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丙型肝炎治疗结果的变革:管理式医疗的影响与考量——临床概述

Revolutionizing treatment outcomes in hepatitis C: managed care implications and considerations--a clinical overview.

作者信息

Shah Monica, Younossi Zobair M, Opsha Yekaterina

出版信息

Am J Manag Care. 2015 Mar;21(5 Suppl):S76-85.

Abstract

Chronic hepatitis C virus (HCV) infection is highly prevalent and associated with a wide range of hepatic and extrahepatic complications. The treatment landscape for HCV infection has evolved to include regimens without interferon formulations and/or ribavirin. This change simplifies therapy, improves tolerability, and decreases therapy duration, while improving virologic response rates. This article, the first in a series of 3, will provide an overview of the hepatitis C disease state, identify populations at risk for HCV, describe testing recommendations for the diagnosis of HCV infection, and distinguish new and emerging HCV therapies.

摘要

慢性丙型肝炎病毒(HCV)感染极为普遍,并与多种肝脏及肝外并发症相关。HCV感染的治疗格局已发展为包括不含干扰素制剂和/或利巴韦林的治疗方案。这一变化简化了治疗,提高了耐受性,缩短了治疗疗程,同时提高了病毒学应答率。本文是三篇系列文章中的第一篇,将概述丙型肝炎疾病状况,确定HCV感染的高危人群,描述HCV感染诊断的检测建议,并区分新型和新兴的HCV治疗方法。

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