Hepatitis C in Special Patient Cohorts: New Opportunities in Decompensated Liver Cirrhosis, End-Stage Renal Disease and Transplant Medicine

Worldwide, hepatitis C virus (HCV) is a common infection. Due to new antiviral approaches and the approval of direct-acting antiviral agents (DAA), HCV therapy has become more comfortable. Nevertheless, there are special patient groups, in whom treatment of HCV is still challenging. Due to only few...

Verfasser: Hüsing, Anna Katharina Elisabeth Pia
Kabar, Iyad
Schmidt, Hartmut
Heinzow, Hauke
FB/Einrichtung:FB 05: Medizinische Fakultät
Dokumenttypen:Artikel
Medientypen:Text
Erscheinungsdatum:2015
Publikation in MIAMI:01.12.2015
Datum der letzten Änderung:16.04.2019
Angaben zur Ausgabe:[Electronic ed.]
Quelle:International Journal of Molecular Sciences (IJMS) 16 (2015) 8, 18033-18053
Schlagwörter:HCV infection; chronic kidney disease; renal transplantation; decompensated liver cirrhosis; liver transplantation; new therapy regimen; DAA treatment
Fachgebiet (DDC):610: Medizin und Gesundheit
Lizenz:CC BY 4.0
Sprache:English
Anmerkungen:Finanziert durch den Open-Access-Publikationsfonds 2015/2016 der Westfälischen Wilhelms-Universität Münster (WWU Münster).
Format:PDF-Dokument
ISSN:1422-0067
URN:urn:nbn:de:hbz:6-37269443268
Weitere Identifikatoren:DOI: 10.3390/ijms160818033
Permalink:https://nbn-resolving.de/urn:nbn:de:hbz:6-37269443268
Onlinezugriff:ijms-16-18033.pdf
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520 3 |a Worldwide, hepatitis C virus (HCV) is a common infection. Due to new antiviral approaches and the approval of direct-acting antiviral agents (DAA), HCV therapy has become more comfortable. Nevertheless, there are special patient groups, in whom treatment of HCV is still challenging. Due to only few data available, tolerability and efficacy of DAAs in special patient cohorts still remain unclear. Such special patient cohorts comprise HCV in patients with decompensated liver disease (Child-Pugh Class B or C), patients with chronic kidney disease, and patients on waiting lists to renal/liver transplantation or those with HCV recurrence after liver transplantation. HCV infection in these patient cohorts has been shown to be associated with increased morbidity and mortality and may lead to reduced graft survival after transplantation. Successful eradication of HCV results in a better outcome concerning liver-related complications and in a better clinical outcome of these patients. In this review, we analyze available data and results from recently published literature and provide an overview of current recommendations of HCV-therapy regimen in these special patient cohorts. 
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