Source:http://linkedlifedata.com/resource/pubmed/id/10749334
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2000-5-4
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pubmed:abstractText |
Adequate dosing of interferon (IFN) and its cost-effectiveness for sustained virological response were evaluated in relation to viral load and subtype. Prospective analysis of IFN therapy on 326 patients with chronic hepatitis C free from cirrhosis was performed using 9 or 6 million unit (MU) of IFN for six months daily and/or three times a week. Sustained virological response was achieved in 50-94% of patients with < or =2 x 10(4) copies/ml (competitive RT-PCR) or <100 x 10(3) copies/ml (Amplicor monitor) of HCV RNA by 468-1206 MU of IFN, but response was only 0-25% of the patients with > or =2 x 10(5.5) copies/ml (competitive RT-PCR) or >200 x 10(3) copies/ml (Amplicor monitor), even with 468-1206 MU of IFN. A high sustained rate was demonstrated in patients with 100-200 x 10(3) copies/ml of HCV RNA by 901-1206 MU of IFN, in comparison to that with < or =900 MU of IFN. Multivariate analysis showed that IFN dose had a significant value for the efficacy of IFN therapy in patients presenting 100-200 x 10(3) copies/ml of HCV RNA. Cost efficacy analysis indicated that it cost approximately $10,000, $26,000, and $50,000-227,000 for one person-viral eradication in the patients with <100, 100-200, and >200 x 10(3) copies/ml, respectively. High-dose IFN is only cost effective in patients with intermediate viral loads, and IFN therapy could be recommended in patients with <200 x 10(3) copies/ml of HCV RNA.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0163-2116
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pubmed:author |
pubmed-author:HirotaKK,
pubmed-author:IhoriMM,
pubmed-author:IkegamiFF,
pubmed-author:ImazekiFF,
pubmed-author:KatamotoTT,
pubmed-author:KatoNN,
pubmed-author:KawaseTT,
pubmed-author:NakamuraAA,
pubmed-author:NakasoAA,
pubmed-author:OmataMM,
pubmed-author:ShiratoriYY,
pubmed-author:UnumaTT,
pubmed-author:YokosukaOO,
pubmed-author:YoshidaHH
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pubmed:issnType |
Print
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
565-74
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10749334-Adolescent,
pubmed-meshheading:10749334-Adult,
pubmed-meshheading:10749334-Aged,
pubmed-meshheading:10749334-Antiviral Agents,
pubmed-meshheading:10749334-Cost-Benefit Analysis,
pubmed-meshheading:10749334-Female,
pubmed-meshheading:10749334-Hepatitis C, Chronic,
pubmed-meshheading:10749334-Humans,
pubmed-meshheading:10749334-Interferons,
pubmed-meshheading:10749334-Male,
pubmed-meshheading:10749334-Middle Aged,
pubmed-meshheading:10749334-Multivariate Analysis,
pubmed-meshheading:10749334-Polymerase Chain Reaction,
pubmed-meshheading:10749334-Prospective Studies,
pubmed-meshheading:10749334-RNA, Viral
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pubmed:year |
2000
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pubmed:articleTitle |
Sustained viral response is rarely achieved in patients with high viral load of HCV RNA by excessive interferon therapy.
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pubmed:affiliation |
Department of Internal Medicine (Gastroenterology), University of Tokyo, Japan.
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pubmed:publicationType |
Journal Article
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