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We used the <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> treatment cascade to describe <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> care at an urban postincarceration transitions clinic, identifying gaps in care and determining reasons for lapses in care. In this retrospective cohort study, we reviewed electronic health records for all formerly incarcerated individuals receiving care at the Bronx Transitions Clinic. <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> treatment cascade measures included the following: detection of <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> antibodies, confirmation of chronic infection, specialist referral, specialist evaluation, initiation of treatment, completion of treatment and achievement of <jats:styled-content style=\"fixed-case\">SVR<\/jats:styled-content>. We recorded reasons for lapses in care. Of 451 patients accessing care, 317 (70%) were screened for <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> antibodies, and 106 (33%) tested positive. Of the 106 antibody\u2010positive patients, 93 (88%) were evaluated for <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> viremia and 84 (79%) were confirmed to have chronic <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> infection; 19% of the total sample had chronic <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> infection. Of these 84 with chronic <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content>, 48 (57%) received specialist referral, 30 (36%) were evaluated, 8 (10%) initiated treatment, and 5 (6%) completed treatment and achieved <jats:styled-content style=\"fixed-case\">SVR<\/jats:styled-content>. Some treatment lapses occurred because patients were deemed unstable for treatment (12%) or were re\u2010incarcerated (5%). Chronic <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> infection was common among transitions clinic patients. Few were treated and cured. Patients lost contact with providers before consideration for antiviral therapy. Referral to specialty providers was a gap in care. Increasing <jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content> treatment in this population will likely require intensive delivery models.<\/jats:p>","DOI":"10.1111\/jvh.12512","type":"journal-article","created":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T10:03:20Z","timestamp":1455012200000},"page":"473-478","source":"Crossref","is-referenced-by-count":30,"title":["The Hepatitis C virus treatment cascade at an urban postincarceration transitions clinic"],"prefix":"10.1111","volume":"23","author":[{"given":"L.","family":"Hawks","sequence":"first","affiliation":[{"name":"Department of Medicine Albert Einstein College of Medicine Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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