The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm


Razavi H., Waked I., Sarrazin C., Myers R. P., Idilman R., Calinas F., ...More

JOURNAL OF VIRAL HEPATITIS, vol.21, pp.34-59, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21
  • Publication Date: 2014
  • Doi Number: 10.1111/jvh.12248
  • Journal Name: JOURNAL OF VIRAL HEPATITIS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.34-59
  • Keywords: HCV, diagnosis, treatment, hepatitis C, prevalence, epidemiology, disease burden, mortality, incidence, SINGLE-SOURCE OUTBREAK, DRUG-RELATED MORTALITY, COST-EFFECTIVENESS, RISK-FACTORS, FOLLOW-UP, HEPATOCELLULAR-CARCINOMA, FIBROSIS PROGRESSION, VIRAL-HEPATITIS, NATURAL-HISTORY, LONG-TERM
  • Dokuz Eylül University Affiliated: Yes

Abstract

The disease burden of hepatitis C virus (HCV) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of HCV infections, the disease progression and mortality in 2013-2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of HCV infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late-stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of HCV. Thus, alternative strategies are required to keep the number of HCV individuals with advanced liver disease and liver-related deaths from increasing.