Treatment of HCV in Renal Disease: Subtle Management Considerations in the Era of Direct-acting Antivirals.

Journal Article (Journal Article)

Chronic hepatitis C virus (HCV) infection is burdensome in patients with chronic kidney disease and contributes to substantial liver-related and all-cause morbidity and mortality. HCV infection itself may cause kidney dysfunction, as exemplified through mixed cryoglobulinemic vasculitis. HCV is more prevalent in patients with significant kidney disease compared to the general population, and recent reports have shown inadvertent HCV transmission in U.S. hemodialysis centers. Further, HCV has been demonstrated to accelerate kidney dysfunction and is associated with worse clinical outcomes in patients with kidney disease. As such, the HCV-infected population with concurrent kidney disease is an important patient subgroup that warrants focused medical care and attention. With the advent of direct-acting antivirals (DAAs), the successful treatment of HCV is now a medical reality for many patients. Nuances in regimen selection and timing need to be considered when treating those with kidney dysfunction, particularly for those considering kidney transplantation.

Full Text

Duke Authors

Cited Authors

  • Patel, YA; Muir, AJ

Published Date

  • December 2016

Published In

Volume / Issue

  • 15 / 4

Start / End Page

  • 285 - 290

PubMed ID

  • 28584732

Pubmed Central ID

  • PMC5455785

International Standard Serial Number (ISSN)

  • 2195-9595

Digital Object Identifier (DOI)

  • 10.1007/s11901-016-0319-5


  • eng

Conference Location

  • United States