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The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm

Identifieur interne : 001486 ( Istex/Corpus ); précédent : 001485; suivant : 001487

The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm

Auteurs : H. Razavi ; I. Waked ; C. Sarrazin ; R. P. Myers ; R. Idilman ; F. Calinas ; W. Vogel ; M. C. Mendes Correa ; C. Hézode ; P. Lázaro ; U. Akarca ; S. Aleman ; Bal K ; T. Berg ; F. Bihl ; M. Bilodeau ; A. J. Blasco ; C. E. Brandão Mello ; P. Bruggmann ; M. Buti ; J. L. Calleja ; H. Cheinquer ; P. B. Christensen ; M. Clausen ; H. S. M. Coelho ; M. E. Cramp ; G. J. Dore ; W. Doss ; A. S. Duberg ; M. H. El-Sayed ; G. Ergör ; G. Esmat ; K. Falconer ; J. Félix ; M. L. G. Ferraz ; P. R. Ferreira ; S. Frankova ; J. García-Samaniego ; J. Gerstoft ; J. A. Giria ; F. L. Gonçales Jr ; E. Gower ; M. Gschwantler ; M. Guimarães Pessôa ; S. J. Hindman ; H. Hofer ; P. Husa ; M. K Berg ; K. D. E. Kaita ; A. Kautz ; S. Kaymakoglu ; M. Krajden ; H. Krarup ; W. Laleman ; D. Lavanchy ; R. T. Marinho ; P. Marotta ; S. Mauss ; C. Moreno ; K. Murphy ; F. Negro ; V. Nemecek ; N. Örmeci ; A. L. H. Vrehus ; J. Parkes ; K. Pasini ; K. M. Peltekian ; A. Ramji ; N. Reis ; S. K. Roberts ; W. M. Rosenberg ; F. Roudot-Thoraval ; S. D. Ryder ; R. Sarmento-Castro ; D. Semela ; M. Sherman ; G. E. Shiha ; W. Sievert ; J. Sperl ; P. St Rkel ; R. E. Stauber ; A. J. Thompson ; P. Urbanek ; P. Van Damme ; I. Van Thiel ; H. Van Vlierberghe ; D. Vandijck ; H. Wedemeyer ; N. Weis ; J. Wiegand ; A. Yosry ; A. Zekry ; M. Cornberg ; B. Müllhaupt ; C. Estes

Source :

RBID : ISTEX:6F5499030B2D47269785C4D57593C4C552FA1B5F

Abstract

The disease burden of hepatitis C virus (HCV) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of HCV infections, the disease progression and mortality in 2013–2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of HCV infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late‐stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of HCV. Thus, alternative strategies are required to keep the number of HCV individuals with advanced liver disease and liver‐related deaths from increasing.

Url:
DOI: 10.1111/jvh.12248

Links to Exploration step

ISTEX:6F5499030B2D47269785C4D57593C4C552FA1B5F

Le document en format XML

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<name sortKey="Akarca, U" sort="Akarca, U" uniqKey="Akarca U" first="U." last="Akarca">U. Akarca</name>
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<name sortKey="Aleman, S" sort="Aleman, S" uniqKey="Aleman S" first="S." last="Aleman">S. Aleman</name>
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<mods:affiliation>Department of Gastroenterology and Hepatology/Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden</mods:affiliation>
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<name sortKey="Bal K, " sort="Bal K, " uniqKey="Bal K " first="" last="Bal K"> Bal K</name>
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<name sortKey="Berg, T" sort="Berg, T" uniqKey="Berg T" first="T." last="Berg">T. Berg</name>
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<name sortKey="Brandao Mello, C E" sort="Brandao Mello, C E" uniqKey="Brandao Mello C" first="C. E." last="Brandão Mello">C. E. Brandão Mello</name>
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<name sortKey="Buti, M" sort="Buti, M" uniqKey="Buti M" first="M." last="Buti">M. Buti</name>
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<name sortKey="Calleja, J L" sort="Calleja, J L" uniqKey="Calleja J" first="J. L." last="Calleja">J. L. Calleja</name>
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<name sortKey="Cheinquer, H" sort="Cheinquer, H" uniqKey="Cheinquer H" first="H." last="Cheinquer">H. Cheinquer</name>
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<name sortKey="Dore, G J" sort="Dore, G J" uniqKey="Dore G" first="G. J." last="Dore">G. J. Dore</name>
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<mods:affiliation>Kirby Institute, University of New South Wales, NSW, Sydney, Australia</mods:affiliation>
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<name sortKey="Doss, W" sort="Doss, W" uniqKey="Doss W" first="W." last="Doss">W. Doss</name>
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<mods:affiliation>Cairo University, Cairo, Egypt</mods:affiliation>
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<name sortKey="Duberg, A S" sort="Duberg, A S" uniqKey="Duberg A" first="A. S." last="Duberg">A. S. Duberg</name>
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<mods:affiliation>Department of Infectious Diseases, Örebro University Hospital, Örebro, Sweden</mods:affiliation>
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<mods:affiliation>School of Health and Medical Sciences, Örebro University, Örebro, Sweden</mods:affiliation>
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<name sortKey="El Ayed, M H" sort="El Ayed, M H" uniqKey="El Ayed M" first="M. H." last="El-Sayed">M. H. El-Sayed</name>
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<mods:affiliation>Ain Shams University, Cairo, Egypt</mods:affiliation>
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<mods:affiliation>Public Health and Epidemiology, Dokuz Eylul University, Izmir, Turkey</mods:affiliation>
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<name sortKey="Esmat, G" sort="Esmat, G" uniqKey="Esmat G" first="G." last="Esmat">G. Esmat</name>
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<mods:affiliation>Cairo University, Cairo, Egypt</mods:affiliation>
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<name sortKey="Felix, J" sort="Felix, J" uniqKey="Felix J" first="J." last="Félix">J. Félix</name>
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<mods:affiliation>Exigo Consultores, Alhos Vedros, Portugal</mods:affiliation>
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<name sortKey="Ferraz, M L G" sort="Ferraz, M L G" uniqKey="Ferraz M" first="M. L. G." last="Ferraz">M. L. G. Ferraz</name>
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<mods:affiliation>Division of Gastroenterology, Federal University of São Paulo, São Paulo, Brazil</mods:affiliation>
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<name sortKey="Ferreira, P R" sort="Ferreira, P R" uniqKey="Ferreira P" first="P. R." last="Ferreira">P. R. Ferreira</name>
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<mods:affiliation>Division of Infectious Disease, Federal University of São Paulo, São Paulo, Brazil</mods:affiliation>
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<name sortKey="Frankova, S" sort="Frankova, S" uniqKey="Frankova S" first="S." last="Frankova">S. Frankova</name>
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<mods:affiliation>Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic</mods:affiliation>
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<name sortKey="Garcia Amaniego, J" sort="Garcia Amaniego, J" uniqKey="Garcia Amaniego J" first="J." last="García-Samaniego">J. García-Samaniego</name>
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<mods:affiliation>Hospital Carlos III, CIBERehd, Madrid, Spain</mods:affiliation>
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<name sortKey="Gerstoft, J" sort="Gerstoft, J" uniqKey="Gerstoft J" first="J." last="Gerstoft">J. Gerstoft</name>
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<mods:affiliation>University of Copenhagen, Copenhagen, Denmark</mods:affiliation>
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<name sortKey="Giria, J A" sort="Giria, J A" uniqKey="Giria J" first="J. A." last="Giria">J. A. Giria</name>
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<mods:affiliation>Direcção‐Geral da Saúde, Lisboa, Portugal</mods:affiliation>
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<name sortKey="Goncales Jr, F L" sort="Goncales Jr, F L" uniqKey="Goncales Jr F" first="F. L." last="Gonçales Jr">F. L. Gonçales Jr</name>
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<mods:affiliation>Grupo de Estudo das Hepatites, Disciplina de Doenças Infecciosas, Departamento de Clínica Médica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, UNICAMP, São Paulo, Brazil</mods:affiliation>
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<name sortKey="Gower, E" sort="Gower, E" uniqKey="Gower E" first="E." last="Gower">E. Gower</name>
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<mods:affiliation>Center for Disease Analysis, Colorado, Louisville, USA</mods:affiliation>
</affiliation>
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<name sortKey="Gschwantler, M" sort="Gschwantler, M" uniqKey="Gschwantler M" first="M." last="Gschwantler">M. Gschwantler</name>
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<mods:affiliation>Department of Internal Medicine IV, Wilhelminenspital, Vienna, Austria</mods:affiliation>
</affiliation>
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<name sortKey="Guimaraes Pessoa, M" sort="Guimaraes Pessoa, M" uniqKey="Guimaraes Pessoa M" first="M." last="Guimarães Pessôa">M. Guimarães Pessôa</name>
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<mods:affiliation>Division of Gastroenterology and Hepatology, University of São Paulo School of Medicine, São Paulo, Brazil</mods:affiliation>
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</author>
<author>
<name sortKey="Hindman, S J" sort="Hindman, S J" uniqKey="Hindman S" first="S. J." last="Hindman">S. J. Hindman</name>
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<mods:affiliation>Center for Disease Analysis, Colorado, Louisville, USA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hofer, H" sort="Hofer, H" uniqKey="Hofer H" first="H." last="Hofer">H. Hofer</name>
<affiliation>
<mods:affiliation>Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Husa, P" sort="Husa, P" uniqKey="Husa P" first="P." last="Husa">P. Husa</name>
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<mods:affiliation>Clinic of Infectious Diseases of the University Hospital Brno, Masaryk University Brno, Brno, Czech Republic</mods:affiliation>
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<author>
<name sortKey="K Berg, M" sort="K Berg, M" uniqKey="K Berg M" first="M." last="K Berg">M. K Berg</name>
<affiliation>
