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Published on: September 25, 2019
[Impact of treatment compliance in chronic hepatitis B]
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.
Abstract:
The incidence rate of chronic hepatitis B remains high in China. Antiviral therapy can significantly reduce the risk of progressive liver disease and hepatocellular carcinoma in patients with chronic hepatitis B. However, all current antiviral treatments can only inhibit HBV replication and not completely eliminate the hepatitis B virus, so antiviral therapy for chronic hepatitis B is probably a long-term or even lifelong treatment. Antiviral therapy compliance is essential for achieving long-term clinical benefits and preventing nucleot(s)ide drugs resistance. Herein, we analyzed the relevant factors of antiviral therapy compliance and their impact on CHB treatment and explored feasible programs that can improve compliance with nucleot(s)ide drug treatment by conducting a literature search using PubMed and Scopus with search terms including hepatitis B, compliance, nucleot(s)ide drugs, antiviral therapy, viral suppression, and drug resistance.
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