scholarly journals Cost-Effectiveness of the National Screening Program for Hepatitis C Virus in the General Population and the High-Risk Groups

2008 ◽  
Vol 215 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Junichiro Nakamura ◽  
Kenshi Terajima ◽  
Yutaka Aoyagi ◽  
Kouhei Akazawa

2020 ◽  
Vol 148 ◽  
Author(s):  
E. M. El-Ghitany ◽  
Y. M. Alkassabany ◽  
A. G. Farghaly

Abstract We have previously shown that the Egyptian Hepatitis C Virus Risk Score (EGCRISC), an Egyptian hepatitis C virus (HCV) risk-based screening tool, to be valid and cost-effective. Certain behaviours, occupations and diseases have been shown to be associated with an increased risk of exposure to HCV infection and constitute a major population reservoir of HCV infection. This study investigated the efficacy of EGCRISC in selected high-risk groups by testing 863 participants from four groups: slaughterhouse workers, illicit drug users (IDUs), female sex workers and human immune deficiency virus (HIV) patients. Data for this study were collected on EGCRISC and another pre-designed risk factor questionnaire. Sera were tested for HCV antibodies by ELISA. EGCRISC, at lower cut-off points, showed significantly good performance (P < 0.05) in all four groups except for females <45 years, but was reliable in detecting HCV cases (sensitivity: 84.21% and negative predictive value: 94.5%). Specific scores for IDUs and HIV patients were developed that showed high accuracy (P < 0.001). A modified EGCRISC for high-risk groups (EGCRISC-HRGs) was shown to be a valid tool that is recommended for use in high-risk populations if no other specific screening tool is available or universal screening is applied. EGCRISC for IDUs (EGCRISC-IDUs) and EGCRISC for HIV patients (EGCRISC-HIV) are useful tools for preselecting potentially HCV-infected cases for further testing in settings where serological analysis is not readily available or accessible.





2018 ◽  
Vol 68 ◽  
pp. S326
Author(s):  
K.-A. Kim ◽  
W. Chung ◽  
H.Y. Choi ◽  
E.S. Jang ◽  
M. Ki ◽  
...  


2019 ◽  
Author(s):  
Ru HAN ◽  
Junwen ZHOU ◽  
Clément François N ◽  
Mondher Toumi

Abstract Background: Although significant improvement in efficacy measured by a sustained virological response, the high acquisition costs of direct-acting antivirals limit the access for patients and influence the costs of healthcare resource utilisation in hepatitis C. It is important to have the latest estimates of prevalence, especially in high-risk groups, for cost of illness, cost-effectiveness and budget impact studies. Methods: Original studies on the estimates of the prevalence among general and high-risk populations in the European Union/European Economic Area (EU/EEA) were retrieved from Medline and Embase for the period from 2015 to 2018. All included studies were evaluated for risk of selection bias and summarised together in a narrative form. Results from previous reviews and updated searches were compared per country among different populations, respectively. Results: Among the 3871 studies identified, 46 studies were included: 20 studies were used for the estimate of the general population; 3 for men who have sex with men (MSM); 6 for prisoners; and 17 for people who inject drugs (PWID). Compared with the results reported in previous systematic reviews, the updated estimates were lower than previously in most available countries. Anti-HCV general population prevalence estimates ranged from 0.54% to 1.50% by country. The highest prevalence of anti-HCV was found among PWID (range of 7.90% - 82.00%), followed by prisoners (7.00% - 41.00%), HIV-positive MSM (1.80% - 7.10%), HIV-negative MSM (0.20% - 1.80%), pregnant women (0.10% - 1.32%) and first-time blood donors (0.03% - 0.09%). Conclusions: Our study highlights the heterogeneity in anti-HCV prevalence across different population groups in EU/EEA. The prevalence also varies widely between European countries. There are many countries that are not represented in our results, highlighting the need for the development of robust epidemiological studies.



2017 ◽  
Vol 18 (2) ◽  
pp. 114-117 ◽  
Author(s):  
Antoine Abou Rached ◽  
Cesar Yaghi ◽  
Leda Khalil ◽  
Jowana Saba ◽  
Walid Ammar




2006 ◽  
Vol 6 (3) ◽  
pp. 198-204 ◽  
Author(s):  
Mohammed N. Khaja ◽  
Chandra Madhavi ◽  
Rekha Thippavazzula ◽  
Farees Nafeesa ◽  
Aejaz M. Habib ◽  
...  


2012 ◽  
Vol 30 (11) ◽  
pp. 1015-1034 ◽  
Author(s):  
Ava John-Baptiste ◽  
Man Wah Yeung ◽  
Victoria Leung ◽  
Gabrielle van der Velde ◽  
Murray Krahn


Public Health ◽  
2018 ◽  
Vol 161 ◽  
pp. 90-98 ◽  
Author(s):  
S. Nematollahi ◽  
E. Ayubi ◽  
A. Almasi-Hashiani ◽  
K. Mansori ◽  
Y. Moradi ◽  
...  


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