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Do Electronic Reminders Aid in HCV Screening?

J Viral Hepat; ePub 2018 Mar 30; MacLean, et al

There was an increase in the proportion of patients tested for hepatitis C virus (HCV) after implementation of an electronic medical record (EMR) reminder system, a recent study found. The retrospective cohort study included 60,000 primary care patients at a northeast US academic medical center serving an urban and rural population in which an EMR reminder was instituted in 2014. Among the findings:

  • There was an increase in proportion tested for HCV from 12% prior to the 2012 CDC recommendation to 37% after the reminder system.
  • The yield of positive HCV antibody tests decreased from 7% in the “case-finding” era to 1.6% after the EMR reminder prompted screening of a lower risk population.
  • Patients with a history of abnormal aminotransferase tests had a 5-fold higher rate of positive HCV Ab testing.
  • 90% of patients with confirmed HCV infection were seen in specialty care.


MacLean CD, Berger C, Cangiano ML, Ziegelman D, Lidofsky SD. Impact of electronic reminder systems on hepatitis C screening in primary care. [Published online ahead of print March 30, 2018]. J Viral Hepat. doi:10.1111/jvh.12885.