[Impact of treatment compliance in chronic hepatitis B]

M L Wang1, E Q Chen1

  • 1Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China.

Insights

High rates of chronic hepatitis B in China necessitate long-term antiviral therapy. Improving patient compliance with nucleos(t)ide drugs is crucial for treatment success and preventing drug resistance.

Area of Science:

  • Hepatology
  • Virology
  • Pharmacology

Context:

  • Chronic hepatitis B (CHB) poses a significant public health challenge in China, with high incidence rates.
  • Current antiviral therapies inhibit but do not eliminate the hepatitis B virus (HBV), necessitating prolonged treatment.
  • Adherence to antiviral therapy is critical for managing progressive liver disease and preventing hepatocellular carcinoma.

Purpose:

  • To analyze factors influencing antiviral therapy compliance in CHB patients.
  • To assess the impact of compliance on treatment outcomes and drug resistance.
  • To explore strategies for enhancing adherence to nucleos(t)ide drug regimens.

Summary:

  • This literature review examined factors affecting patient compliance with antiviral therapy for chronic hepatitis B.
  • Compliance is vital for long-term clinical benefits, viral suppression, and preventing nucleos(t)ide drug resistance.
  • The study identified key elements influencing adherence and proposed methods to improve it.

Impact:

  • Improved understanding of compliance challenges in CHB management.
  • Provides evidence-based strategies to enhance patient adherence to antiviral therapy.
  • Aims to optimize long-term outcomes and reduce the burden of chronic hepatitis B and its complications.

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