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Published on: September 30, 2021
Economic burden and current managed care challenges associated with hepatitis C
1Department of Pharmacy, Monmouth Medical Center, Long Branch, NJ, USA. smathis@barnabashealth.org
Insights
Hepatitis C virus (HCV) infection presents significant health and economic challenges, often remaining underdiagnosed and undertreated. Understanding the cost-effectiveness of newer, more expensive therapies is crucial for better patient outcomes and reduced long-term disease burden.
Area of Science:
- Hepatology
- Infectious Diseases
- Health Economics
Background:
- Hepatitis C virus (HCV) infection causes substantial morbidity, mortality, and economic impact.
- HCV remains underdiagnosed and undertreated, with standard therapies achieving sustained virological response in less than 50% of patients.
- Emerging therapies offer improved outcomes but incur higher treatment costs.
Purpose of the Study:
- To emphasize the importance of understanding the cost-effectiveness of hepatitis C virus (HCV) treatment.
- To highlight that the economic burden of HCV extends beyond direct treatment expenses.
- To inform clinicians, patients, and managed care professionals about optimizing HCV management.
Main Methods:
- This study reviews the economic implications of HCV treatment and management.
- Analysis focuses on the cost-effectiveness of various therapeutic approaches.
- The impact of adherence and care delivery on long-term outcomes is considered.
Main Results:
- Standard HCV therapies have limited efficacy, necessitating consideration of newer, more expensive options.
- Improved patient adherence and effective care delivery can mitigate long-term costs.
- Cost-effective management strategies can reduce complications like hospitalization, liver transplantation, and mortality.
Conclusions:
- Understanding the cost-effectiveness of HCV treatment is vital for all stakeholders.
- Optimizing care delivery and patient adherence are key to managing the economic burden of HCV.
- Effective HCV management can lead to significant reductions in long-term disease-related complications and associated costs.
Abstract:
Infection with hepatitis C virus (HCV) is associated with significant morbidity, mortality, and economic burden. However, HCV infection is challenging to treat, because it is underdiagnosed and undertreated. When patients receive standard therapies, sustained virological response is usually achieved in less than 50% of cases. Newer therapies improve the virological and liverrelated outcomes associated with HCV, but at an increased cost of treatment. Because the economic burden of HCV extends beyond treatment costs, clinicians, patients, and managed care professionals must understand the cost-effectiveness of HCV treatment. Improvements in adherence and the delivery of effective care can promote costeffective management due to reductions in long-term disease-related complications, such as hospitalization, liver transplantation, and death.
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