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Hepatitis C Consensus
Brian Vastag
JAMA. 2002;288:307.
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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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The number of cases of chronic hepatitis C is expected to increase four-fold
during the next decade as a result of unsuspected infections from tainted
blood transfusions, injection drug use, and occupational exposures (such as
needlesticks) before routine screening began in the early 1990s. Complications
such as cirrhosis, end-stage liver disease, and liver cancer are expected
to rise also, keeping hepatitis C virus (HCV) the most common reason for liver
transplants, according to a National Institutes of Health (NIH) consensus
panel statement in June.
The panel tempered this news with optimism on the effectiveness of treatment
with interferon and ribavirin, which together work better than either drug
alone. Panelists noted that patients with genotype 1 HCV, who account for
nearly 75% of cases, require longer therapy and have generally poorer response
to the drugs. Although absence of study data makes it difficult to correlate
drug therapy with long-term . . . [Full Text of this Article]
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