Barriers to hepatocellular carcinoma screening uptake
Hepatocellular carcinoma (HCC) is the sixth most common cancer and incidence is increasing worldwide, including in Australia.
Currently, people with risk factors for hepatocellular carcinoma are recommended to have twice yearly cancer screening with liver ultrasound to detect cancer when it is small enough to provide effective treatment. However, in Victoria only half of HCC are diagnosed through screening, therefore treatment options are often limited and mortality is high.
In this study, we explore barriers to HCC screening adherence. We will examine barriers to HCC screening attendance by quantitative analysis of retrospective demographic, socioeconomic and clinical data. We will collect and analyse qualitative data from a small sample of patients with liver disease, with and without HCC, to determine perceived and actual barriers to screening adherence. Finally, we will collect cost data for the process of HCC screening to inform cost-effectiveness models.
Student opportunities
Barriers to hepatocellular carcinoma screening uptake
This study involves quantitative analysis of retrospective data from clinical databases (data already collected).
There will also be a qualitative component, with data collection using questionnaires, structured interviews and potentially focus groups.
Limited field work to collect data for cost effectiveness models will also be required.
Open to
- Honours
- Masters by research
- PhD
Supervisors
Project contacts

Associate Professor Jessica Howell
Co-head, Hepatitis B and Liver Cancer; Senior Research Fellow

Professor Joseph (Joe) Doyle
Deputy Program Director, Disease Elimination; Co-Head, Infectious Diseases Clinical Research; President, Hepatitis Australia; NHMRC Clinical Research Fellow
Project team

Associate Professor Jessica Howell
Co-head, Hepatitis B and Liver Cancer; Senior Research Fellow

Professor Joseph (Joe) Doyle
Deputy Program Director, Disease Elimination; Co-Head, Infectious Diseases Clinical Research; President, Hepatitis Australia; NHMRC Clinical Research Fellow

Why study at Burnet
When you study with us, you broaden your impact working across our 3 institute-wide programs:
- Disease Elimination
- Health Security and Pandemic Preparedness
- Women's, Children's and Adolescents' Health.
Train with internationally recognised experts in a structured student support system.
Gain a holistic research experience along the way.