{"id":5106,"date":"2021-11-27T10:16:00","date_gmt":"2021-11-27T10:16:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=5106"},"modified":"2025-01-14T21:38:08","modified_gmt":"2025-01-14T21:38:08","slug":"hcv-disease-burden-and-population-segments-in-switzerland","status":"publish","type":"post","link":"https:\/\/cdafound.org\/es\/hcv-disease-burden-and-population-segments-in-switzerland\/","title":{"rendered":"Carga de enfermedad por VHC y segmentos de poblaci\u00f3n en Suiza"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Resumen<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Fondo&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Suiza ha avanzado hacia la eliminaci\u00f3n del virus de la hepatitis C, pero a partir de 2019, la eliminaci\u00f3n no estaba garantizada. Sin embargo, el inter\u00e9s pol\u00edtico por las hepatitis virales ha ido en aumento. Buscamos desarrollar una mejor comprensi\u00f3n del progreso de Suiza hacia la eliminaci\u00f3n del VHC y el perfil de los restantes pacientes positivos para el ARN del VHC.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9todos<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Se actualiz\u00f3 un modelo de Markov descrito anteriormente con datos de diagn\u00f3stico y tratamiento recientes y se ejecut\u00f3 para generar nuevos pron\u00f3sticos para la carga de la enfermedad del VHC. Se desarrollaron dos escenarios para evaluar la morbilidad y mortalidad por VHC bajo el statu quo y un escenario que logra los objetivos de Eliminaci\u00f3n de la Estrategia Suiza contra la Hepatitis. A continuaci\u00f3n, se llev\u00f3 a cabo un an\u00e1lisis para identificar los segmentos de la poblaci\u00f3n que soportan una alta carga de enfermedad, hacia donde se podr\u00edan dirigir los futuros esfuerzos de eliminaci\u00f3n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Resultados&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A principios de 2020, quedaban en Suiza unas 32 100 infecciones vir\u00e9micas (prevalencia vir\u00e9mica de 0,371 TP2T). Adultos (\u226518 a\u00f1os de edad) residentes permanentes nacidos en el extranjero representaron la subpoblaci\u00f3n m\u00e1s grande, representando 56% de infecciones por VHC. Trece pa\u00edses representaron \u226560% de infecciones vir\u00e9micas entre los residentes permanentes nacidos en el extranjero, y la mayor\u00eda de las personas reside actualmente en Zurich, Vaud, Ginebra, Berna, Aargau y Ticino. Entre las personas positivas para ARN-VHC nacidas en Suiza, dos tercios ten\u00edan antecedentes de UDI, lo que corresponde al 33% del total de infecciones.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusiones&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">En Suiza, se justifican esfuerzos adicionales para el diagn\u00f3stico y la vinculaci\u00f3n con la atenci\u00f3n en poblaciones nacidas en el extranjero y personas con antecedentes de consumo de drogas. Las medidas a nivel de la poblaci\u00f3n (p. ej., aumentar el n\u00famero de proveedores, aumentar la detecci\u00f3n) pueden identificar a los pacientes que de otro modo podr\u00edan haberse quedado sin atenci\u00f3n o haber evitado la atenci\u00f3n debido al estigma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pa\u00edses:<\/strong> Suiza<\/p>\n\n\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\/34839578\/\" style=\"border-radius:6px;color:#951b23\" target=\"_blank\" rel=\"noreferrer noopener\">Lea el informe completo<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary Background&nbsp; Switzerland has made strides towards hepatitis C virus elimination, but as of 2019, elimination was not guaranteed. However, political interest in viral hepatitis has been increasing. We sought to develop a better understanding of Switzerland&#8217;s progress towards HCV elimination and the profile of remaining HCV-RNA-positive patients. Methods A previously described Markov model was [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":3486,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[10],"publication-author":[525,488,527,524,528,529,523,522,494,531,530,526],"class_list":["post-5106","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-hcv","publication-author-bihl-f","publication-author-blach-s","publication-author-bruggmann-p","publication-author-castro-batanjer-e","publication-author-dufour-jf","publication-author-lavanchy-d","publication-author-mullhaupt-b","publication-author-negro-f","publication-author-razavi-h","publication-author-scheidegger-c","publication-author-semela-d","publication-author-semmo-n"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/5106","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=5106"}],"version-history":[{"count":3,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/5106\/revisions"}],"predecessor-version":[{"id":7441,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/posts\/5106\/revisions\/7441"}],"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=5106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/categories?post=5106"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/tags?post=5106"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/es\/wp-json\/wp\/v2\/publication-author?post=5106"}],"curies":[{"name":"gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}