<mods:affiliation>Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kaita, K D E" sort="Kaita, K D E" uniqKey="Kaita K" first="K. D. E." last="Kaita">K. D. E. Kaita</name>
<affiliation>
<mods:affiliation>Section of Hepatology, Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Viral Hepatitis Investigative Unit, Health Sciences Centre, MB, Winnipeg, Canada</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kautz, A" sort="Kautz, A" uniqKey="Kautz A" first="A." last="Kautz">A. Kautz</name>
<affiliation>
<mods:affiliation>European Liver Patients Association, Sint‐Truiden, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kaymakoglu, S" sort="Kaymakoglu, S" uniqKey="Kaymakoglu S" first="S." last="Kaymakoglu">S. Kaymakoglu</name>
<affiliation>
<mods:affiliation>Gastroenterology, Istanbul University, Istanbul, Turkey</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Krajden, M" sort="Krajden, M" uniqKey="Krajden M" first="M." last="Krajden">M. Krajden</name>
<affiliation>
<mods:affiliation>British Columbia Centre for Disease Control, University of British Columbia, BC, Vancouver, Canada</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Krarup, H" sort="Krarup, H" uniqKey="Krarup H" first="H." last="Krarup">H. Krarup</name>
<affiliation>
<mods:affiliation>Department of Medical Gastroenterology and Section of Molecular Diagnostics, Cinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Laleman, W" sort="Laleman, W" uniqKey="Laleman W" first="W." last="Laleman">W. Laleman</name>
<affiliation>
<mods:affiliation>University Hospitals Leuven, KU Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lavanchy, D" sort="Lavanchy, D" uniqKey="Lavanchy D" first="D." last="Lavanchy">D. Lavanchy</name>
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<mods:affiliation>Independent Consultant, Denges, Switzerland</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Marinho, R T" sort="Marinho, R T" uniqKey="Marinho R" first="R. T." last="Marinho">R. T. Marinho</name>
<affiliation>
<mods:affiliation>Gastroenterology Department, Centro Hospitalar de Lisboa Norte, Hospital Santa Maria, Lisboa, Portugal</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Marotta, P" sort="Marotta, P" uniqKey="Marotta P" first="P." last="Marotta">P. Marotta</name>
<affiliation>
<mods:affiliation>Division of Gastroenterology, University of Western Ontario, ON, London, Canada</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mauss, S" sort="Mauss, S" uniqKey="Mauss S" first="S." last="Mauss">S. Mauss</name>
<affiliation>
<mods:affiliation>Heinrich‐Heine University in Duesseldorf, Dusseldorf, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Moreno, C" sort="Moreno, C" uniqKey="Moreno C" first="C." last="Moreno">C. Moreno</name>
<affiliation>
<mods:affiliation>Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Murphy, K" sort="Murphy, K" uniqKey="Murphy K" first="K." last="Murphy">K. Murphy</name>
<affiliation>
<mods:affiliation>Center for Disease Analysis, Colorado, Louisville, USA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Negro, F" sort="Negro, F" uniqKey="Negro F" first="F." last="Negro">F. Negro</name>
<affiliation>
<mods:affiliation>Divisions of Gastroenterology and Hepatology and of Clinical Pathology, University Hospital, Genève, Switzerland</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Nemecek, V" sort="Nemecek, V" uniqKey="Nemecek V" first="V." last="Nemecek">V. Nemecek</name>
<affiliation>
<mods:affiliation>National Reference Laboratory for Hepatitis, National Institute of Public Health, Prague, Czech Republic</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ormeci, N" sort="Ormeci, N" uniqKey="Ormeci N" first="N." last="Örmeci">N. Örmeci</name>
<affiliation>
<mods:affiliation>Gastroenterology, Ankara University, Ankara, Turkey</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey=" Vrehus, A L H" sort=" Vrehus, A L H" uniqKey=" Vrehus A" first="A. L. H." last=" Vrehus">A. L. H. Vrehus</name>
<affiliation>
<mods:affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Parkes, J" sort="Parkes, J" uniqKey="Parkes J" first="J." last="Parkes">J. Parkes</name>
<affiliation>
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<author>
<name sortKey="Guimaraes Pessoa, M" sort="Guimaraes Pessoa, M" uniqKey="Guimaraes Pessoa M" first="M." last="Guimarães Pessôa">M. Guimarães Pessôa</name>
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<mods:affiliation>Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria</mods:affiliation>
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<author>
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<mods:affiliation>Viral Hepatitis Investigative Unit, Health Sciences Centre, MB, Winnipeg, Canada</mods:affiliation>
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<mods:affiliation>Gastroenterology, Istanbul University, Istanbul, Turkey</mods:affiliation>
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<mods:affiliation>British Columbia Centre for Disease Control, University of British Columbia, BC, Vancouver, Canada</mods:affiliation>
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</author>
<author>
<name sortKey="Krarup, H" sort="Krarup, H" uniqKey="Krarup H" first="H." last="Krarup">H. Krarup</name>
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<mods:affiliation>Department of Medical Gastroenterology and Section of Molecular Diagnostics, Cinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark</mods:affiliation>
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<author>
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<author>
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<mods:affiliation>Division of Gastroenterology, University of Western Ontario, ON, London, Canada</mods:affiliation>
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<mods:affiliation>Heinrich‐Heine University in Duesseldorf, Dusseldorf, Germany</mods:affiliation>
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<name sortKey="Moreno, C" sort="Moreno, C" uniqKey="Moreno C" first="C." last="Moreno">C. Moreno</name>
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<name sortKey="Murphy, K" sort="Murphy, K" uniqKey="Murphy K" first="K." last="Murphy">K. Murphy</name>
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<name sortKey="Negro, F" sort="Negro, F" uniqKey="Negro F" first="F." last="Negro">F. Negro</name>
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<mods:affiliation>Divisions of Gastroenterology and Hepatology and of Clinical Pathology, University Hospital, Genève, Switzerland</mods:affiliation>
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<author>
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<mods:affiliation>National Reference Laboratory for Hepatitis, National Institute of Public Health, Prague, Czech Republic</mods:affiliation>
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<author>
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</author>
<author>
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<mods:affiliation>Department of Gastroenterology, University of British Columbia, BC, Vancouver, Canada</mods:affiliation>
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<author>
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<author>
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<author>
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<mods:affiliation>Division of Medicine, UCL Institute for Liver and Digestive Health, University College London, London, UK</mods:affiliation>
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</author>
<author>
<name sortKey="Roudot Horaval, F" sort="Roudot Horaval, F" uniqKey="Roudot Horaval F" first="F." last="Roudot-Thoraval">F. Roudot-Thoraval</name>
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<mods:affiliation>Département Santé Publique, Hôpital Henri Mondor, Créteil, France</mods:affiliation>
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</author>
<author>
<name sortKey="Ryder, S D" sort="Ryder, S D" uniqKey="Ryder S" first="S. D." last="Ryder">S. D. Ryder</name>
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<mods:affiliation>Nottingham University Hospitals NHS Trust and Biomedical Research Unit, Nottingham, UK</mods:affiliation>
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<author>
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<mods:affiliation>Department of Internal Medicine, 1st Faculty of Medicine, Charles University in Prague and Central Military Hospital, Prague, Czech Republic</mods:affiliation>
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<affiliation>
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</author>
<author>
<name sortKey="Cornberg, M" sort="Cornberg, M" uniqKey="Cornberg M" first="M." last="Cornberg">M. Cornberg</name>
<affiliation>
<mods:affiliation>Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mullhaupt, B" sort="Mullhaupt, B" uniqKey="Mullhaupt B" first="B." last="Müllhaupt">B. Müllhaupt</name>
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<mods:affiliation>Swiss HPB (Hepato‐Pancreato‐Biliary) Center and Department of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Estes, C" sort="Estes, C" uniqKey="Estes C" first="C." last="Estes">C. Estes</name>
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<mods:affiliation>Center for Disease Analysis, Colorado, Louisville, USA</mods:affiliation>
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<monogr></monogr>
<series>
<title level="j" type="main">Journal of Viral Hepatitis</title>
<title level="j" type="sub">Hepatitis C Disease Burden & Strategies to Manage the Burden</title>
<title level="j" type="alt">JOURNAL OF VIRAL HEPATITIS</title>
<idno type="ISSN">1352-0504</idno>
<idno type="eISSN">1365-2893</idno>
<imprint>
<biblScope unit="vol">21</biblScope>
<biblScope unit="page" from="34">34</biblScope>
<biblScope unit="page" to="59">59</biblScope>
<biblScope unit="page-count">26</biblScope>
<date type="published" when="2014-05">2014-05</date>
</imprint>
<idno type="ISSN">1352-0504</idno>
</series>
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<idno type="ISSN">1352-0504</idno>
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<front>
