Managing mental health co-morbidities in hepatitis C: A systematic review of clinical guidelines
Bain, Tanya, Deckx, Laura, Hepworth, Julie, Lim, David, & van Driel, Mieke (2015) Managing mental health co-morbidities in hepatitis C: A systematic review of clinical guidelines. In Population Health Congress 2015, 6-9 September 2015, Hobart, Tas.
Mental health co-morbidities are prevalent in hepatitis C (HCV), and in practice often considered a contraindication for initiation of treatment. A systematic review was conducted to explore whether and how current HCV clinical practice guidelines address pre-existing mental health co-morbidities.
A review of the literature was undertaken to identify guidelines for the management of HCV, published in English, between 2002 and January 2015. Characteristics of the guidelines were recorded and key themes on mental health were summarized across predefined stages in the patient journey (diagnosis, pre-HCV drug therapy, on HCV drug therapy, post-HCV drug therapy, advanced disease or palliative care).
Twenty-five HCV clinical guidelines were included. Referral to psychiatrist is generally recommended as pre- and in-treatment assessment of mental health co-morbidities but HCV guidelines do not offer explicit instructions on how to manage mental health co-morbidities. Post-treatment assessment of mental health co-morbidities were lacking.
Current chronic HCV clinical guidelines are limited in their advice to clinicians regarding the management of mental health co-morbidities.
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