contributor.author | Eser, Fatma | |
| dc.contributor.author | Güner, Rahmet | |
| dc.contributor.author | Kesim Uçar, Şengül | |
| dc.contributor.author | Düzenli, Tolga | |
| dc.date.accessioned | 2023-05-30T10:27:57Z | |
| dc.date.available | 2023-05-30T10:27:57Z | |
| dc.date.issued | 2023 | en_US |
| dc.department | Hitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | |
| dc.description.abstract | Introduction: We aimed to evaluate access to diagnosis, treatment and follow-up in patients with viral hepatitis during the COVID-19 pandemic. Methodology: Patients who started treatment for hepatitis B and hepatitis C were included in the study and analyzed in two periods: beforepandemic and during-pandemic. Indication for treatment and frequency of laboratory follow-up was obtained from hospital records. A telephone survey was administered to evaluate treatment access and compliance. Results: Four centers with 258 patients were included in the study. Of these 161 (62.4%) were male, median age was 50 years. The number of patients, admitted to outpatient clinics was 134647 in the before-pandemic period and 106548 in the during-pandemic period. Number of patients who started treatment for hepatitis B were significantly high during-pandemic period compared with before-pandemic (78 (0.07%); 73 (0.05%) respectively; p = 0.04). The number who received treatment for hepatitis C was similar in both periods: 43 (0.04%); 64 (0.05%), respectively (p = 0.25). Prophylactic treatment for hepatitis B, due to immunosuppressive agents was significantly higher in during-pandemic period (p = 0.001). In the laboratory follow-ups at 4th, 12th and 24th weeks of treatment, worse adherence was detected in during-pandemic (for all p < 0.05). Access to treatment and compliance of all patients was over 90% and did not differ in the two periods. Conclusions: During-pandemic, hepatitis patients' access to diagnosis, treatment initiation and follow-up had worsened in Turkey. The health policy implemented during the pandemic had a positive impact on patients' access to and compliance to treatment. | |
| dc.description.provenance | Submitted by Zeynep Umut NARİN (umutarslan@hitit.edu.tr) on 2023-05-30T10:27:43Z No. of bitstreams: 2 sengul-kesim-ucar2023.pdf: 1048609 bytes, checksum: 5c1a724909830b405fceb2932cea192a (MD5) license_rdf: 810 bytes, checksum: 73abee61e377f73f1d5fc0522cf9cde0 (MD5) | en |
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| dc.description.provenance | Made available in DSpace on 2023-05-30T10:27:57Z (GMT). No. of bitstreams: 2 sengul-kesim-ucar2023.pdf: 1048609 bytes, checksum: 5c1a724909830b405fceb2932cea192a (MD5) license_rdf: 810 bytes, checksum: 73abee61e377f73f1d5fc0522cf9cde0 (MD5) Previous issue date: 2023 | en |
| dc.identifier.citation | Eser, F., Güner, R., Gürbüz, Y., Akdoğan, M., Bilgiç, Z., Korkmaz, N., ... & Yamazhan, T. (2023). Impact of COVID-19 pandemic on diagnosis and treatment access of patients with viral hepatitis in Turkey. The Journal of Infection in Developing Countries, 17(04), 461-467. | |
| dc.identifier.doi | 10.3855/jidc.17585 | |
| dc.identifier.endpage | 467 | en_US |
| dc.identifier.issn | 1972-2680 | |
| dc.identifier.issue | 4 | en_US |
| dc.identifier.pmid | 37159894 | |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.startpage | 461 | en_US |
| dc.identifier.uri | https://hdl.handle.net/11491/8477 | |
| dc.identifier.volume | 17 | en_US |
| dc.identifier.wos | WOS:000992743400006 | |
| dc.identifier.wosquality | Q4 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | NLM (Medline) | |
| dc.relation.ispartof | Journal of infection in developing countries | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | Attribution 4.0 International (CC BY 4.0) | * |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject | Hepatitis B | en_US |
| dc.subject | Hepatitis C | en_US |
| dc.subject | COVID-19 | en_US |
| dc.subject | Access | en_US |
| dc.subject | Treatment | en_US |
| dc.title | Impact of COVID-19 pandemic on diagnosis and treatment access of patients with viral hepatitis in Turkey | |
| dc.type | Article |
