Multiple Barriers Impede Screening for Hepatitis Delta: An Internet-Based Survey of Healthcare Providers

Introduction: Hepatitis delta virus (HDV) increases risk of cirrhosis and hepatocellular carcinoma in patients with hepatitis B, however HDV screening rates are low. We assessed providers’ perceived barriers to HDV screening and management. Methods: We distributed an Internet-based survey to members of three Gastroenterology/Hepatology organizations. Results: Most respondents, 69.3% correctly identified the appropriate HDV screening test. Several reported barriers to HDV care, including uncertainty of screening criteria, 55.5%, and lack of treatment knowledge, 66.7%. Discussion: Our findings highlight the need for increased education regarding HDV care. Education should be combined with standardized approaches that increase ease of HDV screening.