Hepatitis C virus is infrequently evaluated and treated in an urban HIV clinic population.

Abstract:

:This retrospective cohort study of HIV/hepatitis C virus (HCV) coinfected patients evaluated time trends and rates of HCV evaluation for patients seen between January 1, 1997 and October 30, 2004. Survival analysis and Cox proportional hazards modeling were used to describe the time to evaluation and covariates associated with this outcome. Patients were predominantly white and male. Of 248 eligible patients, 108 (44%) were evaluated for HCV treatment. The median time to evaluation was 2.98 years. Of 108 evaluated, 17 (16%) received at least one dose of interferon and/or ribavirin. The median time to treatment after being evaluated was 1.39 years. Of the 17 (35%) treated 6 patients had a sustained virologic response, but only 2.4% of the original number of patients were cured. Approximately one half of patients in an HIV-specialty clinic were evaluated for HCV therapy and 16% received treatment, but the median time to treatment from the time of HCV diagnosis was over 4 years. Further efforts to identify and to overcome barriers to HCV treatment are warranted.

journal_name

AIDS Patient Care STDS

authors

Scott JD,Wald A,Kitahata M,Krantz E,Drolette L,Corey L,Wang CC

doi

10.1089/apc.2009.0099

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

925-9

issue

11

eissn

1087-2914

issn

1557-7449

journal_volume

23

pub_type

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