<div type="abstract">The disease burden of hepatitis C virus (HCV) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of HCV infections, the disease progression and mortality in 2013–2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of HCV infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late‐stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of HCV. Thus, alternative strategies are required to keep the number of HCV individuals with advanced liver disease and liver‐related deaths from increasing.</div>
</front>
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<json:string>E-mail: homie.razavi@centerforda.com</json:string>
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<json:string>J.W. Goethe University Hospital, Frankfurt, Germany</json:string>
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<json:string>Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey</json:string>
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<name>F. Calinas</name>
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<json:string>Gastroenterology Department, Centro Hospitalar de Lisboa Central – Hospital Santo António Capuchos, Lisboa, Portugal</json:string>
</affiliations>
</json:item>
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<name>W. Vogel</name>
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<json:string>Innsbruck Medical University, Innsbruck, Austria</json:string>
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<name>M. C. Mendes Correa</name>
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<json:string>School of Medicine‐ Universidade de São Paulo, São Paulo, Brazil</json:string>
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<name>C. Hézode</name>
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<json:string>Advanced Techniques in Health Services Research (TAISS), Madrid, Spain</json:string>
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<name>U. Akarca</name>
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<json:string>Gastroenterology, Ege University, Izmir, Turkey</json:string>
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<name>S. Aleman</name>
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<json:string>Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden</json:string>
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<name>T. Berg</name>
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<json:string>University of Leipzig, Leipzig, Germany</json:string>
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<name>F. Bihl</name>
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<json:string>Gastroenterology Department, Ospedale Cantonale, Bellinzona, Switzerland</json:string>
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<name>M. Bilodeau</name>
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<json:string>Liver Unit, Department of Medicine, Université de Montréal, QC, Montréal, Canada</json:string>
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<name>A. J. Blasco</name>
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<json:string>Advanced Techniques in Health Services Research (TAISS), Madrid, Spain</json:string>
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<name>C. E. Brandão Mello</name>
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<json:string>Department of Gastroenterology, Federal University of the State of Rio de Janeiro, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil</json:string>
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<name>P. Bruggmann</name>
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<name>M. Buti</name>
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<json:string>Hospital Vall d'Hebron, CIBERehd, Barcelona, Spain</json:string>
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<json:item>
<name>J. L. Calleja</name>
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<json:string>Hospital Puerta de Hierro, Madrid, Spain</json:string>
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<name>H. Cheinquer</name>
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<json:string>Hospital das Clínicas da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil</json:string>
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<country key="AT">Austria</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0007">
<persName>
<forename type="first">M. C.</forename>
<surname>Mendes Correa</surname>
</persName>
<affiliation>
<orgName>School of Medicine‐ Universidade de São Paulo</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0008">
<persName>
<forename type="first">C.</forename>
<surname>Hézode</surname>
</persName>
<affiliation>
<orgName>Service d' Hépato‐Gastroentérologie</orgName>
<orgName>Hôpital Henri Mondor</orgName>
<address>
<settlement type="city">Créteil</settlement>
<country key="FR">France</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0009">
<persName>
<forename type="first">P.</forename>
<surname>Lázaro</surname>
</persName>
<affiliation>
<orgName>Advanced Techniques in Health Services Research (TAISS)</orgName>
<address>
<settlement type="city">Madrid</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0010">
<persName>
<forename type="first">U.</forename>
<surname>Akarca</surname>
</persName>
<affiliation>
<orgName>Gastroenterology</orgName>
<orgName>Ege University</orgName>
<address>
<settlement type="city">Izmir</settlement>
<country key="TR">Turkey</country>
</address>
</affiliation>
</author>
<author xml:id="author-0011">
<persName>
<forename type="first">S.</forename>
<surname>Aleman</surname>
</persName>
<affiliation>
<orgName>Department of Medicine Huddinge</orgName>
<orgName>Karolinska Institutet</orgName>
<address>
<settlement type="city">Stockholm</settlement>
<country key="SE">Sweden</country>
</address>
</affiliation>
<affiliation>
<orgName>Department of Gastroenterology and Hepatology/Infectious Diseases</orgName>
<orgName>Karolinska University Hospital</orgName>
<address>
<settlement type="city">Stockholm</settlement>
<country key="SE">Sweden</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0012">
<persName>
<forename type="first">İ.</forename>
<surname>Balık</surname>
</persName>
<affiliation>
<orgName>Infectious Diseases</orgName>
<orgName>Ankara University</orgName>
<address>
<settlement type="city">Ankara</settlement>
<country key="TR">Turkey</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0013">
<persName>
<forename type="first">T.</forename>
<surname>Berg</surname>
</persName>
<affiliation>
<orgName>University of Leipzig</orgName>
<address>
<settlement type="city">Leipzig</settlement>
<country key="DE">Germany</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0014">
<persName>
<forename type="first">F.</forename>
<surname>Bihl</surname>
</persName>
<affiliation>
<orgName>Gastroenterology Department</orgName>
<orgName>Ospedale Cantonale</orgName>
<address>
<settlement type="city">Bellinzona</settlement>
<country key="CH">Switzerland</country>
</address>
</affiliation>
</author>
<author xml:id="author-0015">
<persName>
<forename type="first">M.</forename>
<surname>Bilodeau</surname>
</persName>
<affiliation>
<orgName>Liver Unit</orgName>
<orgName>Department of Medicine</orgName>
<orgName>Université de Montréal</orgName>
<address>
<settlement type="city">Montréal</settlement>
<region>QC</region>
<country key="CA">Canada</country>
</address>
</affiliation>
</author>
<author xml:id="author-0016">
<persName>
<forename type="first">A. J.</forename>
<surname>Blasco</surname>
</persName>
<affiliation>
<orgName>Advanced Techniques in Health Services Research (TAISS)</orgName>
<address>
<settlement type="city">Madrid</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
</author>
<author xml:id="author-0017">
<persName>
<forename type="first">C. E.</forename>
<surname>Brandão Mello</surname>
</persName>
<affiliation>
<orgName>Department of Gastroenterology</orgName>
<orgName>Federal University of the State of Rio de Janeiro</orgName>
<orgName>Universidade Federal do Estado do Rio de Janeiro</orgName>
<address>
<settlement type="city">Rio de Janeiro</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0018">
<persName>
<forename type="first">P.</forename>
<surname>Bruggmann</surname>
</persName>
<affiliation>
<orgName>Arud Centres for Addiction Medicine</orgName>
<address>
<settlement type="city">Zurich</settlement>
<country key="CH">Switzerland</country>
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</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0019">
<persName>
<forename type="first">M.</forename>
<surname>Buti</surname>
</persName>
<affiliation>
<orgName>Hospital Vall d'Hebron</orgName>
<orgName>CIBERehd</orgName>
<address>
<settlement type="city">Barcelona</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0020">
<persName>
<forename type="first">J. L.</forename>
<surname>Calleja</surname>
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<affiliation>
<orgName>Hospital Puerta de Hierro</orgName>
<address>
<settlement type="city">Madrid</settlement>
<country key="ES">Spain</country>
</address>
</affiliation>
</author>
<author xml:id="author-0021">
<persName>
<forename type="first">H.</forename>
<surname>Cheinquer</surname>
</persName>
<affiliation>
<orgName>Hospital das Clínicas da Universidade Federal do Rio Grande do Sul</orgName>
<address>
<settlement type="city">Porto Alegre</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
</author>
<author xml:id="author-0022">
<persName>
<forename type="first">P. B.</forename>
<surname>Christensen</surname>
</persName>
<affiliation>
<orgName>Department of Infectious Diseases</orgName>
<orgName>Odense University Hospital</orgName>
<address>
<settlement type="city">Odense</settlement>
<country key="DK">Denmark</country>
</address>
</affiliation>
</author>
<author xml:id="author-0023">
<persName>
<forename type="first">M.</forename>
<surname>Clausen</surname>
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<affiliation>
<orgName>Region Hospital Hovedstaden</orgName>
<address>
<settlement type="city">Copenhagen</settlement>
<country key="DK">Denmark</country>
</address>
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</author>
<author xml:id="author-0024">
<persName>
<forename type="first">H. S. M.</forename>
<surname>Coelho</surname>
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<affiliation>
<orgName>Department of Clinical Medicine</orgName>
<orgName>Federal University of Rio de Janeiro</orgName>
<address>
<settlement type="city">Rio de Janeiro</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
</author>
