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Hepatitis C infection in patients with chronic kidney disease
1Division of Gastroenterology, General Hospital, IRCCS, San Giovanni Rotondo - Italy.
Insights
Managing hepatitis C virus (HCV) in patients with chronic kidney disease (CKD) is challenging. This systematic review addresses unresolved issues and provides expert consensus-based recommendations for HCV/CKD management.
Area of Science:
- Nephrology
- Hepatology
- Infectious Diseases
Background:
- Management of hepatitis C virus (HCV) in patients with chronic kidney disease (CKD) presents unique challenges.
- Antiviral therapy, post-transplant care, and infection control in dialysis units remain significant concerns.
- Existing clinical evidence is often limited to uncontrolled trials or retrospective data.
Purpose of the Study:
- To systematically review the literature on HCV in the CKD population.
- To address critical unresolved issues in HCV/CKD management.
- To provide expert consensus-based recommendations.
Main Methods:
- Systematic literature review.
- Consensus development by experts.
- Inclusion of clinical recommendations.
Main Results:
- Identified key unresolved issues in HCV management for CKD patients.
- Synthesized existing evidence through a systematic review.
- Developed expert-driven consensus and recommendations.
Conclusions:
- HCV management in CKD requires careful consideration of specific challenges.
- Expert consensus provides guidance where robust clinical trials are lacking.
- Recommendations aim to improve patient care and prevent HCV transmission.
Abstract:
The management of hepatitis C virus (HCV)-infected patients with chronic kidney disease (CKD) is complex and represents a particular concern since numerous issues, such as antiviral therapy in dialysis patients and post renal transplant, and prevention of HCV spread within dialysis units, remain unresolved. An enormous body of literature has been published on HCV in the CKD population; however, clinical evidence on important issues is mostly based on uncontrolled clinical trials or retrospective surveys. The aim of this paper is to provide a systematic review of the literature. Responses to the critical issues have been developed by a consensus of experts, endorsed by the Italian Association for the Study of the Liver (AISF) and some clinical recommendations have been added.
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