Table 1.
Cascade of care definitions.
Table 2.
Baseline characteristics of patients referred and completing an evaluation.
Fig 1.
Cascade of care and reasons for lack of progression.
Of 187 patients meeting inclusion criteria, 120 (64%) completed an evaluation for HCV treatment, 119 (64%) were prescribed treatment, 114 (61%) were approved for treatment, 113 (60%) initiated treatment, 107 (57%) completed treatment, and 100 (53%) achieved a SVR. The largest lack of progression was seen from a referral to an evaluation with 51 patients never attending a scheduled clinic appointment. After an evaluation was completed, the most common reason for lack of progression was losing a patient to follow-up, defined as ≥5 attempts to contact the patient were made by phone as well as a letter sent to the patient’s most recent address with no response over at least three months.
Table 3.
Characteristics associated with evaluation completion.
Fig 2.
Insurance type was a significant predictor of the rate in days to approval of direct acting antiviral therapy. The rate in days to approval decreased by 73% in patients with Medicaid compared with non-Medicaid (HR = 0.27, 95% CI = 0.15 to 0.48, p<0.001), reflecting a longer time to treatment approval in this population.