<author xml:id="author-0025">
<persName>
<forename type="first">M. E.</forename>
<surname>Cramp</surname>
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<affiliation>
<orgName>Plymouth University Peninsula Schools of Medicine and Dentistry</orgName>
<address>
<settlement type="city">Plymouth</settlement>
<country key="GB">UK</country>
</address>
</affiliation>
</author>
<author xml:id="author-0026">
<persName>
<forename type="first">G. J.</forename>
<surname>Dore</surname>
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<affiliation>
<orgName>Kirby Institute</orgName>
<orgName>University of New South Wales</orgName>
<address>
<settlement type="city">Sydney</settlement>
<region>NSW</region>
<country key="AU">Australia</country>
</address>
</affiliation>
</author>
<author xml:id="author-0027">
<persName>
<forename type="first">W.</forename>
<surname>Doss</surname>
</persName>
<affiliation>
<orgName>Cairo University</orgName>
<address>
<settlement type="city">Cairo</settlement>
<country key="EG">Egypt</country>
</address>
</affiliation>
</author>
<author xml:id="author-0028">
<persName>
<forename type="first">A. S.</forename>
<surname>Duberg</surname>
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<affiliation>
<orgName>Department of Infectious Diseases</orgName>
<orgName>Örebro University Hospital</orgName>
<address>
<settlement type="city">Örebro</settlement>
<country key="SE">Sweden</country>
</address>
</affiliation>
<affiliation>
<orgName>School of Health and Medical Sciences</orgName>
<orgName>Örebro University</orgName>
<address>
<settlement type="city">Örebro</settlement>
<country key="SE">Sweden</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0029">
<persName>
<forename type="first">M. H.</forename>
<surname>El‐Sayed</surname>
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<affiliation>
<orgName>Ain Shams University</orgName>
<address>
<settlement type="city">Cairo</settlement>
<country key="EG">Egypt</country>
</address>
</affiliation>
</author>
<author xml:id="author-0030">
<persName>
<forename type="first">G.</forename>
<surname>Ergör</surname>
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<affiliation>
<orgName>Public Health and Epidemiology</orgName>
<orgName>Dokuz Eylul University</orgName>
<address>
<settlement type="city">Izmir</settlement>
<country key="TR">Turkey</country>
</address>
</affiliation>
</author>
<author xml:id="author-0031">
<persName>
<forename type="first">G.</forename>
<surname>Esmat</surname>
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<affiliation>
<orgName>Cairo University</orgName>
<address>
<settlement type="city">Cairo</settlement>
<country key="EG">Egypt</country>
</address>
</affiliation>
<note type="foot"></note>
</author>
<author xml:id="author-0032">
<persName>
<forename type="first">K.</forename>
<surname>Falconer</surname>
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<affiliation>
<orgName>Unit of Infectious Diseases</orgName>
<orgName>Department of Medicine Huddinge</orgName>
<orgName>Karolinska Institutet</orgName>
<orgName>Karolinska University Hospital</orgName>
<address>
<settlement type="city">Stockholm</settlement>
<country key="SE">Sweden</country>
</address>
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</author>
<author xml:id="author-0033">
<persName>
<forename type="first">J.</forename>
<surname>Félix</surname>
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<affiliation>
<orgName>Exigo Consultores</orgName>
<address>
<settlement type="city">Alhos Vedros</settlement>
<country key="PT">Portugal</country>
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<author xml:id="author-0034">
<persName>
<forename type="first">M. L. G.</forename>
<surname>Ferraz</surname>
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<affiliation>
<orgName>Division of Gastroenterology</orgName>
<orgName>Federal University of São Paulo</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
</author>
<author xml:id="author-0035">
<persName>
<forename type="first">P. R.</forename>
<surname>Ferreira</surname>
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<affiliation>
<orgName>Division of Infectious Disease</orgName>
<orgName>Federal University of São Paulo</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
</address>
</affiliation>
</author>
<author xml:id="author-0036">
<persName>
<forename type="first">S.</forename>
<surname>Frankova</surname>
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<affiliation>
<orgName>Department of Hepatogastroenterology</orgName>
<orgName>Institute for Clinical and Experimental Medicine</orgName>
<address>
<settlement type="city">Prague</settlement>
<country key="CZ">Czech Republic</country>
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<note type="foot"></note>
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<author xml:id="author-0037">
<persName>
<forename type="first">J.</forename>
<surname>García‐Samaniego</surname>
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<affiliation>
<orgName>Hospital Carlos III</orgName>
<orgName>CIBERehd</orgName>
<address>
<settlement type="city">Madrid</settlement>
<country key="ES">Spain</country>
</address>
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<author xml:id="author-0038">
<persName>
<forename type="first">J.</forename>
<surname>Gerstoft</surname>
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<affiliation>
<orgName>University of Copenhagen</orgName>
<address>
<settlement type="city">Copenhagen</settlement>
<country key="DK">Denmark</country>
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</author>
<author xml:id="author-0039">
<persName>
<forename type="first">J. A.</forename>
<surname>Giria</surname>
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<affiliation>
<orgName>Direcção‐Geral da Saúde</orgName>
<address>
<settlement type="city">Lisboa</settlement>
<country key="PT">Portugal</country>
</address>
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<author xml:id="author-0040">
<persName>
<genName>Jr</genName>
<forename type="first">F. L.</forename>
<surname>Gonçales</surname>
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<affiliation>
<orgName>Grupo de Estudo das Hepatites</orgName>
<orgName>Disciplina de Doenças Infecciosas</orgName>
<orgName>Departamento de Clínica Médica</orgName>
<orgName>Faculdade de Ciências Médicas</orgName>
<orgName>Universidade Estadual de Campinas</orgName>
<orgName>UNICAMP</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
</address>
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<author xml:id="author-0041">
<persName>
<forename type="first">E.</forename>
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<affiliation>
<orgName>Center for Disease Analysis</orgName>
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<settlement type="city">Louisville</settlement>
<region>Colorado</region>
<country key="US">USA</country>
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<note type="foot"></note>
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<author xml:id="author-0042">
<persName>
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<affiliation>
<orgName>Department of Internal Medicine IV</orgName>
<orgName>Wilhelminenspital</orgName>
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<settlement type="city">Vienna</settlement>
<country key="AT">Austria</country>
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<note type="foot"></note>
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<author xml:id="author-0043">
<persName>
<forename type="first">M.</forename>
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<affiliation>
<orgName>Division of Gastroenterology and Hepatology</orgName>
<orgName>University of São Paulo School of Medicine</orgName>
<address>
<settlement type="city">São Paulo</settlement>
<country key="BR">Brazil</country>
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<author xml:id="author-0044">
<persName>
<forename type="first">S. J.</forename>
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<affiliation>
<orgName>Center for Disease Analysis</orgName>
<address>
<settlement type="city">Louisville</settlement>
<region>Colorado</region>
<country key="US">USA</country>
</address>
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<note type="foot"></note>
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<author xml:id="author-0045">
<persName>
<forename type="first">H.</forename>
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<affiliation>
<orgName>Division of Gastroenterology and Hepatology</orgName>
<orgName>Department of Internal Medicine III</orgName>
<orgName>Medical University of Vienna</orgName>
<address>
<settlement type="city">Vienna</settlement>
<country key="AT">Austria</country>
</address>
</affiliation>
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<author xml:id="author-0046">
<persName>
<forename type="first">P.</forename>
<surname>Husa</surname>
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<affiliation>
<orgName>Clinic of Infectious Diseases of the University Hospital Brno</orgName>
<orgName>Masaryk University Brno</orgName>
<address>
<settlement type="city">Brno</settlement>
<country key="CZ">Czech Republic</country>
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<author xml:id="author-0047">
<persName>
<forename type="first">M.</forename>
<surname>Kåberg</surname>
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<affiliation>
<orgName>Unit of Infectious Diseases</orgName>
<orgName>Department of Medicine Huddinge</orgName>
<orgName>Karolinska Institutet</orgName>
<orgName>Karolinska University Hospital</orgName>
<address>
<settlement type="city">Stockholm</settlement>
<country key="SE">Sweden</country>
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<author xml:id="author-0048">
<persName>
<forename type="first">K. D. E.</forename>
<surname>Kaita</surname>
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<affiliation>
<orgName>Section of Hepatology</orgName>
<orgName>Department of Internal Medicine</orgName>
<orgName>University of Manitoba</orgName>
<address>
<settlement type="city">Winnipeg</settlement>
<region>MB</region>
<country key="CA">Canada</country>
</address>
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<affiliation>
<orgName>Viral Hepatitis Investigative Unit</orgName>
<orgName>Health Sciences Centre</orgName>
<address>
