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Nonresponse to Interferon in Chronic Hepatitis C
Re-treatment Redux
Raymond S. Koff, MD
JAMA. 2001;285:212-214.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In the past decade, chronic hepatitis due to hepatitis C virus (HCV) infection has emerged as the predominant liver disease in the United States. While progression of chronic hepatitis C to cirrhosis may be slow, end-stage liver disease due to HCV-associated cirrhosis is now the single most common indication for liver transplantation, and HCV-associated cirrhosis is responsible for the increasing incidence of hepatocellular carcinoma in this country.1 Direct costs of care for patients with progressive disease are high, treatment is expensive, and the national economic burden of hepatitis C has been projected to increase dramatically in the future.2 Fortunately, progress in antiviral treatment has been steady and impressive.
Permanent serum HCV RNA clearance is the principal goal of antiviral treatment and now can be achieved in about 40% of patients treated with the current regimen of interferon alfa and ribavirin (combination therapy).3 A sustained virological response . . . [Full Text of this Article]
Author Affiliation: Department of Medicine, Division of Digestive Disease and Nutrition, University of Massachusetts, Memorial Health Care, Worcester.
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