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日本肝脏学会丙型肝炎病毒感染管理指南(2019年更新版);抗病毒治疗对肝癌发生的保护作用

JSH Guidelines for the Management of Hepatitis C Virus Infection, 2019 Update; Protective Effect of Antiviral Therapy against Hepatocarcinogenesis.

作者信息

Asahina Yasuhiro

出版信息

Hepatol Res. 2020 Jul;50(7):775-790. doi: 10.1111/hepr.13501. Epub 2020 May 18.

Abstract

The Drafting Committee for Hepatitis Management Guidelines established by the Japan Society of Hepatology (JSH) drafted the first version of the clinical practice guidelines for the management of hepatitis C virus (HCV) infection in 2012. Since then, we have been publishing updates as new drugs for hepatitis C become available and new indications for existing drugs are added. The new approval of sofosbuvir/velpatasvir prompted us to publish the seventh version of the guidelines in Japanese in March 2019. We also published the first English-language version of the JSH guidelines in 2013 and English versions of updates made to the Japanese-language guidelines in 2014 and 2016. In 2020, the committee has decided to publish a new English version, covering general information about treatment for hepatitis C, drugs used, recommended treatments for chronic hepatitis and cirrhosis, and special populations, such as patients who have renal impairment, are on dialysis, or have developed recurrence of hepatitis C after liver transplantation. Furthermore, the committee has released a separate publication covering the protective effect of antiviral therapy against hepatocarcinogenesis.

摘要

日本肝脏学会(JSH)设立的丙型肝炎管理指南起草委员会于2012年起草了丙型肝炎病毒(HCV)感染管理临床实践指南的第一版。从那时起,随着丙型肝炎新药的出现以及现有药物新适应症的增加,我们一直在发布更新版本。索磷布韦/维帕他韦的新批准促使我们于2019年3月以日语发布了指南的第七版。我们还在2013年发布了JSH指南的首个英文版,并于2014年和2016年发布了日语版指南更新内容的英文版。2020年,委员会决定发布一个新的英文版,内容涵盖丙型肝炎治疗的一般信息、所用药物、慢性肝炎和肝硬化的推荐治疗方法,以及特殊人群,如肾功能不全、接受透析或肝移植后丙型肝炎复发的患者。此外,委员会还发布了一份单独的出版物,涵盖抗病毒治疗对肝癌发生的保护作用。

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