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Increased Eligibility for Treatment of Chronic Hepatitis C Infection with Shortened Duration of Therapy: Implications for Access to Care and Elimination Strategies in Canada

机译:缩短治疗持续时间可提高治疗慢性丙型肝炎感染的资格:加拿大获得护理和消除策略的意义

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BACKGROUND All oral, highly effective direct-acting antiviral combinations, such as sofosbuvir-ledipasvir, have recently been licensed in Canada but cost as much as $67,000 for a 12-week course of therapy, representing a major economic barrier to predominately single-payer health care systems such as that found in Ontario. In hepatitis C virus (HCV) genotype 1 noncirrhotic patients with a baseline viral load of <6×106 IU/mL, treatment with sofosbuvir-ledipasvir can be shortened to eight weeks without compromising ≥95% efficacy. The number of HCV-infected patients in Ontario eligible for shortened therapy, and the associated cost savings, are unknown. The authors propose that treating every patient with shortened therapy, regardless of baseline viral load, would lead to significant public cost savings and collateral efficiencies, enabling increased HCV treatment capacity and cure.
机译:背景技术所有口服,高效直接作用的抗病毒药物组合,例如索非布韦-ledipasvir,最近已在加拿大获得许可,但为期12周的疗程费用高达$ 67,000,这对主要由单一付款人组成的健康构成了主要的经济障碍安大略省的医疗系统。对于基线病毒载量<6×106 IU / mL的丙型肝炎病毒(HCV)基因型1非肝硬化患者,用索非布韦-ledipasvir的治疗可缩短至8周,而不会影响≥95%的疗效。安大略省符合资格接受缩短治疗的HCV感染患者的数量以及相关的成本节省尚不清楚。作者建议,无论基线病毒载量如何,以缩短的治疗时间治疗每位患者,将可节省大量公共成本和附带效率,从而提高HCV的治疗能力和治愈率。

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