<settlement type="city">Winnipeg</settlement>
<region>MB</region>
<country key="CA">Canada</country>
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<author xml:id="author-0049">
<persName>
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<affiliation>
<orgName>European Liver Patients Association</orgName>
<address>
<settlement type="city">Sint‐Truiden</settlement>
<country key="BE">Belgium</country>
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<author xml:id="author-0050">
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<affiliation>
<orgName>Gastroenterology</orgName>
<orgName>Istanbul University</orgName>
<address>
<settlement type="city">Istanbul</settlement>
<country key="TR">Turkey</country>
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<author xml:id="author-0051">
<persName>
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<affiliation>
<orgName>British Columbia Centre for Disease Control</orgName>
<orgName>University of British Columbia</orgName>
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<settlement type="city">Vancouver</settlement>
<region>BC</region>
<country key="CA">Canada</country>
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<author xml:id="author-0052">
<persName>
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<affiliation>
<orgName>Department of Medical Gastroenterology and Section of Molecular Diagnostics</orgName>
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<orgName>Aalborg University Hospital</orgName>
<address>
<settlement type="city">Aalborg</settlement>
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<author xml:id="author-0053">
<persName>
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<affiliation>
<orgName>University Hospitals Leuven</orgName>
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<settlement type="city">Leuven</settlement>
<country key="BE">Belgium</country>
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<author xml:id="author-0054">
<persName>
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<affiliation>
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<country key="CH">Switzerland</country>
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<author xml:id="author-0055">
<persName>
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<affiliation>
<orgName>Gastroenterology Department</orgName>
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<orgName>Hospital Santa Maria</orgName>
<address>
<settlement type="city">Lisboa</settlement>
<country key="PT">Portugal</country>
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<note type="foot"></note>
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<author xml:id="author-0056">
<persName>
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<affiliation>
<orgName>Division of Gastroenterology</orgName>
<orgName>University of Western Ontario</orgName>
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<settlement type="city">London</settlement>
<region>ON</region>
<country key="CA">Canada</country>
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<author xml:id="author-0057">
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<affiliation>
<orgName>Heinrich‐Heine University in Duesseldorf</orgName>
<address>
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<country key="DE">Germany</country>
</address>
</affiliation>
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<author xml:id="author-0058">
<persName>
<forename type="first">C.</forename>
<surname>Moreno</surname>
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<affiliation>
<orgName>Erasme University Hospital</orgName>
<orgName>Université Libre de Bruxelles</orgName>
<address>
<settlement type="city">Brussels</settlement>
<country key="BE">Belgium</country>
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</affiliation>
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<author xml:id="author-0059">
<persName>
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<affiliation>
<orgName>Center for Disease Analysis</orgName>
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<country key="US">USA</country>
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</affiliation>
</author>
<author xml:id="author-0060">
<persName>
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<affiliation>
<orgName>Divisions of Gastroenterology and Hepatology and of Clinical Pathology</orgName>
<orgName>University Hospital</orgName>
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<settlement type="city">Genève</settlement>
<country key="CH">Switzerland</country>
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<note type="foot"></note>
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<author xml:id="author-0061">
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<affiliation>
<orgName>National Reference Laboratory for Hepatitis</orgName>
<orgName>National Institute of Public Health</orgName>
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<settlement type="city">Prague</settlement>
<country key="CZ">Czech Republic</country>
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<p>The disease burden of hepatitis
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virus (
<hi rend="fc">HCV</hi>
) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of
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infections, the disease progression and mortality in 2013–2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of
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infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late‐stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of
<hi rend="fc">HCV</hi>
. Thus, alternative strategies are required to keep the number of
<hi rend="fc">HCV</hi>
individuals with advanced liver disease and liver‐related deaths from increasing.</p>
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<affiliation countryCode="DE" type="organization" xml:id="jvh12248-aff-0015">
<orgName>University of Leipzig</orgName>
<address>
<city>Leipzig</city>
<country>Germany</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0016">
<orgDiv>Gastroenterology Department</orgDiv>
<orgName>Ospedale Cantonale</orgName>
<address>
<city>Bellinzona</city>
<country>Switzerland</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0017">
<orgDiv>Liver Unit</orgDiv>
<orgDiv>Department of Medicine</orgDiv>
<orgName>Université de Montréal</orgName>
<address>
<city>Montréal</city>
<countryPart>QC</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0018">
<orgDiv>Department of Gastroenterology</orgDiv>
<orgName>Federal University of the State of Rio de Janeiro</orgName>
<orgName>Universidade Federal do Estado do Rio de Janeiro</orgName>
<address>
<city>Rio de Janeiro</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0019">
<orgName>Arud Centres for Addiction Medicine</orgName>
<address>
<city>Zurich</city>
<country>Switzerland</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="jvh12248-aff-0020">
<orgName>Hospital Vall d'Hebron</orgName>
<orgName>CIBERehd</orgName>
<address>
<city>Barcelona</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="jvh12248-aff-0021">
<orgName>Hospital Puerta de Hierro</orgName>
<address>
<city>Madrid</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0022">
<orgName>Hospital das Clínicas da Universidade Federal do Rio Grande do Sul</orgName>
<address>
<city>Porto Alegre</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="DK" type="organization" xml:id="jvh12248-aff-0023">
<orgDiv>Department of Infectious Diseases</orgDiv>
<orgName>Odense University Hospital</orgName>
<address>
<city>Odense</city>
<country>Denmark</country>
</address>
</affiliation>
<affiliation countryCode="DK" type="organization" xml:id="jvh12248-aff-0024">
<orgName>Region Hospital Hovedstaden</orgName>
<address>
<city>Copenhagen</city>
<country>Denmark</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0025">
<orgDiv>Department of Clinical Medicine</orgDiv>
<orgName>Federal University of Rio de Janeiro</orgName>
<address>
<city>Rio de Janeiro</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="GB" type="organization" xml:id="jvh12248-aff-0026">
<orgName>Plymouth University Peninsula Schools of Medicine and Dentistry</orgName>
<address>
<city>Plymouth</city>
<country>UK</country>
</address>
</affiliation>
<affiliation countryCode="AU" type="organization" xml:id="jvh12248-aff-0027">
<orgName>Kirby Institute</orgName>
<orgName>University of New South Wales</orgName>
<address>
<city>Sydney</city>
<countryPart>NSW</countryPart>
<country>Australia</country>
</address>
</affiliation>
<affiliation countryCode="EG" type="organization" xml:id="jvh12248-aff-0028">
<orgName>Cairo University</orgName>
<address>
<city>Cairo</city>
<country>Egypt</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="jvh12248-aff-0029">
<orgDiv>Department of Infectious Diseases</orgDiv>
<orgName>Örebro University Hospital</orgName>
<address>
<city>Örebro</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="jvh12248-aff-0030">
<orgName>School of Health and Medical Sciences</orgName>
<orgName>Örebro University</orgName>
<address>
<city>Örebro</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="EG" type="organization" xml:id="jvh12248-aff-0031">
<orgName>Ain Shams University</orgName>
<address>
<city>Cairo</city>
<country>Egypt</country>
</address>
</affiliation>
<affiliation countryCode="TR" type="organization" xml:id="jvh12248-aff-0032">
<orgDiv>Public Health and Epidemiology</orgDiv>
<orgName>Dokuz Eylul University</orgName>
<address>
<city>Izmir</city>
<country>Turkey</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="jvh12248-aff-0033">
<orgDiv>Unit of Infectious Diseases</orgDiv>
<orgDiv>Department of Medicine Huddinge</orgDiv>
<orgName>Karolinska Institutet</orgName>
<orgName>Karolinska University Hospital</orgName>
<address>
<city>Stockholm</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="jvh12248-aff-0034">
<orgName>Exigo Consultores</orgName>
<address>
<city>Alhos Vedros</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0035">
<orgDiv>Division of Gastroenterology</orgDiv>
<orgName>Federal University of São Paulo</orgName>
<address>
<city>São Paulo</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0036">
<orgDiv>Division of Infectious Disease</orgDiv>
<orgName>Federal University of São Paulo</orgName>
<address>
