Primary Care vs Specialist for HCV Treatment

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Is the expanding paradigm shift toward HCV treatment in primary care effective? Or, should it be left to specialists? Two recent studies shed light.

Direct-acting antivirals (DAAs) were introduced in 2013, and have been linked to >90% sustained viral response (SVR), or undetectable viral load, which is considered a cure. Up to 4.6 million people in the US may be infected with hepatitis C virus (HCV).1 Yet only a small percentage have been treated with DAAs since their introduction. Treatment of HCV usually occurs in the specialist setting, but primary care physicians (PCPs) offer a way to expand treatment with less loss to follow-up. Two new studies suggest using DAAs to treat patients with uncomplicated HCV is equally effective when provided by PCPs or specialists.

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