• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

丙型肝炎的治疗与根除障碍

Hepatitis C Treatment and Barriers to Eradication.

作者信息

Konerman Monica A, Lok Anna S F

机构信息

Department of Internal Medicine, University of Michigan Health System, Division of Gastroenterology and Hepatology, Ann Arbor, Michigan, USA.

出版信息

Clin Transl Gastroenterol. 2016 Sep 22;7(9):e193. doi: 10.1038/ctg.2016.50.

DOI:10.1038/ctg.2016.50
PMID:27657495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5288596/
Abstract

Current treatment for chronic hepatitis C (CHC) is highly efficacious, well-tolerated, and of short duration for the majority of patients. Despite the dramatic advances in therapy, there remain several barriers to disease eradication. These include deficiencies in screening, diagnosis, and access to care, and high cost of the direct-acting antiviral medications. In addition, incident cases and reinfection associated with injection drug use contribute to the persistent worldwide disease burden. This article will review the current CHC treatments, and outline the remaining gaps in therapy and barriers to disease eradication.

摘要

目前,慢性丙型肝炎(CHC)的治疗对大多数患者而言疗效显著、耐受性良好且疗程较短。尽管治疗取得了巨大进展,但在根除疾病方面仍存在若干障碍。这些障碍包括筛查、诊断和获得治疗方面的不足,以及直接作用抗病毒药物的高昂成本。此外,与注射吸毒相关的新发病例和再感染加重了全球持续存在的疾病负担。本文将综述目前的CHC治疗方法,并概述治疗中仍存在的差距以及根除疾病的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d6/5288596/8043e982bc6a/ctg201650f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d6/5288596/559d617ed933/ctg201650f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d6/5288596/8043e982bc6a/ctg201650f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d6/5288596/559d617ed933/ctg201650f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d6/5288596/8043e982bc6a/ctg201650f2.jpg

相似文献

1
Hepatitis C Treatment and Barriers to Eradication.丙型肝炎的治疗与根除障碍
Clin Transl Gastroenterol. 2016 Sep 22;7(9):e193. doi: 10.1038/ctg.2016.50.
2
Progress and Barriers Towards Elimination of Chronic Hepatitis C in Children.消除儿童慢性丙型肝炎的进展与障碍。
Klin Padiatr. 2021 Sep;233(5):211-215. doi: 10.1055/a-1304-3542. Epub 2020 Dec 18.
3
Identifying Barriers to the Treatment of Chronic Hepatitis C Infection.确定慢性丙型肝炎感染治疗的障碍。
Dig Dis. 2020;38(1):46-52. doi: 10.1159/000501821. Epub 2019 Aug 16.
4
Era of direct acting antivirals in chronic hepatitis C: Who will benefit?慢性丙型肝炎直接作用抗病毒药物时代:谁将获益?
World J Hepatol. 2015 Oct 28;7(24):2543-50. doi: 10.4254/wjh.v7.i24.2543.
5
Decentralized care with generic direct-acting antivirals in the management of chronic hepatitis C in a public health care setting.在公共医疗保健环境中,使用通用直接作用抗病毒药物进行去中心化护理,以管理慢性丙型肝炎。
J Hepatol. 2019 Dec;71(6):1076-1085. doi: 10.1016/j.jhep.2019.07.006. Epub 2019 Jul 17.
6
7
Assessing the cost-effectiveness of hepatitis C screening strategies in France.评估法国丙型肝炎筛查策略的成本效益。
J Hepatol. 2018 Oct;69(4):785-792. doi: 10.1016/j.jhep.2018.05.027. Epub 2018 Jul 1.
8
Metformin reduces hepatocellular carcinoma incidence after successful antiviral therapy in patients with diabetes and chronic hepatitis C in Taiwan.在台湾,二甲双胍可降低糖尿病合并慢性丙型肝炎患者抗病毒治疗成功后的肝细胞癌发病率。
J Hepatol. 2023 Feb;78(2):281-292. doi: 10.1016/j.jhep.2022.09.019. Epub 2022 Oct 5.
9
Primary Care Physician Perspectives on Hepatitis C Management in the Era of Direct-Acting Antiviral Therapy.基层医疗医生对直接抗病毒治疗时代丙型肝炎管理的看法。
Dig Dis Sci. 2016 Dec;61(12):3460-3468. doi: 10.1007/s10620-016-4097-2. Epub 2016 Mar 8.
10
Hepatitis C Treatment: Clinical Issues for Psychiatrists in the Post-Interferon Era.丙型肝炎治疗:干扰素时代后精神科医生面临的临床问题
Psychosomatics. 2017 Jan-Feb;58(1):1-10. doi: 10.1016/j.psym.2016.09.004. Epub 2016 Sep 14.

