@DrToddLee@AnilMakam@PaulSaxMD@zchagla@selihep This was a pragmatic trial mirroring real-world settings but I think we were pretty sober. Most patients with short life expectancy (eg end stage renal disease and not dialysis candidates) were left untreated.
@AnilMakam@PaulSaxMD@zchagla@selihep Of note, Norway has achieved substantial DAA price reductions in recent years - approx USD 2600 for 8wks Zepatier for instance. The DAA costs are covered by the regional health authorities.
@AnilMakam@PaulSaxMD@zchagla@selihep Study participants reflected an ageing HCV-population in a period where Norway was approaching HCV elimination. A total of 7.5% were not treated due to short life expectancy and most of those who died remained untreated for the same reason.
What a concept! Starting treatment for people with chronic but curable infections in the hospital. Too bad most insurers and @MedicareGov won’t cover such out-patient issues.
Opportunistic treatment of hepatitis C infection among hospitalized people who inject drugs (OPPORTUNI-C): A stepped wedge cluster randomized trial
✅ Just Accepted
🔓 Open Access
🔗 https://t.co/59TaFsHeXP
via @HMidgard@selihep
Remarkable RCT from Norway demonstrating that starting HCV treatment in the hospital with newly diagnosed HCV among PWIDs is superior to deferring therapy to outpatient care in achieving HCV cure.
Results argue for broader use. @HMidgard@selihep https://t.co/BspdLy5hGR
Don’t put off until tomorrow what you can do today: Hospital admissions as an opportunity to treat hepatitis C
✅ Just Accepted
💬 Editorial Commentary
🔗 https://t.co/5rPPdgzliq
Opportunistic treatment of hepatitis C infection among hospitalized people who inject drugs (OPPORTUNI-C): A stepped wedge cluster randomized trial https://t.co/2ocGUjVJ4S
Take home message from Kristian Malme today @INHepSU: Although HCV treatment uptake increased among people who inject drugs in 🇳🇴, strategies to improve treatment among women and individuals not engaged in OAT should be addressed!
Practice changing findings ALERT: from OPPORTUNI-C in Norway, a pragmatic RCT showing inpatient initiation of HCV rx is doable, safe, and WORKS...even in a pandemic. A tour de force from @HMidgard@Ane_Kristine@selihep at #INHSU2022
Big shout out to @HMidgard and colleagues from Oslo on their work to reach people with recent injecting drug use at #ILC2019 - Treatment uptske 65% so far half of untested LTFU @Cfritsyd
We @WHO just released a new report on #hepatitis C treatment. It shows the annual number of people initiating HCV curative treatment increased from 1 mln in 2015 to 1.5 mln in 2016. But access is focused primarily in a few high-burden countries. https://t.co/V6q8eqgvRh #NOHEP
He did a great job. Thank you @jasongrebely@martinkaberg for the video greetings. His work will be the foundations for NO #hepc strategy https://t.co/HFsfb95mBw