Hepatitis C treatment has been changing at a pace almost too rapid for the average physician to keep up with. Until recently, HCV treatment required weekly interferon injections plus oral ribavirin for up to a year and was effective in only about half of patients with genotype 1. During the past 2 years, however, several highly effective, fast-acting, all-oral, interferon-free regimens have been approved, raising the possibility of eradicating HCV in many patients. When should these treatments be offered? Which regimens are best for which patients? And what about the exorbitant cost of these new regimens?
On Monday, June 8, the NEJM Group Open Forum, powered by Medstro, will launch a 10-day online clinical case discussion called “NEJM Knowledge+ Clinical Cases: Treating Hepatitis C.” We’ll kick off the discussion with a compelling HCV case from NEJM Knowledge+ and then open up the floor for a series of HCV case presentations. Read what your peers are saying and join the discussion!
Meci Beaucoup!
Being totally agree with the changing pattern of Hepatitis C treatment, and knowing that the Physician who is going to start treatment must be well documented, but I have a question=¿When and Who will do the Diagnostics of Viral Hepatitis Syndrome?What are the symptoms, that suggest you to look for Hepatitis C?
Like an *old Physician* and being teaching Medicine until now(post-graduates), I always try to see all the field that the Physician must handle=I need to be sure that besides, knowing and using the new advances in therapy,the Doctors will be able to face the problem of Hepatitis since A to Z.
Few weeks ago, I saw an patient, coming from other country(I do not remember if was USA or UK), who presented only chronic fatigue for 2 month-)She was seen by others Drs ,but no one looked for Viral Hepatitis .This woman, was totally healthy before the travel.She came to see me under the Diagnostics of Chronic Fatigue Syndrome
I remember that when I studied Medicine,our Professor told us=in Hepatitis you will find=1)Symptoms +-Exams +-2)Exams + but Symptoms (-)and Exams (-) and Symptoms (-)=but many of this patients will finally hav e=Hepatic Failure-Hepatic Cancer-Cirrhosis and Portal Hypertension.So, the Dr must always be alert with Hepatitis and Environmentothers actions of patients(Drugs-Sexual-Unknown etc etc)