<city>São Paulo</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="CZ" type="organization" xml:id="jvh12248-aff-0037">
<orgDiv>Department of Hepatogastroenterology</orgDiv>
<orgName>Institute for Clinical and Experimental Medicine</orgName>
<address>
<city>Prague</city>
<country>Czech Republic</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="jvh12248-aff-0038">
<orgName>Hospital Carlos III</orgName>
<orgName>CIBERehd</orgName>
<address>
<city>Madrid</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="DK" type="organization" xml:id="jvh12248-aff-0039">
<orgName>University of Copenhagen</orgName>
<address>
<city>Copenhagen</city>
<country>Denmark</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="jvh12248-aff-0040">
<orgName>Direcção‐Geral da Saúde</orgName>
<address>
<city>Lisboa</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0041">
<orgDiv>Grupo de Estudo das Hepatites</orgDiv>
<orgDiv>Disciplina de Doenças Infecciosas</orgDiv>
<orgDiv>Departamento de Clínica Médica</orgDiv>
<orgDiv>Faculdade de Ciências Médicas</orgDiv>
<orgName>Universidade Estadual de Campinas</orgName>
<orgName>UNICAMP</orgName>
<address>
<city>São Paulo</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="AT" type="organization" xml:id="jvh12248-aff-0042">
<orgDiv>Department of Internal Medicine IV</orgDiv>
<orgName>Wilhelminenspital</orgName>
<address>
<city>Vienna</city>
<country>Austria</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="jvh12248-aff-0043">
<orgDiv>Division of Gastroenterology and Hepatology</orgDiv>
<orgName>University of São Paulo School of Medicine</orgName>
<address>
<city>São Paulo</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="AT" type="organization" xml:id="jvh12248-aff-0044">
<orgDiv>Division of Gastroenterology and Hepatology</orgDiv>
<orgDiv>Department of Internal Medicine III</orgDiv>
<orgName>Medical University of Vienna</orgName>
<address>
<city>Vienna</city>
<country>Austria</country>
</address>
</affiliation>
<affiliation countryCode="CZ" type="organization" xml:id="jvh12248-aff-0045">
<orgName>Clinic of Infectious Diseases of the University Hospital Brno</orgName>
<orgName>Masaryk University Brno</orgName>
<address>
<city>Brno</city>
<country>Czech Republic</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0046">
<orgDiv>Section of Hepatology</orgDiv>
<orgDiv>Department of Internal Medicine</orgDiv>
<orgName>University of Manitoba</orgName>
<address>
<city>Winnipeg</city>
<countryPart>MB</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0047">
<orgDiv>Viral Hepatitis Investigative Unit</orgDiv>
<orgName>Health Sciences Centre</orgName>
<address>
<city>Winnipeg</city>
<countryPart>MB</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0048">
<orgName>European Liver Patients Association</orgName>
<address>
<city>Sint‐Truiden</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="TR" type="organization" xml:id="jvh12248-aff-0049">
<orgDiv>Gastroenterology</orgDiv>
<orgName>Istanbul University</orgName>
<address>
<city>Istanbul</city>
<country>Turkey</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0050">
<orgDiv>British Columbia Centre for Disease Control</orgDiv>
<orgName>University of British Columbia</orgName>
<address>
<city>Vancouver</city>
<countryPart>BC</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="DK" type="organization" xml:id="jvh12248-aff-0051">
<orgDiv>Department of Medical Gastroenterology and Section of Molecular Diagnostics</orgDiv>
<orgDiv>Cinical Biochemistry</orgDiv>
<orgName>Aalborg University Hospital</orgName>
<address>
<city>Aalborg</city>
<country>Denmark</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0052">
<orgName>University Hospitals Leuven</orgName>
<orgName>KU Leuven</orgName>
<address>
<city>Leuven</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0053">
<orgName>Independent Consultant</orgName>
<address>
<city>Denges</city>
<country>Switzerland</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="jvh12248-aff-0054">
<orgDiv>Gastroenterology Department</orgDiv>
<orgName>Centro Hospitalar de Lisboa Norte</orgName>
<orgName>Hospital Santa Maria</orgName>
<address>
<city>Lisboa</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0055">
<orgDiv>Division of Gastroenterology</orgDiv>
<orgName>University of Western Ontario</orgName>
<address>
<city>London</city>
<countryPart>ON</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="DE" type="organization" xml:id="jvh12248-aff-0056">
<orgName>Heinrich‐Heine University in Duesseldorf</orgName>
<address>
<city>Dusseldorf</city>
<country>Germany</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0057">
<orgName>Erasme University Hospital</orgName>
<orgName>Université Libre de Bruxelles</orgName>
<address>
<city>Brussels</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0058">
<orgDiv>Divisions of Gastroenterology and Hepatology and of Clinical Pathology</orgDiv>
<orgName>University Hospital</orgName>
<address>
<city>Genève</city>
<country>Switzerland</country>
</address>
</affiliation>
<affiliation countryCode="CZ" type="organization" xml:id="jvh12248-aff-0059">
<orgDiv>National Reference Laboratory for Hepatitis</orgDiv>
<orgName>National Institute of Public Health</orgName>
<address>
<city>Prague</city>
<country>Czech Republic</country>
</address>
</affiliation>
<affiliation countryCode="TR" type="organization" xml:id="jvh12248-aff-0060">
<orgDiv>Gastroenterology</orgDiv>
<orgName>Ankara University</orgName>
<address>
<city>Ankara</city>
<country>Turkey</country>
</address>
</affiliation>
<affiliation countryCode="GB" type="organization" xml:id="jvh12248-aff-0061">
<orgName>University of Southhampton</orgName>
<address>
<city>Southhampton</city>
<country>UK</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0062">
<orgDiv>Departments of Medicine and Surgery</orgDiv>
<orgDiv>Queen Elizabeth II Health Sciences Centre</orgDiv>
<orgDiv>Capital District Health Authority</orgDiv>
<orgName>Dalhousie University and Hepatology Services</orgName>
<address>
<city>Halifax</city>
<countryPart>NS</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0063">
<orgDiv>Department of Gastroenterology</orgDiv>
<orgName>University of British Columbia</orgName>
<address>
<city>Vancouver</city>
<countryPart>BC</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="jvh12248-aff-0064">
<orgName>Assembleia da República</orgName>
<address>
<city>Lisboa</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="AU" type="organization" xml:id="jvh12248-aff-0065">
<orgName>The Alfred Hospital and Monash University</orgName>
<address>
<city>Melbourne</city>
<countryPart>Vic.</countryPart>
<country>Australia</country>
</address>
</affiliation>
<affiliation countryCode="GB" type="organization" xml:id="jvh12248-aff-0066">
<orgDiv>Division of Medicine</orgDiv>
<orgName>UCL Institute for Liver and Digestive Health</orgName>
<orgName>University College London</orgName>
<address>
<city>London</city>
<country>UK</country>
</address>
</affiliation>
<affiliation countryCode="FR" type="organization" xml:id="jvh12248-aff-0067">
<orgDiv>Département Santé Publique</orgDiv>
<orgName>Hôpital Henri Mondor</orgName>
<address>
<city>Créteil</city>
<country>France</country>
</address>
</affiliation>
<affiliation countryCode="GB" type="organization" xml:id="jvh12248-aff-0068">
<orgName>Nottingham University Hospitals NHS Trust and Biomedical Research Unit</orgName>
<address>
<city>Nottingham</city>
<country>UK</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="jvh12248-aff-0069">
<orgDiv>Infectious Diseases Department</orgDiv>
<orgName>Centro Hospitalar do Porto</orgName>
<address>
<city>Porto</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0070">
<orgDiv>Division of Gastroenterology & Hepatology</orgDiv>
<orgName>Cantonal Hospital St. Gallen</orgName>
<address>
<city>St. Gallen</city>
<country>Switzerland</country>
</address>
</affiliation>
<affiliation countryCode="CA" type="organization" xml:id="jvh12248-aff-0071">
<orgName>Toronto General Hospital</orgName>
<orgName>University Health Network/University of Toronto</orgName>
<address>
<city>Toronto</city>
<countryPart>ON</countryPart>
<country>Canada</country>
</address>
</affiliation>
<affiliation countryCode="EG" type="organization" xml:id="jvh12248-aff-0072">
<orgName>Egyptian Liver Research Institute And Hospital</orgName>
<address>
<city>Dakahliah</city>
<country>Egypt</country>
</address>
</affiliation>
<affiliation countryCode="AU" type="organization" xml:id="jvh12248-aff-0073">
<orgName>Monash University and Monash Health</orgName>
<address>
<city>Melbourne</city>
<countryPart>Vic.</countryPart>
<country>Australia</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0074">
<orgDiv>Cliniques Universitaires Saint‐Luc</orgDiv>
<orgName>Université Catholique de Louvain</orgName>
<address>
<city>Brussel</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="AT" type="organization" xml:id="jvh12248-aff-0075">
<orgDiv>Division of Gastroenterology and Hepatology</orgDiv>
<orgDiv>Department of Internal Medicine</orgDiv>
<orgName>Medical University of Graz</orgName>
<address>
<city>Graz</city>
<country>Austria</country>
</address>
</affiliation>
<affiliation countryCode="AU" type="organization" xml:id="jvh12248-aff-0076">
<orgDiv>Department of Gastroenterology</orgDiv>
<orgName>St Vincent's Hospital and the University of Melbourne</orgName>
<address>
<city>Melbourne</city>
<countryPart>Vic.</countryPart>
<country>Australia</country>
</address>
</affiliation>
<affiliation countryCode="CZ" type="organization" xml:id="jvh12248-aff-0077">
<orgDiv>Department of Internal Medicine</orgDiv>
<orgDiv>1st Faculty of Medicine</orgDiv>
<orgName>Charles University in Prague and Central Military Hospital</orgName>
<address>
<city>Prague</city>
<country>Czech Republic</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0078">
<orgName>Universiteit Antwerpen</orgName>
<address>
<city>Antwerpen</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="DE" type="organization" xml:id="jvh12248-aff-0079">
<orgName>Deutsche Leberhilfe e.V.</orgName>
<address>
<city>Cologne</city>
<country>Germany</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0080">
<orgName>Ghent University Hospital</orgName>
<address>
<city>Ghent</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="BE" type="organization" xml:id="jvh12248-aff-0081">
<orgDiv>Department of Health Economics & Patient Safety</orgDiv>
