|Chronic Hepatitis C
|Suggested Pre-Referral Evaluation and Management Guidelines
Referral for chronic hepatitis C is appropriate for patients with:
- Patients with a detectable HCV RNA.
- Patients with positive anti-HCV but without detectable HCV RNA should not be referred given lack of ongoing infection.
- Documented history of chronic hepatitis C infection and need for further evaluation or long-term management.
- This includes but is not limited to evaluation for treatment with antiviral medication.
General counseling for patients with confirmed infection:
- Decrease or abstain from alcohol
- Advise on precautions to prevent transmission
- Recommend hepatitis A/B vaccination
|Suggested Additional Test/Management Prior to Specialty Visit
- A documented detectable HCV RNA level is necessary for referral to confirm the diagnosis (a positive anti-HCV is insufficient).
- Obtaining recent results for the following would facilitate care recommendations prior to specialty appointment:
- Routine lab testing to assess staging of liver disease: CBC, comprehensive metabolic panel, INR
- Liver ultrasound
- HCV genotype
- Results of testing for hepatitis A and B status, HIV, and other causes of liver disease if previously performed (e.g., iron studies etc.).
|Patient Education/Information (includes preps)
Approximately 4-8 weeks. Requests for urgent appointments can be made and will attempt to accommodate.
|How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Fax non-UM records and MRI films to liver office. Fax number: 734-998-1453
|Clinic Contact Information
||Physicians: 800-962-3555 or 844-233-0433
|Clinic Location Sites
||Hepatology Clinic Locations
|UM Consulting Physician