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Facilitated telemedicine in opioid treatment programs boosts hepatitis C cure rates and cuts reinfections, offering favorable potential for eliminating the virus and benefitting those with substance use disorders and underserved groups.
Performed across New York State, a novel clinical study found that integrating facilitated telemedicine into opioid treatment programs significantly improves hepatitis C virus (HCV) cure rates compared to traditional off-site referrals.
This prospective, cluster-randomized clinical trial by Andrew H. Talal et al. enrolled 602 hepatitis C-infected people. Data was analyzed to provide crucial insights into the effectiveness of telemedicine in combating HCV among individuals with opioid use disorder. Six hundred and two participants (61.9% males) were divided into two groups: those receiving HCV treatment through facilitated telemedicine integrated into opioid treatment programs and those undergoing standard-of-care off-site referral. Results revealed a significant disparity in treatment initiation rates, with 92.4% of telemedicine group participants initiating treatment compared to only 40.4% in the referral group.
In the telemedicine group, 90.3% of participants achieved sustained virologic response compared to just 39.4% in the referral group. Adjusted analysis showed a substantial effect of the intervention, with a logarithmic odds ratio of 2.9 (95% CI, 2.0-3.5; significance of P < .001), highlighting the efficacy of facilitated telemedicine in enhancing treatment outcomes for HCV.
Of particular interest, the use of Illicit drugs dramatically lowered in the cured participants. Additionally, minimal reinfections occurred during the study period, with a low hepatitis C virus reinfection incidence of 2.5 per 100 person-years. People in both groups described high levels of satisfaction with healthcare delivery, representing the feasibility and acceptability of telemedicine-based interventions in opioid treatment settings.
JAMA Network
Integrated Hepatitis C–Opioid Use Disorder Care Through Facilitated Telemedicine- A Randomized Trial
Andrew H. Talal et al.
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