The comprehensive outcomes of hepatitis C virus infection: A multi-faceted chronic disease

被引:27
作者
Younossi, Zobair [1 ,2 ]
Papatheodoridis, Georgios [3 ]
Cacoub, Patrice [4 ,5 ]
Negro, Francesco [6 ]
Wedemeyer, Heiner [7 ]
Henry, Linda [8 ]
Hatzakis, Angelos [9 ,10 ]
机构
[1] Inova Fairfax Hosp, Dept Med, Falls Church, VA USA
[2] Inova Hlth Syst, Beatty Ctr Integrated Res, Falls Church, VA USA
[3] Univ Athens, Gen Hosp Athens Laiko, Sch Med, Dept Gastroenterol, Athens, Greece
[4] Hop La Pitie Salpetriere, AP HP, Dept Internal Med & Clin Immunol, Paris, France
[5] Sorbonne Univ, CNRS UMR 7087, INSERM UMR S 959, DHU I2B, Paris, France
[6] Hop Univ Geneve, Geneva, Switzerland
[7] Essen Univ Hosp, Essen, Germany
[8] Ctr Outcomes Res Liver Dis, Washington, DC USA
[9] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, Athens, Greece
[10] Hepatitis B & C Publ Policy Assoc, L-2453 Luxembourg, Luxembourg
关键词
clinical; economics; extrahepatic manifestations; patient-reported outcomes; PATIENT-REPORTED OUTCOMES; QUALITY-OF-LIFE; DIRECT-ACTING ANTIVIRALS; CHRONIC LIVER-DISEASE; WORK PRODUCTIVITY; EXTRAHEPATIC MANIFESTATIONS; HEPATOCELLULAR-CARCINOMA; COST-EFFECTIVENESS; HCV INFECTION; UNITED-STATES;
D O I
10.1111/jvh.13005
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Treatment of hepatitis C virus (HCV) infection has been revolutionized with the introduction of pangenotypic, interferon- and ribavirin-free regimens associated with high cure rates and a low side effect profile. Additionally, there is evidence that HCV cure reduces HCV complications, improves patient-reported outcomes and is cost-saving in most western countries in the long term. This is a review of the comprehensive burden of HCV and the value of eliminating HCV infection. With the introduction of the interferon-free all-oral, once a day pill treatment regimen for the cure of HCV, the potential to eliminate HCV by 2030 has become a possibility for some regions of the world. Nevertheless, there are barriers to screening, linkage to care, and treatment in many countries that must be overcome in order to reach this goal. In conclusion, globally, work must continue to ensure national policies are in place to support screening, linkage to care and affordable treatment in order to eliminate HCV.
引用
收藏
页码:6 / 14
页数:9
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