Elimination of hepatitis C. Positioning document of the Spanish Association for the Study of the Liver (AEEH)

Gastroenterol Hepatol. 2019 Nov;42(9):579-592. doi: 10.1016/j.gastrohep.2019.09.002. Epub 2019 Oct 5.
[Article in English, Spanish]

Abstract

The Spanish Association for the Study of the Liver (AEEH) is convinced that the elimination of hepatitisC virus (HCV) in Spain is possible as long as we are able to use the resources and tools necessary for it. This document reflects the position of the AEEH regarding the elimination of HCV, establishing a wide range of recommendations that can be grouped into five categories: 1)Screening of HCV according to age, of the existence of classic acquisition risk factors of infection, active search of previously diagnosed patients and development of micro-elimination strategies in vulnerable populations; 2)Simplification of HCV diagnosis (one-step diagnosis and diagnosis at the point of patient care); 3)Simplification of patient treatment and improvement of care circuits; 4)Health policy measures, and, finally, 5)Establishment of HCV elimination indicators.

Keywords: Antiviral treatment; Cirrhosis C; Cirrosis C; Cribado; Decentralised diagnosis; Diagnóstico descentralizado; Diagnóstico en un solo paso; Eliminación; Elimination; HCV; Hepatitis C; MSM; One-step diagnosis; PQID; Población vulnerable; Point of care; Prisiones; Prisons; Screening; Tratamiento antiviral; VHC; Vulnerable population.

Publication types

  • Practice Guideline

MeSH terms

  • Age Factors
  • Disease Eradication / methods*
  • Disease Eradication / organization & administration
  • Early Diagnosis
  • Hepacivirus / isolation & purification*
  • Hepatitis C / diagnosis
  • Hepatitis C / etiology
  • Hepatitis C / prevention & control*
  • Hepatitis C / therapy
  • Humans
  • Patient Selection
  • Quality Improvement
  • Quality of Health Care
  • Risk Factors
  • Spain