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丙型肝炎病毒感染的综合结局:一种多方面的慢性疾病。

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

机构信息

Department of Medicine, Inova Fairfax Hospital, Falls Church, Virginia.

Beatty Center for Integrated Research, Inova Health System, Falls Church, Virginia.

出版信息

J Viral Hepat. 2018 Nov;25 Suppl 3:6-14. doi: 10.1111/jvh.13005.

Abstract

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.

摘要

治疗丙型肝炎病毒 (HCV) 感染已经发生了革命性的变化,引入了泛基因型、无干扰素和利巴韦林的治疗方案,这些方案具有高治愈率和低副作用的特点。此外,有证据表明 HCV 的治愈可以减少 HCV 并发症,改善患者报告的结果,并在大多数西方国家从长期来看具有成本效益。本文综述了 HCV 的全面负担以及消除 HCV 感染的价值。随着无干扰素、每日一次的口服药物治疗方案的出现,在世界某些地区,到 2030 年消除 HCV 的可能性已经成为现实。然而,在许多国家,筛查、与护理机构的联系以及治疗方面仍存在障碍,必须克服这些障碍才能实现这一目标。总之,在全球范围内,必须继续努力确保各国制定政策,以支持筛查、与护理机构的联系和负担得起的治疗,以消除 HCV。

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