Management of the patient with SVR.

Terrault NA, Hassanein TI

Abstract

In the current era of therapy with direct-acting antiviral (DAAs) drugs, achievement of a sustained virological response (SVR) is achievable in ⩾90% of hepatitis C-infected patients. SVR benefits are well-recognized with reductions in rates of liver complications, hepatocellular carcinoma and mortality. Additional benefits include reduced morbidity related to extrahepatic and systemic manifestations of hepatitis C such as renal, dermatologic, and metabolic complications. However, not all patients will derive all of these benefits and monitoring for progression is necessary, especially in those with more advanced fibrosis. To maximize the health benefits of SVR, counseling patients on best means to maintain good liver health and prevent reinfection are also important.

Keywords — author-chosen Fibrosis regression, Liver-related mortality, Prevention, Sustained virological response

MeSH — NLM indexing Carcinoma, Hepatocellular / prevention & control Disease Progression Hepatitis C, Chronic / drug therapy Hepatitis C, Chronic / mortality Hepatitis C, Chronic / virology Humans Liver Cirrhosis / diagnosis Liver Cirrhosis / prevention & control Liver Neoplasms / prevention & control Recurrence Risk Factors Sustained Virologic Response