Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care
Abstract 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-b...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Addiction Science & Clinical Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13722-018-0111-7 |
| _version_ | 1818986737375903744 |
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| author | Stephen A. Martin Jordon Bosse Amanda Wilson Phyllis Losikoff Lisa Chiodo |
| author_facet | Stephen A. Martin Jordon Bosse Amanda Wilson Phyllis Losikoff Lisa Chiodo |
| author_sort | Stephen A. Martin |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-20T18:55:33Z |
| format | Article |
| id | doaj.art-84f6d84f68e14b26b6ec83144fdc61ad |
| institution | Directory Open Access Journal |
| issn | 1940-0640 |
| language | English |
| last_indexed | 2024-12-20T18:55:33Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj.art-84f6d84f68e14b26b6ec83144fdc61ad2022-12-21T19:29:31ZengBMCAddiction Science & Clinical Practice1940-06402018-04-011311410.1186/s13722-018-0111-7Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction careStephen A. Martin0Jordon Bosse1Amanda Wilson2Phyllis Losikoff3Lisa Chiodo4Department of Family Medicine and Community Health, University of Massachusetts Medical SchoolUniversity of Massachusetts College of NursingCleanSlate Research and Education FoundationDivision of Pediatric Infectious Disease, The Warren Alpert Medical School of Brown UniversityCleanSlate Research and Education FoundationAbstract 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.http://link.springer.com/article/10.1186/s13722-018-0111-7Opioid use disorderChronic hepatitis CCirrhosisHepatitis C epidemiologyHepatitis C treatmentTreatment cascade |
| spellingShingle | Stephen A. Martin Jordon Bosse Amanda Wilson Phyllis Losikoff Lisa Chiodo Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care Addiction Science & Clinical Practice Opioid use disorder Chronic hepatitis C Cirrhosis Hepatitis C epidemiology Hepatitis C treatment Treatment cascade |
| title | Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care |
| title_full | Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care |
| title_fullStr | Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care |
| title_full_unstemmed | Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care |
| title_short | Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care |
| title_sort | under one roof identification evaluation and treatment of chronic hepatitis c in addiction care |
| topic | Opioid use disorder Chronic hepatitis C Cirrhosis Hepatitis C epidemiology Hepatitis C treatment Treatment cascade |
| url | http://link.springer.com/article/10.1186/s13722-018-0111-7 |
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