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The comprehensive outcomes of hepatitis C virus infection: A multi-faceted chronic disease
Zobair Younossi1,2, Georgios Papatheodoridis3, Patrice Cacoub4,5
1Department of Medicine, Inova Fairfax Hospital, Falls Church, Virginia.
Insights
New hepatitis C virus (HCV) treatments offer high cure rates with few side effects. Eliminating HCV infection is possible by 2030, but requires overcoming barriers to screening and treatment.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis C virus (HCV) infection poses a significant global health burden.
- Recent advancements have introduced highly effective, pangenotypic, interferon- and ribavirin-free treatment regimens.
- HCV cure is associated with reduced complications, improved patient outcomes, and long-term cost savings.
Purpose of the Study:
- To review the comprehensive burden of HCV infection.
- To evaluate the value and potential for HCV elimination.
- To identify barriers hindering global HCV eradication efforts.
Main Methods:
- This study is a comprehensive literature review.
- It synthesizes evidence on the impact of HCV infection and the benefits of its cure.
- It analyzes the feasibility of HCV elimination by 2030.
Main Results:
- Pangenotypic, interferon-free regimens achieve high HCV cure rates with a favorable side effect profile.
- HCV elimination by 2030 is a realistic goal for some regions with current treatment options.
- Significant barriers to screening, linkage to care, and treatment persist globally.
Conclusions:
- Continued global efforts are essential to achieve HCV elimination.
- National policies must support accessible screening, care linkage, and affordable treatments.
- Overcoming existing barriers is crucial to realizing the goal of HCV eradication.
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.
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