引用本文的文献

1
Comparison of a dual antibody and antigen HCV immunoassay to standard of care algorithmic testing.比较双重抗体和抗原 HCV 免疫测定与标准护理算法检测。
J Clin Microbiol. 2024 Oct 16;62(10):e0083224. doi: 10.1128/jcm.00832-24. Epub 2024 Sep 16.
2
Point-of-Care Testing for Hepatitis Viruses: A Growing Need.即时检测肝炎病毒:需求不断增长。
Life (Basel). 2023 Nov 28;13(12):2271. doi: 10.3390/life13122271.
3
Development of simple, rapid, and sensitive methods for detection of hepatitis C virus RNA from whole blood using reverse transcription loop-mediated isothermal amplification.

本文引用的文献

1
HCV testing and linkage to care: Expanding access.丙型肝炎病毒检测与医疗服务衔接:扩大可及性。
Clin Liver Dis (Hoboken). 2014 Aug 25;4(2):31-34. doi: 10.1002/cld.376. eCollection 2014 Aug.
2
Early occurrence and recurrence of hepatocellular carcinoma in HCV-related cirrhosis treated with direct-acting antivirals.直接作用抗病毒药物治疗的丙型肝炎相关肝硬化中肝细胞癌的早期发生和复发。
J Hepatol. 2016 Oct;65(4):727-733. doi: 10.1016/j.jhep.2016.06.015. Epub 2016 Jun 24.
3
Lack of evidence of an effect of direct-acting antivirals on the recurrence of hepatocellular carcinoma: Data from three ANRS cohorts.
建立一种简单、快速、灵敏的检测全血中丙型肝炎病毒 RNA 的方法,采用逆转录环介导等温扩增。
J Clin Microbiol. 2023 Nov 21;61(11):e0077123. doi: 10.1128/jcm.00771-23. Epub 2023 Nov 7.
4
Phenotype and fate of liver-resident CD8 T cells during acute and chronic hepacivirus infection.在急性和慢性嗜肝病毒感染期间肝驻留 CD8 T 细胞的表型和命运。
PLoS Pathog. 2023 Oct 9;19(10):e1011697. doi: 10.1371/journal.ppat.1011697. eCollection 2023 Oct.
5
Timely Hepatitis C RNA Testing and Treatment in the Era of Direct-Acting Antiviral Therapy among People with Hepatitis C in New South Wales, Australia.澳大利亚新南威尔士州丙型肝炎患者直接作用抗病毒治疗时代的及时丙型肝炎 RNA 检测和治疗。
Viruses. 2022 Jul 8;14(7):1496. doi: 10.3390/v14071496.
6
The Korean Hepatitis C Virus Care Cascade in a Tertiary Institution: Current Status and Changes in Testing, Link to Care, and Treatment.韩国某三级医疗机构丙型肝炎病毒关怀链:检测、与治疗关联的现状和变化。
Gut Liver. 2022 Nov 15;16(6):964-975. doi: 10.5009/gnl210416. Epub 2022 Mar 31.
7
Resource Management through Artificial Intelligence in Screening Programs-Key for the Successful Elimination of Hepatitis C.筛查项目中通过人工智能进行资源管理——成功消除丙型肝炎的关键
Diagnostics (Basel). 2022 Jan 29;12(2):346. doi: 10.3390/diagnostics12020346.
8
Hepatitis C Virus Vaccine Research: Time to Put Up or Shut Up.丙型肝炎病毒疫苗研究:是时候拿出成果或闭嘴了。
