{"id":4336,"date":"2018-08-10T18:47:00","date_gmt":"2018-08-10T18:47:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=4336"},"modified":"2025-01-15T03:09:39","modified_gmt":"2025-01-15T03:09:39","slug":"forecasting-hepatitis-c-liver-disease-burden-on-real-life-data-does-the-hidden-iceberg-matter-to-reach-the-elimination-goals","status":"publish","type":"post","link":"https:\/\/cdafound.org\/es\/forecasting-hepatitis-c-liver-disease-burden-on-real-life-data-does-the-hidden-iceberg-matter-to-reach-the-elimination-goals\/","title":{"rendered":"Previsi\u00f3n de la carga de la enfermedad hep\u00e1tica por hepatitis C a partir de datos de la vida real. \u00bfImporta el iceberg oculto para alcanzar las metas de eliminaci\u00f3n?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Resumen<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Antecedentes y objetivos<\/h3>\n\n\n\n<p>Los avances en el tratamiento antiv\u00edrico de acci\u00f3n directa del VHC han revitalizado las iniciativas de salud p\u00fablica destinadas a identificar a las personas afectadas. Evaluamos el posible impacto de solo las personas diagnosticadas y vinculadas a la atenci\u00f3n en las estimaciones generales de la carga del VHC e identificamos una posible estrategia para lograr los objetivos de la OMS para 2030.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9todos<\/h3>\n\n\n\n<p>Utilizando un enfoque de modelado basado en datos italianos de la vida real de pacientes diagnosticados y tratados, se construyeron diferentes escenarios de vinculaci\u00f3n a la atenci\u00f3n para evaluar estrategias potenciales para lograr los objetivos de eliminaci\u00f3n del VHC.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Resultados<\/h3>\n\n\n\n<p>Bajo el escenario 40% vinculado a la atenci\u00f3n, la carga vir\u00e9mica disminuir\u00eda (60%); sin embargo, los pacientes elegibles para recibir tratamiento se reducir\u00e1n en 2025. El aumento de la b\u00fasqueda de casos mediante una estrategia de detecci\u00f3n selectiva en las cohortes de nacimiento de 1948-1978 podr\u00eda complementar el grupo de pacientes diagnosticados al encontrar 75% de casos F0-F3. En el escenario 60% vinculado a la atenci\u00f3n, las infecciones vir\u00e9micas disminuir\u00edan en 70% para 2030, pero los pacientes elegibles para el tratamiento se agotar\u00e1n para 2028. Si se mantiene el tratamiento, una estrategia de detecci\u00f3n centrada en las cohortes de nacimiento de 1958-1978 podr\u00eda capturar 55% de los individuos F0-F3. En el escenario 80% vinculado a la atenci\u00f3n, la detecci\u00f3n limitada en las cohortes de nacimiento de 1968-1978 podr\u00eda mantener el tratamiento en los niveles requeridos para lograr las metas de eliminaci\u00f3n del VHC.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusi\u00f3n <\/h3>\n\n\n\n<p>En Italia, que es un pa\u00eds end\u00e9mico del VHC, el grupo de pacientes elegibles para tratar se agotar\u00e1 entre 2025 y 2028. Para mantener la tasa de tratamiento y lograr los objetivos de eliminaci\u00f3n del VHC, se requiere una mayor detecci\u00f3n de casos en grupos espec\u00edficos de alta prevalencia.<\/p>\n\n\n\n<p><strong>Pa\u00edses:<\/strong> Italia<\/p>\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29900654\/\" target=\"_blank\" rel=\"noreferrer noopener\">Lea el informe completo<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary Background &amp; Aims Advances in direct acting anti-viral treatment of HCV have reinvigorated public health initiatives aimed at identifying affected individuals. We evaluated the possible impact of only diagnosed and linked-to-care individuals on overall HCV burden estimates and identified a possible strategy to achieve the WHO targets by 2030. Methods Using a modelling approach [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":3486,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[10],"publication-author":[809,827,488,816,821,826,808,820,819,815,813,680,810,811,542,823,831,803,822,668,814,830,818,829,832,824,825,725,722,828,800,494,807,812,805,799,806,802,724,817,801,804],"class_list":["post-4336","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-hcv","publication-author-andreone-p","publication-author-andriulli-a","publication-author-blach-s","publication-author-blanc-p","publication-author-borgia-g","publication-author-brancaccio-g","publication-author-brunetto-mr","publication-author-caporaso-n","publication-author-chessa-l","publication-author-ciancio-a","publication-author-coppola-c","publication-author-craxi-a-2","publication-author-erne-em","publication-author-federico-a","publication-author-gamkrelidze-i","publication-author-gasbarrini-a","publication-author-gori-a","publication-author-iannone-a","publication-author-ieluzzi-d","publication-author-kondili-la","publication-author-lampertico-p","publication-author-madonia-s","publication-author-massari-m","publication-author-melazzini-m","publication-author-montilla-s","publication-author-orlandini-a","publication-author-persico-m","publication-author-piter-collaborating-group","publication-author-puoti-m","publication-author-quaranta-mg","publication-author-raimondo-g","publication-author-razavi-h","publication-author-robbins-s","publication-author-rumi-mg","publication-author-russo-fp","publication-author-santantonio-ta","publication-author-strazzabosco-m","publication-author-taliani-g","publication-author-vella-s","publication-author-vinci-m","publication-author-zignego-al","publication-author-zuin-m"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/4336","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/comments?post=4336"}],"version-history":[{"count":3,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/4336\/revisions"}],"predecessor-version":[{"id":7530,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/4336\/revisions\/7530"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/media\/3486"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/media?parent=4336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/categories?post=4336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/tags?post=4336"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/publication-author?post=4336"}],"curies":[{"name":"gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}