title: Patient-reported and economic outcomes related to sofosbuvir and ledipasvir treatment for chronic hepatitis C.
abstract: We used published literature from 2013-2016, to review data regarding the new all oral interferon and ribavirin free direct acting antiviral (DAA's) treatment regimens. Areas covered: Specifically, this paper will address DAA's clinical efficacy, their associated patient reported outcomes, their adherence to treatment, and their cost-effectiveness of treatment using studies from the United States. Expert commentary: The current data suggest that cure and elimination of HCV appears to be on the horizon; however, more research is needed to verify similar results from real world practices. Further, research is also needed to overcome the barriers to treatment (lack of education and awareness of HCV, inadequate diagnosis technology, and lack of access and link to care) in order for the elimination of HCV to be obtained.
authors.affiliation: a Betty and Guy Beatty Center for Integrated Research , Inova Health Systems , Falls Church , VA , USA.|b Center for Outcomes Research in Liver Disease , Washington , D.C. , USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Henry
authors.affiliation: a Betty and Guy Beatty Center for Integrated Research , Inova Health Systems , Falls Church , VA , USA.|c Center for Liver Diseases, Department of Medicine , Inova Fairfax Hospital , Falls Church , VA , USA.
authors.forename: Zobair
authors.initials: Z
authors.lastname: Younossi
mesh_terms: D000998:Antiviral Agents / Q000008:administration & dosage / Q000191:economics / Q000494:pharmacology; D001562:Benzimidazoles / Q000008:administration & dosage* / Q000191:economics / Q000494:pharmacology; D003362:Cost-Benefit Analysis; D005449:Fluorenes / Q000008:administration & dosage* / Q000191:economics / Q000494:pharmacology; D019698:Hepatitis C, Chronic / Q000188:drug therapy*; D006801:Humans; D055118:Medication Adherence; D000069474:Sofosbuvir / Q000008:administration & dosage* / Q000191:economics / Q000494:pharmacology; D016896:Treatment Outcome; D014481:United States
chemical_list: D000998:Antiviral Agents; D001562:Benzimidazoles; D005449:Fluorenes; C586541:ledipasvir; D000069474:Sofosbuvir
keywords: Patient reported outcomes; access to care; adherence; barriers; cost-effectiveness; ethics