Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder

Carlos Roncero,1 Pablo Ryan,2–4 Richard Littlewood,5 Juan Macías,6 Juan Ruiz,7 Pedro Seijo,8 Raúl Felipe Palma-Álvarez,9–11 Pablo Vega12,13 1Psychiatric Service, University of Salamanca Health Care Complex, Institute of Biomedicine of Salamanca, U...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Roncero C, Ryan P, Littlewood R, Macías J, Ruiz J, Seijo P, Palma-Alvarez RF, Vega P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	HCV Opioid Use Disorder Treatment Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/487e99f14e904318893fd9499076d79a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:487e99f14e904318893fd9499076d79a
record_format	dspace
spelling	oai:doaj.org-article:487e99f14e904318893fd9499076d79a2021-12-02T07:13:07ZPractical steps to improve chronic hepatitis C treatment in people with opioid use disorder1179-1535https://doaj.org/article/487e99f14e904318893fd9499076d79a2018-12-01T00:00:00Zhttps://www.dovepress.com/practical-steps-to-improve-chronic-hepatitis-c-treatment-in-people-wit-peer-reviewed-article-HMERhttps://doaj.org/toc/1179-1535Carlos Roncero,1 Pablo Ryan,2–4 Richard Littlewood,5 Juan Macías,6 Juan Ruiz,7 Pedro Seijo,8 Raúl Felipe Palma-Álvarez,9–11 Pablo Vega12,13 1Psychiatric Service, University of Salamanca Health Care Complex, Institute of Biomedicine of Salamanca, University of Salamanca, Salamanca, Spain; 2Internal Medicine Service, University Hospital Infanta Leonor, Madrid, Spain; 3School of Medicine, Complutense University of Madrid, Madrid, Spain; 4Gregorio Marañón Health Research Institute, Madrid, Spain; 5applied strategic, London, UK; 6Department of Infectious Diseases and Microbiology, Valme University Hospital, Seville, Spain; 7Provincial Center of Drug Addiction, Malaga, Spain; 8Addiction Treatment Center of Villamartín, Cádiz, Spain; 9Addiction and Dual Diagnosis Unit, Vall Hebron University Hospital, Barcelona, Spain; 10Psychiatry Service, Biomedical Research Networking Center for Mental Health Network, Vall Hebron University Hospital, Barcelona, Spain; 11Autonomous University of Barcelona, Barcelona, Spain; 12Spanish Society of Dual Diagnosis, Bilbao, Spain; 13Institute of Addictions, Madrid, Spain Objectives: People with a history of injecting drugs have high prevalence of hepatitis C virus (HCV) infection, and many have opioid use disorder (OUD). Modern HCV therapies with improved efficacy and tolerability are available, but access is often limited for this group, who may be underserved for health care and face social inequity. This work develops practical steps to improve HCV care in this population. Methods: Practical steps to improve HCV care in OUD populations were developed based on clinical experience from Spain, structured assessment of published evidence. Results: Options for improving care at engagement/screening stages include patient education programs, strong provider–patient relationship, peer support, and adoption of rapid effective screening tools. To facilitate work up/treatment, start options include simplified work up process, integration of HCV and OUD care, and continuous psychosocial support prior, during, and after HCV treatment. Conclusion: It is important to plan on local basis to set up a joint integrated approach between specific drug treatment services and local points of HCV care. The elements for a specific integrated program should be chosen from options identified, including education services, peer input, organization to make HCV screening and treatment easier by co-location of services, and wider access to prescribing direct-acting antiviral (DAA) therapy. Keywords: HCV, opioid use disorder, treatment, elimination, practical recommendationsRoncero CRyan PLittlewood RMacías JRuiz JSeijo PPalma-Alvarez RFVega PDove Medical PressarticleHCVOpioid Use DisorderTreatmentDiseases of the digestive system. GastroenterologyRC799-869ENHepatic Medicine: Evidence and Research, Vol Volume 11, Pp 1-11 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	HCV Opioid Use Disorder Treatment Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	HCV Opioid Use Disorder Treatment Diseases of the digestive system. Gastroenterology RC799-869 Roncero C Ryan P Littlewood R Macías J Ruiz J Seijo P Palma-Alvarez RF Vega P Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
description	Carlos Roncero,1 Pablo Ryan,2–4 Richard Littlewood,5 Juan Macías,6 Juan Ruiz,7 Pedro Seijo,8 Raúl Felipe Palma-Álvarez,9–11 Pablo Vega12,13 1Psychiatric Service, University of Salamanca Health Care Complex, Institute of Biomedicine of Salamanca, University of Salamanca, Salamanca, Spain; 2Internal Medicine Service, University Hospital Infanta Leonor, Madrid, Spain; 3School of Medicine, Complutense University of Madrid, Madrid, Spain; 4Gregorio Marañón Health Research Institute, Madrid, Spain; 5applied strategic, London, UK; 6Department of Infectious Diseases and Microbiology, Valme University Hospital, Seville, Spain; 7Provincial Center of Drug Addiction, Malaga, Spain; 8Addiction Treatment Center of Villamartín, Cádiz, Spain; 9Addiction and Dual Diagnosis Unit, Vall Hebron University Hospital, Barcelona, Spain; 10Psychiatry Service, Biomedical Research Networking Center for Mental Health Network, Vall Hebron University Hospital, Barcelona, Spain; 11Autonomous University of Barcelona, Barcelona, Spain; 12Spanish Society of Dual Diagnosis, Bilbao, Spain; 13Institute of Addictions, Madrid, Spain Objectives: People with a history of injecting drugs have high prevalence of hepatitis C virus (HCV) infection, and many have opioid use disorder (OUD). Modern HCV therapies with improved efficacy and tolerability are available, but access is often limited for this group, who may be underserved for health care and face social inequity. This work develops practical steps to improve HCV care in this population. Methods: Practical steps to improve HCV care in OUD populations were developed based on clinical experience from Spain, structured assessment of published evidence. Results: Options for improving care at engagement/screening stages include patient education programs, strong provider–patient relationship, peer support, and adoption of rapid effective screening tools. To facilitate work up/treatment, start options include simplified work up process, integration of HCV and OUD care, and continuous psychosocial support prior, during, and after HCV treatment. Conclusion: It is important to plan on local basis to set up a joint integrated approach between specific drug treatment services and local points of HCV care. The elements for a specific integrated program should be chosen from options identified, including education services, peer input, organization to make HCV screening and treatment easier by co-location of services, and wider access to prescribing direct-acting antiviral (DAA) therapy. Keywords: HCV, opioid use disorder, treatment, elimination, practical recommendations
format	article
author	Roncero C Ryan P Littlewood R Macías J Ruiz J Seijo P Palma-Alvarez RF Vega P
author_facet	Roncero C Ryan P Littlewood R Macías J Ruiz J Seijo P Palma-Alvarez RF Vega P
author_sort	Roncero C
title	Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
title_short	Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
title_full	Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
title_fullStr	Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
title_full_unstemmed	Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder
title_sort	practical steps to improve chronic hepatitis c treatment in people with opioid use disorder
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/487e99f14e904318893fd9499076d79a
work_keys_str_mv	AT ronceroc practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT ryanp practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT littlewoodr practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT maciasj practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT ruizj practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT seijop practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT palmaalvarezrf practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder AT vegap practicalstepstoimprovechronichepatitisctreatmentinpeoplewithopioidusedisorder
_version_	1718399566202535936

Practical steps to improve chronic hepatitis C treatment in people with opioid use disorder

Ejemplares similares