Potential biases in estimates of hepatitis C RNA clearance in newly acquired hepatitis C infection among a cohort of injecting drug users.

Abstract:

:Estimates of hepatitis C virus (HCV) clearance following acute infection range from 14 to 46%. This wide range is likely to be due to the characteristics of the populations studied and analysis methods. This paper examines how differing definitions of clearance parameters affect estimates of viral clearance in a cohort of 85 injecting drug users with newly acquired HCV infection. Kaplan-Meier estimates of time to HCV clearance were determined using varying definitions of eligible cohort, viral clearance, date of infection and date of clearance. Based on which combinations of definitions were used, the number of subjects eligible for analysis ranged from 27 to 75, clearance rate ranged from 14 to 68% and time to achieving 25% clearance ranged from approximately 5 months to 14 months. Standardized definitions and methodologies are required to enable valid comparisons of rates of clearance across newly acquired HCV infection natural history studies.

journal_name

Epidemiol Infect

authors

Amin J,Law MG,Micallef J,Jauncey M,Van Beek I,Kaldor JM,Dore GJ

doi

10.1017/S0950268806006388

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

144-50

issue

1

eissn

0950-2688

issn

1469-4409

pii

S0950268806006388

journal_volume

135

pub_type

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