Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Has HCV Spontaneous Clearance Been Underestimated?
Int J Infect Dis; ePub 2018 Jul 18; Ayoub, et al
One-third of persons infected with hepatitis C virus (HCV) clear their infection spontaneously, a finding higher than earlier estimates, a recent study found. Researchers developed a mathematical model to describe HCV transmission; HCV clearance rate was estimated fitting to model to probability-based and nationally-representative population-based data for Egypt and the United States (NHANES A and NHANES B). Uncertainty and sensitivity analyses were conducted. Among the findings:
- HCV clearance rate was estimated at nearly 40% for Egypt 2008 and Egypt 2015 data, respectively.
- HCV clearance rate was estimated at nearly 30% and 40% for NHANES A and NHANES B data, respectively.
- HCV clearance was found related to HCV viremic rate through (approximately) the formula fclearance = 1.16(1—HCV viremic rate).
- HCV viremic rate was higher with higher risk of HCV exposure.
Ayoub HH, Chemaitelly H, Omori R, Abu-Raddad LJ. Hepatitis C virus infection spontaneous clearance: Has it been underestimated? [Published online ahead of print July 18, 2018]. Int J Infect Dis. doi:10.1016/j.ijid.2018.07.013.
This Week's Must Reads
Must Reads in Hepatitis
Glecaprevir/Pibrentasvir Efficacy & Safety Assessed, J Hepatol; ePub 2018 Nov 23; D’Ambrosio, et al
HCV Infection Among Children & Young Persons, J Hepatol; ePub 2018 Nov 26; Modin, et al
HCV Patients with Limited Access to Antiviral Therapy, Dig Liver Dis; ePub 2018 Nov 29; Lens, et al
Progression in the Elimination of HCV Infection, PLoS One; ePub 2018 Dec 4; Juanbeltz, et al
Increased HCV Screening in Veteran Populations, Jt Comm J Qual Patient Saf; ePub 2018 Sep 25; Wray, et al