802 Follow-Up After Cessation of Therapy With Direct Acting Antivirals in Chronic Hepatitis C Patients – Who Is at Risk of Late Relapse?

Carey, Ivana; Lee, H.-J.; Calara, Jozer; Toledo, J; Bruce, M.; Horner, M.; Fletcher, I.; Shang, Dazhuang; Barnabas, Ashley; Joshi, D; Childs, Kate; Agarwal, Kosh

doi:10.1016/s0168-8278(13)60804-1

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sixteen studies were found evaluating the risk of HCV recurrence in low‐risk HCV‐mono‐infected patients 23,30‐44 . The recurrence rates per 1000 PYFU and their corresponding 95% CI were calculated for each study and are presented in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies were found evaluating the risk of HCV recurrence in low-risk HCV-mono-infected patients. 23,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] The recurrence rates per 1000 PYFU and their corresponding 95% CI were calculated for each study and are presented in Table 2. The median follow-up time post-SVR was 21 months (interquartile range, [16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Low-risk Hcv Mono-infection Populationmentioning

confidence: 99%

See 1 more Smart Citation

The risk of hepatitis C virus recurrence in hepatitis C virus‐infected patients treated with direct‐acting antivirals after achieving a sustained virological response: A comprehensive analysis

Huang

Wang

Yue

et al. 2021

Liver International

View full text Add to dashboard Cite

Background & Aims The risk for hepatitis C virus (HCV) recurrence persists after HCV eradication with direct‐acting antivirals (DAAs), particularly in patients with ongoing high‐risk behaviours. Our aim was to assess the risk of HCV recurrence (late relapse and/or reinfection) post‐sustained virological response (SVR). Methods We searched the literature for studies reporting HCV recurrence rates post‐SVR in PubMed, Web of Science and the Cochrane Library. Identified publications were divided into groups based on patient risk for HCV reinfection: low‐risk HCV mono‐infection, high‐risk HCV mono‐infection and a human immunodeficiency virus (HIV)/HCV coinfection. The HCV recurrence rate for each study was calculated by using events divided by the person‐years of follow‐up (PYFU). HCV recurrence was defined as confirmed, detectable HCV RNA post‐SVR. Results In the 16 studies of low‐risk patients, the pooled recurrence rate was 0.89/1000 PYFU (95% confidence interval [CI], 0.16‐2.03). For the 19 studies of high‐risk patients, the pooled recurrence rate was 29.37/1000 PYFU (95% CI, 15.54‐46.91). For the eight studies of HIV/HCV‐coinfected patients, the pooled recurrence rate was 23.25/1000 PYFU (95% CI, 4.24‐53.39). The higher pooled estimates of recurrence in the high‐risk and HIV/HCV‐coinfected populations were predominantly driven by an increase in reinfection rather than late relapse. Conclusions The HCV recurrence risk after achieving SVR with all‐oral DAAs therapy is low, and the risk of HCV recurrence in high‐risk and HIV/HCV‐coinfected populations was driven by an increase in reinfection rather than late relapse.

show abstract

Section: Resultsmentioning

confidence: 99%