<orgName>Ghent University</orgName>
<orgName>Belgium Hasselt University</orgName>
<address>
<city>Diepenbeek</city>
<country>Belgium</country>
</address>
</affiliation>
<affiliation countryCode="DE" type="organization" xml:id="jvh12248-aff-0082">
<orgDiv>Department of Gastroenterology, Hepatology and Endocrinology</orgDiv>
<orgName>Hannover Medical School</orgName>
<address>
<city>Hannover</city>
<country>Germany</country>
</address>
</affiliation>
<affiliation countryCode="DK" type="organization" xml:id="jvh12248-aff-0083">
<orgName>Copenhagen University Hospital</orgName>
<address>
<city>Hvidovre</city>
<country>Denmark</country>
</address>
</affiliation>
<affiliation countryCode="AU" type="organization" xml:id="jvh12248-aff-0084">
<orgName>St George Hospital Clinical School of Medicine and School of Medical Science</orgName>
<orgName>University of New South Wales</orgName>
<address>
<city>Sydney</city>
<countryPart>NSW</countryPart>
<country>Australia</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="jvh12248-aff-0085">
<orgDiv>Swiss HPB (Hepato‐Pancreato‐Biliary) Center and Department of Gastroenterology and Hepatology</orgDiv>
<orgName>University Hospital Zürich</orgName>
<address>
<city>Zürich</city>
<country>Switzerland</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author">
<keyword xml:id="jvh12248-kwd-0001">diagnosis</keyword>
<keyword xml:id="jvh12248-kwd-0002">disease burden</keyword>
<keyword xml:id="jvh12248-kwd-0003">epidemiology</keyword>
<keyword xml:id="jvh12248-kwd-0004">
<fc>HCV</fc>
</keyword>
<keyword xml:id="jvh12248-kwd-0005">hepatitis C</keyword>
<keyword xml:id="jvh12248-kwd-0006">incidence</keyword>
<keyword xml:id="jvh12248-kwd-0007">mortality</keyword>
<keyword xml:id="jvh12248-kwd-0008">prevalence</keyword>
<keyword xml:id="jvh12248-kwd-0009">treatment</keyword>
</keywordGroup>
<fundingInfo>
<fundingAgency>Gilead Sciences</fundingAgency>
</fundingInfo>
<abstractGroup>
<abstract type="main" xml:id="jvh12248-abs-0001">
<title type="main">Summary</title>
<p>The disease burden of hepatitis
<fc>C</fc>
virus (
<fc>HCV</fc>
) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of
<fc>HCV</fc>
infections, the disease progression and mortality in 2013–2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of
<fc>HCV</fc>
infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late‐stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of
<fc>HCV</fc>
. Thus, alternative strategies are required to keep the number of
<fc>HCV</fc>
individuals with advanced liver disease and liver‐related deaths from increasing.</p>
</abstract>
</abstractGroup>
</contentMeta>
<noteGroup xml:id="jvh12248-ntgp-0001">
<note xml:id="jvh12248-note-0001">Denotes senior authors.</note>
</noteGroup>
</header>
</component>
</istex:document>
</istex:metadataXml>
<mods version="3.6">
<titleInfo lang="en">
<title>The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>The present and future disease burden of hepatitis C virus (HCV) infection with today's treatment paradigm</title>
</titleInfo>
<name type="personal">
<namePart type="given">H.</namePart>
<namePart type="family">Razavi</namePart>
<affiliation>Center for Disease Analysis, Colorado, Louisville, USA</affiliation>
<description>Denotes senior authors.</description>
<affiliation>Correspondence: Homie A. Razavi, Center for Disease Analysis, 901 Front Street, Suite 291, Louisville, CO 80027, USA.E‐mail:</affiliation>
<affiliation>E-mail: homie.razavi@centerforda.com</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">I.</namePart>
<namePart type="family">Waked</namePart>
<affiliation>National Liver Institute, Menoufiya, Egypt</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Sarrazin</namePart>
<affiliation>J.W. Goethe University Hospital, Frankfurt, Germany</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R. P.</namePart>
<namePart type="family">Myers</namePart>
<affiliation>Liver Unit, Division of Gastroenterology and Hepatology, University of Calgary, AB, Calgary, Canada</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R.</namePart>
<namePart type="family">Idilman</namePart>
<affiliation>Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">F.</namePart>
<namePart type="family">Calinas</namePart>
<affiliation>Gastroenterology Department, Centro Hospitalar de Lisboa Central – Hospital Santo António Capuchos, Lisboa, Portugal</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">W.</namePart>
<namePart type="family">Vogel</namePart>
<affiliation>Innsbruck Medical University, Innsbruck, Austria</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M. C.</namePart>
<namePart type="family">Mendes Correa</namePart>
<affiliation>School of Medicine‐ Universidade de São Paulo, São Paulo, Brazil</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Hézode</namePart>
<affiliation>Service d' Hépato‐Gastroentérologie, Hôpital Henri Mondor, Créteil, France</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Lázaro</namePart>
<affiliation>Advanced Techniques in Health Services Research (TAISS), Madrid, Spain</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">U.</namePart>
<namePart type="family">Akarca</namePart>
<affiliation>Gastroenterology, Ege University, Izmir, Turkey</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S.</namePart>
<namePart type="family">Aleman</namePart>
<affiliation>Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden</affiliation>
<affiliation>Department of Gastroenterology and Hepatology/Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">İ.</namePart>
<namePart type="family">Balık</namePart>
<affiliation>Infectious Diseases, Ankara University, Ankara, Turkey</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">T.</namePart>
<namePart type="family">Berg</namePart>
<affiliation>University of Leipzig, Leipzig, Germany</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">F.</namePart>
<namePart type="family">Bihl</namePart>
<affiliation>Gastroenterology Department, Ospedale Cantonale, Bellinzona, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Bilodeau</namePart>
<affiliation>Liver Unit, Department of Medicine, Université de Montréal, QC, Montréal, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A. J.</namePart>
<namePart type="family">Blasco</namePart>
<affiliation>Advanced Techniques in Health Services Research (TAISS), Madrid, Spain</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C. E.</namePart>
<namePart type="family">Brandão Mello</namePart>
<affiliation>Department of Gastroenterology, Federal University of the State of Rio de Janeiro, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Bruggmann</namePart>
<affiliation>Arud Centres for Addiction Medicine, Zurich, Switzerland</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Buti</namePart>
<affiliation>Hospital Vall d'Hebron, CIBERehd, Barcelona, Spain</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J. L.</namePart>
<namePart type="family">Calleja</namePart>
<affiliation>Hospital Puerta de Hierro, Madrid, Spain</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">H.</namePart>
<namePart type="family">Cheinquer</namePart>
<affiliation>Hospital das Clínicas da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P. B.</namePart>
<namePart type="family">Christensen</namePart>
<affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Clausen</namePart>
<affiliation>Region Hospital Hovedstaden, Copenhagen, Denmark</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">H. S. M.</namePart>
<namePart type="family">Coelho</namePart>
<affiliation>Department of Clinical Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M. E.</namePart>
<namePart type="family">Cramp</namePart>
<affiliation>Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">G. J.</namePart>
<namePart type="family">Dore</namePart>
<affiliation>Kirby Institute, University of New South Wales, NSW, Sydney, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">W.</namePart>
<namePart type="family">Doss</namePart>
<affiliation>Cairo University, Cairo, Egypt</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A. S.</namePart>
<namePart type="family">Duberg</namePart>
<affiliation>Department of Infectious Diseases, Örebro University Hospital, Örebro, Sweden</affiliation>
<affiliation>School of Health and Medical Sciences, Örebro University, Örebro, Sweden</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M. H.</namePart>
<namePart type="family">El‐Sayed</namePart>
<affiliation>Ain Shams University, Cairo, Egypt</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">G.</namePart>
<namePart type="family">Ergör</namePart>
<affiliation>Public Health and Epidemiology, Dokuz Eylul University, Izmir, Turkey</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">G.</namePart>
<namePart type="family">Esmat</namePart>
<affiliation>Cairo University, Cairo, Egypt</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">K.</namePart>
<namePart type="family">Falconer</namePart>
<affiliation>Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">Félix</namePart>
<affiliation>Exigo Consultores, Alhos Vedros, Portugal</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M. L. G.</namePart>
<namePart type="family">Ferraz</namePart>
<affiliation>Division of Gastroenterology, Federal University of São Paulo, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P. R.</namePart>
<namePart type="family">Ferreira</namePart>
<affiliation>Division of Infectious Disease, Federal University of São Paulo, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S.</namePart>
<namePart type="family">Frankova</namePart>
<affiliation>Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">García‐Samaniego</namePart>
<affiliation>Hospital Carlos III, CIBERehd, Madrid, Spain</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">Gerstoft</namePart>
<affiliation>University of Copenhagen, Copenhagen, Denmark</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J. A.</namePart>
<namePart type="family">Giria</namePart>
<affiliation>Direcção‐Geral da Saúde, Lisboa, Portugal</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">F. L.</namePart>
<namePart type="family">Gonçales Jr</namePart>
<affiliation>Grupo de Estudo das Hepatites, Disciplina de Doenças Infecciosas, Departamento de Clínica Médica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, UNICAMP, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">E.</namePart>
