Rationale for treatment of hepatitis C virus infection in end-stage renal disease patients who are not kidney transplant candidates

Autor: Craig E. Gordon, Terry Box, Adhish Agarwal, Isaac Hall, Huy Thien-Tuan Tran, Catreena Al-Marji, Laith Al-Rabadi, Girish Singhania
Rok vydání: 2018
Předmět:
Zdroj: Hemodialysis International. 22:S45-S52
ISSN: 1492-7535
Popis: Hepatitis C virus (HCV) infection is a common problem in patients treated with maintenance hemodialysis (HD) and is associated with an increased morbidity and mortality and lower quality of life. The major causes of HCV-associated mortality are liver and cardiovascular-related death. HCV-infected HD patients have a higher prevalence of inflammation-related metabolic and vascular diseases, leading to high rates of cardiovascular mortality in patients with end-stage renal disease. In the current era of highly effective direct-acting antiviral regimens, HCV treatment may also confer hepatic, cardiovascular and other morbidity and mortality benefits even to dialysis-dependent patients who do not qualify for kidney transplantation. Currently, the most accepted regimens in this patient population include elbasvir/grazoprevir and glecaprevir/pibrentasvir.
Databáze: OpenAIRE