Division of Viral Hepatitis, Centers for Disease Control and Prevention (CDC), Mailstop G-37, Atlanta, GA 30329, USA.
Division of Gastroenterology and Hepatology, Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Infect Dis Clin North Am. 2018 Jun;32(2):253-268. doi: 10.1016/j.idc.2018.02.002.
Chronic Hepatitis Cohort Study (CHeCS) publications using data from "real-world" patients with hepatitis C virus (HCV) have described demographic disparities in access to care; rates of advanced liver disease, morbidity, and mortality (2.5%-3.5% per year during 2006-10, although only 19% of all CHeCS decedents, and just 30% of those with deaths attributed to liver disease, had HCV listed on death certificate); substantial comorbidities, such as diabetes, advanced liver fibrosis (29% prevalence), renal disease, and depression, and partial reversal of all these with successful antiviral therapy; patient risk behaviors; and use of noninvasive markers to assess liver disease.
慢性丙型肝炎队列研究(CHeCS)利用丙型肝炎病毒(HCV)“真实世界”患者的数据发表了一些出版物,描述了在获得治疗方面的人口统计学差异;晚期肝病、发病率和死亡率的比率(2006-10 年期间每年为 2.5%-3.5%,尽管所有 CHeCS 死亡者中只有 19%,而且只有 30%的死于肝病的患者,在死亡证明上列出了 HCV);大量合并症,如糖尿病、晚期肝纤维化(患病率为 29%)、肾脏疾病和抑郁症,以及成功的抗病毒治疗可部分逆转所有这些;患者的风险行为;以及使用非侵入性标志物来评估肝脏疾病。