J 2018

Availability of hepatitis C diagnostics and therapeutics in European and Eurasia countries

LEBLEBICIOGLU, Hakan; Joop E. ARENDS; Resat OZARAS; Giampaolo CORTI; Lurdes SANTOS et al.

Základní údaje

Originální název

Availability of hepatitis C diagnostics and therapeutics in European and Eurasia countries

Autoři

LEBLEBICIOGLU, Hakan; Joop E. ARENDS; Resat OZARAS; Giampaolo CORTI; Lurdes SANTOS; Christoph BOESECKE; Andrew USTIANOWSKI; Ann Sofi DUBERG; Simona RUTA; Nermin N. SALKIC; Petr HUSA; Ivana LAZAREVIC; Juan A. PINEDE; Natalia Y. PSHENICHNAYA; Tengiz TSERTSWADZE; Mojca MATICIC; Edmond PUCA; Gulzhan ABUOVA; Judit GERVAIN; Ramin BAYRAMLI; Salih AHMETI; Mairi KOULENTAKI; Badreddine KILANI; Adriana VINCE; Francesco NEGRO; Mustafa SUNBUL a Domonique SALMON

Vydání

ANTIVIRAL RESEARCH, AMSTERDAM, ELSEVIER SCIENCE BV, 2018, 0166-3542

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30303 Infectious Diseases

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.130

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/18:00102717

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

Availability of hepatitis C diagnostics; Therapeutics in European and Eurasia countries

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 21:03, Soňa Böhmová

Anotace

V originále

Background. Treatment with direct acting antiviral agents (DAAs) has provided sustained virological response rates in > 95% of patients with chronic hepatitis C virus (HCV) infection. However treatment is costly and market access, reimbursement and governmental restrictions differ among countries. We aimed to analyze these differences among European and Eurasian countries. Methods: A survey including 20-item questionnaire was sent to experts in viral hepatitis. Countries were evaluated according to their income categories by the World Bank stratification. Results: Experts from 26 countries responded to the survey. As of May 2016, HCV prevalence was reported as low (<= 1%) in Croatia, Czech Republic, Denmark, France, Germany, Hungary, the Netherlands, Portugal, Slovenia, Spain, Sweden, UK; intermediate (1-4%) in Azerbaijan, Bosnia and Herzegovina, Italy, Kosovo, Greece, Kazakhstan, Romania, Russia, Serbia and high in Georgia (6.7%). All countries had national guidelines except Albania, Kosovo, Serbia, Tunisia, and UK. Transient elastography was available in all countries, but reimbursed in 61%. HCV-RNA was reimbursed in 81%. PegIFN/RBV was reimbursed in 54% of the countries. No DAAs were available in four countries: Kazakhstan, Kosovo, Serbia, and Tunisia. In others, at least one DAA combination with either PegIFN/RBV or another DAA was available. In Germany and the Netherlands all DAAs were reimbursed without restrictions: Sofosbuvir and sofosbuvir/ledipasvir were free of charge in Georgia. Conclusion: Prevalence of HCV is relatively higher in lower-middle and upper-middle income countries. DAAs are not available or reimbursed in many Eurasia and European countries. Effective screening and access to care are essential for reducing liver-related morbidity and mortality.