Hepatitis B Virus Testing and Care among Pregnant Women Using Commercial Claims Data, United States, 2011–2014
Joint Authors
Schillie, Sarah F.
Harris, Aaron M.
Isenhour, Cheryl
Vellozzi, Claudia
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
Pregnant women should receive hepatitis B virus (HBV) testing with hepatitis B surface antigen (HBsAg), but it is unclear whether HBV-infected pregnant women are linked to care.
Methods.
We analyzed MarketScan™ commercial insurance claims.
We included pregnant women, aged 10–50 years, with 42 weeks of continuous enrollment before (predelivery) and 6 months after (postdelivery) the first delivery claim for each unique pregnancy between 1/1/2011 and 6/30/2014.
We identified claims for HBsAg testing by CPT code and described the care continuum among pregnancies with an associated ICD-9 HBV diagnosis code by demographic and clinical characteristics, including HBV-directed care ([HBV DNA or hepatitis B e antigen] and ALT test codes) and antiviral treatment (claims for tenofovir, entecavir, lamivudine, adefovir, or telbivudine) pre- and postdelivery.
Results.
There were 870,888 unique pregnancies (819,752 women) included.
Before delivery, 714,830 (82%) pregnancies had HBsAg test claims, but this proportion decreased with subsequent pregnancies (p<0.0001): second (80%), third (71%), and fourth (61%).
We identified 1,190 (0.14%) pregnancies with an associated HBV diagnosis code: most were among women aged ≥ 30 years (76%) residing in the Pacific (34%) or Middle Atlantic (18%) regions.
Forty-two percent of pregnancies with an HBV diagnosis received HBV-directed care (42% predelivery and 39% postdelivery).
Antiviral treatment was initiated before delivery in 128 (13%) of 975 pregnancies and postdelivery in 16 (1.6%) pregnancies.
Conclusions.
While most of these commercially insured pregnant women received predelivery HBV screening, we identified gaps in HBV testing and the HBV care continuum which highlight potential targets for public health interventions.
American Psychological Association (APA)
Harris, Aaron M.& Isenhour, Cheryl& Schillie, Sarah F.& Vellozzi, Claudia. 2018. Hepatitis B Virus Testing and Care among Pregnant Women Using Commercial Claims Data, United States, 2011–2014. Infectious Diseases in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1166074
Modern Language Association (MLA)
Harris, Aaron M.…[et al.]. Hepatitis B Virus Testing and Care among Pregnant Women Using Commercial Claims Data, United States, 2011–2014. Infectious Diseases in Obstetrics and Gynecology No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1166074
American Medical Association (AMA)
Harris, Aaron M.& Isenhour, Cheryl& Schillie, Sarah F.& Vellozzi, Claudia. Hepatitis B Virus Testing and Care among Pregnant Women Using Commercial Claims Data, United States, 2011–2014. Infectious Diseases in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1166074
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1166074