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Screening for Hepatitis C Virus Infection: A Review of the Evidence for the U.S. Preventive Services Task Force


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Table 1. Data from Large Observational Studies on Independent Risk Factors for Positive Status on Tests for Anti–Hepatitis C Virus Antibody

 

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Table 2. Additional Studies on the Diagnostic Accuracy of Third-Generation Enzyme-Linked Immunosorbent Assays for Anti–Hepatitis C Virus Antibodies

 

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Table 3. Randomized, Controlled Trials of Pegylated Interferon plus Ribavirin in Patients with Hepatitis C Virus Infection

 

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Table 4. Sustained Virologic Response Rates with Different Antiviral Regimens for Hepatitis C Virus Infection

 

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Table 5. Randomized, Controlled Trials with Long-Term Clinical Outcomes in Patients with Hepatitis C Virus Infection after Treatment with Interferon

 

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Table 6. Differences in Baseline and 24-Week Scores on the 36-Item Short-Form Health Survey between Patients with Hepatitis C Virus Infection Who Had a Sustained Virologic Response Compared with Nonresponders

 

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Table 7. Summary of Findings of Evidence Synthesis on Screening for Hepatitis C Virus Infection

 

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Table 8. Estimated Yield of Screening for Hepatitis C Virus Infection in 2 Hypothetical Cohorts

 

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Appendix Table. Results of Screening Tests for Hepatitis C Virus Infection and Usual Interpretation

 


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Appendix Figure. Key questions (KQs). KQ 1 = Does screening for hepatitis C virus (HCV) infection reduce the risk or rates of harm and premature death and disability? KQ 2 = Can clinical or demographic characteristics identify a subgroup of asymptomatic patients at higher risk for HCV infection? KQ 3 = What are the test characteristics of HCV antibody testing? KQ 4 = What is the predictive value of a positive screening test result and what are the harms associated with screening for HCV infection? KQ 5a = What are the test characteristics of the work-up for active disease? KQ 5b = In patients found to be positive for HCV antibody, what proportion of patients would qualify for treatment? KQ 6 = What are the harms associated with the work-up for active HCV disease? KQ 7a = How well does antiviral treatment reduce the rate of viremia, improve aminotransferase levels, and improve histology? KQ 7b = How well does antiviral treatment improve health outcomes in asymptomatic patients with HCV infection? KQ 7c = How well do counseling and immunizations in asymptomatic patients with HCV infection improve clinical outcomes or prevent spread of disease? KQ 8 = What are the harms (including intolerance to treatment) associated with antiviral intervention? KQ 9 = Have improvements in intermediate outcomes (liver function tests, remission, histologic changes) been shown to reduce the risk or rate of harm from HCV infection? *Excluding pregnant women, HIV-positive persons, transplant recipients, and patients with renal failure.

 





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