SOCIAL, CLINICAL AND EPIDEMIOLOGICAL FEASIBILITY OF MAINTAINING A REGISTER OF PATIENTS WITH CHRONIC VIRAL HEPATITIS ON THE EXAMPLE OF DNIPROPETROVSK REGION
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11911Keywords:
chronic viral hepatitis, patient registry, antiviral therapyAbstract
Purpose: to investigate the possibilities of the Register of patients with chronic viral hepatitis in Dnipropetrovsk region as an observation program and a tool for monitoring and management of patients.
Materials and Methods. Analysis of the prevalence of chronic viral hepatitis was performed out by epidemiological method. Methods of descriptive statistics, statistical method and method of structural-logical analysis and using software products Excel and Statistica v.6.1 were used in the work.
Results. The evaluation of effective Patient Registers in Ukraine was carried out, best practices were selected and the Register of Patients with Chronic Viral Hepatitis of Adults and Children in Dnipropetrovsk region was adapted, optimized and implemented. The expediency of its use as a research tool in the management of 4699 patients with chronic viral hepatitis B and C over 18 years of age and 195 children is substantiated. The effectiveness of different treatment regimens was evaluated.
Conclusions. Ten years of experience in maintaining the Register allowed to estimate the severity of chronic viral hepatitis in Dnipropetrovsk region, monitor the population affected by chronic viral hepatitis, analyze the dynamics and prognostic assessment of certain risk indicators of disease progression in different clinical groups, monitor quality, quality and effectiveness for the sick. It is proposed to implement experience for creation of the Register and the personalized automated account of patients with chronic viral hepatitis in Ukraine.
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