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丙肝治疗成果的变革:管理式医疗的影响与考量——诊断与管理

Revolutionizing treatment outcomes in hepatitis C: managed care implications and considerations--diagnosis and management.

作者信息

Shah Monica, Younossi Zobair M

出版信息

Am J Manag Care. 2015 Mar;21(5 Suppl):S86-96.

Abstract

Hepatitis C virus (HCV) infection is a major health burden and associated with substantial morbidity and mortality. However, the disease often remains underdiagnosed and untreated. The treatment of HCV infection has evolved dramatically with the introduction of novel, interferon-free therapies that are now able to achieve high cure rates. However, improved and more effective strategies for controlling the high costs of managing patients with HCV, especially in light of the shifting treatment paradigm, need to be developed. This article, the second in a series of 3 focused on hepatitis C, will discuss the diagnosis and management of HCV infection, including treatment recommendations from practice guidelines and emerging agents to treat HCV, and provide suggestions for incorporating these options into treatment algorithms.

摘要

丙型肝炎病毒(HCV)感染是一项重大的健康负担,与大量发病和死亡相关。然而,该疾病常常仍未得到充分诊断和治疗。随着新型无干扰素疗法的引入,HCV感染的治疗有了显著进展,这些疗法如今能够实现高治愈率。然而,需要制定改进且更有效的策略来控制HCV患者管理的高昂成本,尤其是鉴于治疗模式的转变。本文是关于丙型肝炎的系列3篇文章中的第二篇,将讨论HCV感染的诊断和管理,包括实践指南中的治疗建议以及治疗HCV的新型药物,并为将这些选择纳入治疗方案提供建议。

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