Department of Family Medicine and Community Health
Clinical Epidemiology | Community Health and Preventive Medicine | Epidemiology | Health Services Administration | Health Services Research | Substance Abuse and Addiction | Virus Diseases
For over a decade, the vast majority of new hepatitis C virus (HCV) infections have been among young people who inject drugs (PWID). Well-characterized gaps in chronic HCV diagnosis, evaluation, and treatment have resulted in fewer than 5% of PWID receiving HCV treatment. While interferon-based treatment may have intentionally been foregone during part of this time in anticipation of improved oral therapies, the overall pattern points to deficiencies and treatment exclusions in the health care system. Treatment for HCV with all-oral, highly effective direct-acting antiviral medication for 12 weeks or less is now the standard of care, putting renewed focus on effective delivery of care. We describe here both the need for and process of chronic HCV care under the roof of addiction medicine.
Chronic hepatitis C, Cirrhosis, Continuity of care, Hepatitis C epidemiology, Hepatitis C treatment, Opioid use disorder, Project ECHO, Treatment cascade
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© The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
DOI of Published Version
Addict Sci Clin Pract. 2018 Apr 25;13(1):10. doi: 10.1186/s13722-018-0111-7. Link to article on publisher's site
Addiction science and clinical practice
Martin SA, Bosse J, Wilson A, Losikoff P, Chiodo L. (2018). Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care. Open Access Articles. https://doi.org/10.1186/s13722-018-0111-7. Retrieved from https://escholarship.umassmed.edu/oapubs/3436
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Clinical Epidemiology Commons, Community Health and Preventive Medicine Commons, Epidemiology Commons, Health Services Administration Commons, Health Services Research Commons, Substance Abuse and Addiction Commons, Virus Diseases Commons