Posted on May - 31 - 2011

Videoconferencing Enables PCPs to Deliver Specialist-Quality Hep C Treatment

Videoconferencing with specialists allows primary care providers to provide hepatitis C treatment as effective as that found in academic centers, according to a study.

Researchers followed outcomes in some 400 patients with untreated chronic hepatitis C. Roughly two thirds were living in rural areas of New Mexico or in its prisons; they received care facilitated by weekly videoconferences and teleconferences between PCPs and specialists called the “ECHO” program. The remainder of the patients received care directly at a University of New Mexico hepatitis C clinic.

The outcome of interest, a sustained virologic response, occurred with almost identical frequency in both treatment settings (ECHO, 58.2%; academic center, 57.5%). Serious adverse events from treatment were less likely in the ECHO group (6.9% vs. 13.7%).

An editorialist comments that the researchers “have taken a promising step” toward addressing the needs of rural and underserved communities for specialty services.

Physician’s First Watch


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