Viruses. 2021 Aug 12;13(8):1596. doi: 10.3390/v13081596.
9
Adenovirus-vectored T cell vaccine for hepacivirus shows reduced effectiveness against a CD8 T cell escape variant in rats.腺病毒载体 T 细胞疫苗对肝炎病毒的效力降低,针对大鼠的 CD8 T 细胞逃逸变异体。
PLoS Pathog. 2021 Mar 18;17(3):e1009391. doi: 10.1371/journal.ppat.1009391. eCollection 2021 Mar.
10
Cost-effectiveness of screening and treatment using direct-acting antivirals for chronic Hepatitis C virus in a primary care setting in Karachi, Pakistan.在巴基斯坦卡拉奇的基层医疗环境中,使用直接作用抗病毒药物对慢性丙型肝炎病毒进行筛查和治疗的成本效益分析。
J Viral Hepat. 2021 Feb;28(2):268-278. doi: 10.1111/jvh.13422. Epub 2020 Nov 4.
直接作用抗病毒药物对肝细胞癌复发影响的证据不足:来自三个法国国家研究署队列的数据。
J Hepatol. 2016 Oct;65(4):734-740. doi: 10.1016/j.jhep.2016.05.045. Epub 2016 Jun 7.
4
Sofosbuvir and Velpatasvir for Patients with HCV Infection.索磷布韦和维帕他韦用于丙型肝炎病毒感染患者。
N Engl J Med. 2016 Apr 28;374(17):1688-9. doi: 10.1056/NEJMc1601160.
5
Real-world effectiveness of ledipasvir/sofosbuvir in 4,365 treatment-naive, genotype 1 hepatitis C-infected patients.在 4365 例初治、基因 1 型丙型肝炎感染患者中,使用 ledipasvir/sofosbuvir 的真实世界疗效。
Hepatology. 2016 Aug;64(2):405-14. doi: 10.1002/hep.28625. Epub 2016 Jun 7.
6
Linkage to Care for Suburban Heroin Users with Hepatitis C Virus Infection, New Jersey, USA.美国新泽西州丙型肝炎病毒感染的郊区海洛因使用者的医疗服务联系
Emerg Infect Dis. 2016 May;22(5):907-9. doi: 10.3201/eid2205.151980.
7
Primary Care Physician Perspectives on Hepatitis C Management in the Era of Direct-Acting Antiviral Therapy.基层医疗医生对直接抗病毒治疗时代丙型肝炎管理的看法。
Dig Dis Sci. 2016 Dec;61(12):3460-3468. doi: 10.1007/s10620-016-4097-2. Epub 2016 Mar 8.
8
Public health clinic-based hepatitis C testing and linkage to care in Baltimore.巴尔的摩基于公共卫生诊所的丙型肝炎检测及与治疗的衔接
J Viral Hepat. 2016 May;23(5):366-74. doi: 10.1111/jvh.12507. Epub 2016 Feb 3.
9
Risk of Late Relapse or Reinfection With Hepatitis C Virus After Achieving a Sustained Virological Response: A Systematic Review and Meta-analysis.丙型肝炎病毒获得持续病毒学应答后晚期复发或再感染的风险:一项系统评价和荟萃分析。
Clin Infect Dis. 2016 Mar 15;62(6):683-694. doi: 10.1093/cid/civ948. Epub 2016 Jan 19.
10
Sofosbuvir Plus Velpatasvir Combination Therapy for Treatment-Experienced Patients With Genotype 1 or 3 Hepatitis C Virus Infection: A Randomized Trial.索磷布韦/维帕他韦联合治疗方案治疗曾接受治疗的 1 型或 3 型丙型肝炎病毒感染患者:一项随机试验。
Ann Intern Med. 2015 Dec 1;163(11):809-17. doi: 10.7326/M15-1014. Epub 2015 Nov 10.