{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T08:34:07Z","timestamp":1768811647928,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Prisoners in most countries have a higher prevalence of HCV than the general population, but their access to treatment is very limited. Our aim was to evaluate a pilot programme using the ECHO model to enhance linkage to care in patients with HCV in 3 Argentinean prisons between October 2018 and January 2020. All inmates were invited to participate, and data were collected through a personal interview. We then estimated HCV prevalence with dried blood spot and performed a logistic regression analysis to identify risk behaviours associated with HCV infection. Finally, HCV management was assessed and monitored through ECHO. Overall, 1141 inmates agreed to participate, representing 39.7% of the total prison population. Anti\u2010HCV prevalence was estimated at 1.58% (CI 0.93; 2.48), being significantly higher in women 2.98% (CI 1.4;5.6) than in men 1.07% (CI 0.5; 2.0); <jats:italic>P<\/jats:italic>\u00a0=\u00a0.03. Patients with anti\u2010HCV were significantly older than those who tested negative, 42.3\u00a0years (CI 37.6;47.1) vs 30.1\u00a0years (CI 30.6;31.2), <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001, respectively. Multiple logistic regression analysis, identified age OR 1.07 (CI 1.03;1.12, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001), history of sexually transmitted disease OR 3.08 (CI 0.97;9.82, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.057) and intravenous drug use OR 12.6 (CI 3.31;48.53, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) as risk factors associated with anti\u2010HCV. Treatment was initiated in all the patients with specialist physician support utilizing ECHO model. In conclusion, our pilot study reported a low prevalence of anti\u2010HCV in the studied population. Incarceration provides an ideal opportunity for testing and treating HCV. ECHO model arises as a useful tool to support assessment and treatment for inmates with chronic HCV.<\/jats:p>","DOI":"10.1111\/jvh.13374","type":"journal-article","created":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T22:20:49Z","timestamp":1598566849000},"page":"1430-1436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Pilot study using the ECHO model to enhance linkage to care for patients with hepatitis C in the custodial setting"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7026-9908","authenticated-orcid":false,"given":"Manuel","family":"Mendizabal","sequence":"first","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Testa","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Rojas","sequence":"additional","affiliation":[{"name":"Virology laboratory Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla S.","family":"Colaci","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solana","family":"El\u00edas","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Nicolini","sequence":"additional","affiliation":[{"name":"Servicio Penitenciario Bonaerense Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soledad","family":"Olgu\u00edn","sequence":"additional","affiliation":[{"name":"Servicio Penitenciario Bonaerense Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Dunn","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Espartanos Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Ronchi","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Buena Vida Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano","family":"Barreiro","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Zirpoli","sequence":"additional","affiliation":[{"name":"Virology laboratory Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9528-2279","authenticated-orcid":false,"given":"Federico","family":"Pi\u00f1ero","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of New Mexico NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn","family":"O\u00b4Flaherty","sequence":"additional","affiliation":[{"name":"Department of Public Health and Policy University of Liverpool Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Rubinstein","sequence":"additional","affiliation":[{"name":"Instituto de Efectividad Cl\u00ednica y Sanitaria Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2287-7351","authenticated-orcid":false,"given":"Marcelo O","family":"Silva","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Hospital Universitario Austral Pilar Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Latin American Liver Research, Educational, Awareness Network (LALREAN)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.Global Hepatitis report.2017. 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