文章基本信息

标题：Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care
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作者：Stephen A. Martin ; Jordon Bosse ; Amanda Wilson 等
期刊名称：Addiction Science & Clinical Practice
电子版ISSN：1940-0640
出版年度：2018
卷号：13
期号：1
页码：10
DOI：10.1186/s13722-018-0111-7
语种：English
出版社：BioMed Central
摘要：For over a decade, the vast majority of new hepatitis C virus (HCV) infections have been among young people who inject drugs (PWID). Well-characterized gaps in chronic HCV diagnosis, evaluation, and treatment have resulted in fewer than 5% of PWID receiving HCV treatment. While interferon-based treatment may have intentionally been foregone during part of this time in anticipation of improved oral therapies, the overall pattern points to deficiencies and treatment exclusions in the health care system. Treatment for HCV with all-oral, highly effective direct-acting antiviral medication for 12 weeks or less is now the standard of care, putting renewed focus on effective delivery of care. We describe here both the need for and process of chronic HCV care under the roof of addiction medicine.
关键词：Opioid use disorder ; Chronic hepatitis C ; Cirrhosis ; Hepatitis C epidemiology ; Hepatitis C treatment ; Treatment cascade ; Project ECHO ; Continuity of care