<namePart type="family">Gower</namePart>
<affiliation>Center for Disease Analysis, Colorado, Louisville, USA</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Gschwantler</namePart>
<affiliation>Department of Internal Medicine IV, Wilhelminenspital, Vienna, Austria</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Guimarães Pessôa</namePart>
<affiliation>Division of Gastroenterology and Hepatology, University of São Paulo School of Medicine, São Paulo, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S. J.</namePart>
<namePart type="family">Hindman</namePart>
<affiliation>Center for Disease Analysis, Colorado, Louisville, USA</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">H.</namePart>
<namePart type="family">Hofer</namePart>
<affiliation>Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Husa</namePart>
<affiliation>Clinic of Infectious Diseases of the University Hospital Brno, Masaryk University Brno, Brno, Czech Republic</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Kåberg</namePart>
<affiliation>Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">K. D. E.</namePart>
<namePart type="family">Kaita</namePart>
<affiliation>Section of Hepatology, Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada</affiliation>
<affiliation>Viral Hepatitis Investigative Unit, Health Sciences Centre, MB, Winnipeg, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A.</namePart>
<namePart type="family">Kautz</namePart>
<affiliation>European Liver Patients Association, Sint‐Truiden, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S.</namePart>
<namePart type="family">Kaymakoglu</namePart>
<affiliation>Gastroenterology, Istanbul University, Istanbul, Turkey</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Krajden</namePart>
<affiliation>British Columbia Centre for Disease Control, University of British Columbia, BC, Vancouver, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">H.</namePart>
<namePart type="family">Krarup</namePart>
<affiliation>Department of Medical Gastroenterology and Section of Molecular Diagnostics, Cinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">W.</namePart>
<namePart type="family">Laleman</namePart>
<affiliation>University Hospitals Leuven, KU Leuven, Leuven, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">D.</namePart>
<namePart type="family">Lavanchy</namePart>
<affiliation>Independent Consultant, Denges, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R. T.</namePart>
<namePart type="family">Marinho</namePart>
<affiliation>Gastroenterology Department, Centro Hospitalar de Lisboa Norte, Hospital Santa Maria, Lisboa, Portugal</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Marotta</namePart>
<affiliation>Division of Gastroenterology, University of Western Ontario, ON, London, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S.</namePart>
<namePart type="family">Mauss</namePart>
<affiliation>Heinrich‐Heine University in Duesseldorf, Dusseldorf, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Moreno</namePart>
<affiliation>Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">K.</namePart>
<namePart type="family">Murphy</namePart>
<affiliation>Center for Disease Analysis, Colorado, Louisville, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">F.</namePart>
<namePart type="family">Negro</namePart>
<affiliation>Divisions of Gastroenterology and Hepatology and of Clinical Pathology, University Hospital, Genève, Switzerland</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">V.</namePart>
<namePart type="family">Nemecek</namePart>
<affiliation>National Reference Laboratory for Hepatitis, National Institute of Public Health, Prague, Czech Republic</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">N.</namePart>
<namePart type="family">Örmeci</namePart>
<affiliation>Gastroenterology, Ankara University, Ankara, Turkey</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A. L. H.</namePart>
<namePart type="family">Øvrehus</namePart>
<affiliation>Department of Infectious Diseases, Odense University Hospital, Odense, Denmark</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">Parkes</namePart>
<affiliation>University of Southhampton, Southhampton, UK</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">K.</namePart>
<namePart type="family">Pasini</namePart>
<affiliation>Center for Disease Analysis, Colorado, Louisville, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">K. M.</namePart>
<namePart type="family">Peltekian</namePart>
<affiliation>Departments of Medicine and Surgery, Queen Elizabeth II Health Sciences Centre, Capital District Health Authority, Dalhousie University and Hepatology Services, NS, Halifax, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A.</namePart>
<namePart type="family">Ramji</namePart>
<affiliation>Department of Gastroenterology, University of British Columbia, BC, Vancouver, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">N.</namePart>
<namePart type="family">Reis</namePart>
<affiliation>Assembleia da República, Lisboa, Portugal</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S. K.</namePart>
<namePart type="family">Roberts</namePart>
<affiliation>The Alfred Hospital and Monash University, Vic., Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">W. M.</namePart>
<namePart type="family">Rosenberg</namePart>
<affiliation>Division of Medicine, UCL Institute for Liver and Digestive Health, University College London, London, UK</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">F.</namePart>
<namePart type="family">Roudot‐Thoraval</namePart>
<affiliation>Département Santé Publique, Hôpital Henri Mondor, Créteil, France</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S. D.</namePart>
<namePart type="family">Ryder</namePart>
<affiliation>Nottingham University Hospitals NHS Trust and Biomedical Research Unit, Nottingham, UK</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R.</namePart>
<namePart type="family">Sarmento‐Castro</namePart>
<affiliation>Infectious Diseases Department, Centro Hospitalar do Porto, Porto, Portugal</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">D.</namePart>
<namePart type="family">Semela</namePart>
<affiliation>Division of Gastroenterology & Hepatology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M.</namePart>
<namePart type="family">Sherman</namePart>
<affiliation>Toronto General Hospital, University Health Network/University of Toronto, ON, Toronto, Canada</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">G. E.</namePart>
<namePart type="family">Shiha</namePart>
<affiliation>Egyptian Liver Research Institute And Hospital, Dakahliah, Egypt</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">W.</namePart>
<namePart type="family">Sievert</namePart>
<affiliation>Monash University and Monash Health, Vic., Melbourne, Australia</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">Sperl</namePart>
<affiliation>Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Stärkel</namePart>
<affiliation>Cliniques Universitaires Saint‐Luc, Université Catholique de Louvain, Brussel, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R. E.</namePart>
<namePart type="family">Stauber</namePart>
<affiliation>Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A. J.</namePart>
<namePart type="family">Thompson</namePart>
<affiliation>Department of Gastroenterology, St Vincent's Hospital and the University of Melbourne, Vic., Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Urbanek</namePart>
<affiliation>Department of Internal Medicine, 1st Faculty of Medicine, Charles University in Prague and Central Military Hospital, Prague, Czech Republic</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Van Damme</namePart>
<affiliation>Universiteit Antwerpen, Antwerpen, Belgium</affiliation>
<description>Denotes senior authors.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
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<abstract>The disease burden of hepatitis C virus (HCV) is expected to increase as the infected population ages. A modelling approach was used to estimate the total number of viremic infections, diagnosed, treated and new infections in 2013. In addition, the model was used to estimate the change in the total number of HCV infections, the disease progression and mortality in 2013–2030. Finally, expert panel consensus was used to capture current treatment practices in each country. Using today's treatment paradigm, the total number of HCV infections is projected to decline or remain flat in all countries studied. However, in the same time period, the number of individuals with late‐stage liver disease is projected to increase. This study concluded that the current treatment rate and efficacy are not sufficient to manage the disease burden of HCV. Thus, alternative strategies are required to keep the number of HCV individuals with advanced liver disease and liver‐related deaths from increasing.</abstract>
<note type="funding">Gilead Sciences</note>
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<genre>keywords</genre>
<topic>diagnosis</topic>
<topic>disease burden</topic>
<topic>epidemiology</topic>
<topic>HCV</topic>
<topic>hepatitis C</topic>
<topic>incidence</topic>
<topic>mortality</topic>
<topic>prevalence</topic>
<topic>treatment</topic>
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<identifier type="ISSN">1352-0504</identifier>
<identifier type="eISSN">1365-2893</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2893</identifier>
<identifier type="PublisherID">JVH</identifier>
<part>
<date>2014</date>
<detail type="title">
<title>Hepatitis C Disease Burden & Strategies to Manage the Burden</title>
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<detail type="volume">
<caption>vol.</caption>
<number>21</number>
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<detail type="supplement">
<caption>Suppl. no.</caption>
<number>s1</number>
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<extent unit="pages">
<start>34</start>
<end>59</end>
<total>26</total>
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<identifier type="DOI">10.1111/jvh.12248</identifier>
<identifier type="ArticleID">JVH12248</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons Ltd© 2014 John Wiley & Sons Ltd</accessCondition>
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