Hepatitis C virus infection in chronic kidney disease: paradigm shift in management
The Korean Journal of Internal Medicine
;
: 670-678, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-716081
ABSTRACT
Hepatitis C virus (HCV) infection in chronic kidney disease (CKD) is associated with increased liver-related morbidity and mortality rates, accelerated progression to end-stage renal disease, and risk of cardiovascular events. CKD patients with HCV infection require antiviral therapy. Pegylated interferon (peg-IFN) plus ribavirin was the standard of care for HCV-infected CKD patients before the introduction of first-generation direct-acting antiviral (DAA) oral anti-HCV agents. Peg-IFN-based treatment has a low virologic response rate and poor compliance, resulting in a high dropout rate. Recently, several clinical trials of all-DAA combination regimens have reported excellent antiviral efficacy and few adverse drug reactions in HCV-infected patients with CKD. These positive results have revolutionized the treatment of chronic HCV infection in this population. In this review, we address the impact of chronic HCV infection in CKD patients, and discuss their management using next-generation DAAs.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ribavirina
/
Mortalidade
/
Interferons
/
Transplante de Rim
/
Hepatite C
/
Hepacivirus
/
Complacência (Medida de Distensibilidade)
/
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
/
Insuficiência Renal Crônica
/
Padrão de Cuidado
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Internal Medicine
Ano de publicação:
2018
Tipo de documento:
Artigo
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