Journal
JOURNAL OF VIRAL HEPATITIS
Volume 20, Issue 11, Pages 745-760Publisher
WILEY
DOI: 10.1111/jvh.12173
Keywords
diagnosis; directly acting antiviral agents; health services; hepatitis C; pharmacoeconomics
Funding
- Abbott Laboratories
- Bristol-Myers Squibb
- Gilead Sciences, Inc.
- GlaxoSmithKline
- Merck Co, Inc.
- Vertex Pharmaceuticals, Inc.
- Achillion Pharmaceuticals, Inc.
- Boehringer Ingelheim
- Idenix Pharmaceuticals
- Janssen Therapeutics
- Merck Co.
- Novartis Pharmaceutical Corporation
- Roche
- Presidio Pharmaceuticals, Inc.
- Santaris Pharma A/S
- Achillion Pharmaceuticals
- GlobeImmune Inc.
- Medtronic, Inc.
- Merck Co., Inc.
- Pfizer, Inc.
- Scynexis, Inc.
- Tibotec Pharmaceuticals, Ltd.
- AbbVie Pharmaceuticals
- Vertex Pharmaceuticals
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Emerging data indicate that all-oral antiviral treatments for chronic hepatitis C virus (HCV) will become a reality in the near future. In replacing interferon-based therapies, all-oral regimens are expected to be more tolerable, more effective, shorter in duration and simpler to administer. Coinciding with new treatment options are novel methodologies for disease screening and staging, which create the possibility of more timely care and treatment. Assessments of histologic damage typically are performed using liver biopsy, yet noninvasive assessments of histologic damage have become the norm in some European countries and are becoming more widespread in the United States. Also in place are new Centers for Disease Control and Prevention (CDC) initiatives to simplify testing, improve provider and patient awareness and expand recommendations for HCV screening beyond risk-based strategies. Issued in 2012, the CDC recommendations aim to increase HCV testing among those with the greatest HCV burden in the United States by recommending one-time testing for all persons born during 1945-1965. In 2013, the United States Preventive Services Task Force adopted similar recommendations for risk-based and birth-cohort-based testing. Taken together, the developments in screening, diagnosis and treatment will likely increase demand for therapy and stimulate a shift in delivery of care related to chronic HCV, with increased involvement of primary care and infectious disease specialists. Yet even in this new era of therapy, barriers to curing patients of HCV will exist. Overcoming such barriers will require novel, integrative strategies and investment of resources at local, regional and national levels.
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