Can Telemedicine Optimize the HCV Care Cascade in People Who Use Drugs? Features of an Innovative Decentralization Model and Comparison with Other Micro-Elimination Strategies.

HCV PWUD people who use drugs telemedicine

Journal

Biology
ISSN: 2079-7737
Titre abrégé: Biology (Basel)
Pays: Switzerland
ID NLM: 101587988

Informations de publication

Date de publication:
24 May 2022
Historique:
received: 23 04 2022
revised: 21 05 2022
accepted: 21 05 2022
entrez: 24 6 2022
pubmed: 25 6 2022
medline: 25 6 2022
Statut: epublish

Résumé

People who use drugs (PWUDs) are a crucial population in the global fight against viral hepatitis. The difficulties in linkage to care, the low adherence to therapy, the frequent loss to follow-up and the high risk of re-infection make the eradication process of the hepatitis C virus (HCV) really hard in this viral reservoir. Several management and treatment models have been tested with the aim of optimizing the HCV care cascade in PWUDs. Models of decentralization of the care process and integration of services seem to provide the highest success rates. Giving this, telemedicine could favor the decentralization of diagnostic-therapeutic management, key for the implementation of linkage to care, reduction of waiting times, optimization of adherence and results and reduction of the costs. The purpose of this literature review is to examine the role and possible impact of telemedicine in optimizing the HCV care cascade, comparing the different care models that have shown to improve the linkage to care and therapeutic adherence in this special population.

Identifiants

pubmed: 35741326
pii: biology11060805
doi: 10.3390/biology11060805
pmc: PMC9219847
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : Gilead Sciences (Italy)
ID : not able to provide grant number at the moment

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Auteurs

Riccardo Nevola (R)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.
Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.

Valerio Rosato (V)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.

Vincenza Conturso (V)

Service for Addiction, DS32, ASL Napoli 1, 80147 Naples, Italy.

Pasquale Perillo (P)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.

Teresa Le Pera (T)

Service for Addiction, DS32, ASL Napoli 1, 80147 Naples, Italy.

Ferdinando Del Vecchio (F)

Service for Addiction, DS32, ASL Napoli 1, 80147 Naples, Italy.

Davide Mastrocinque (D)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.

Annalisa Pappalardo (A)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.

Simona Imbriani (S)

Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.

Augusto Delle Femine (A)

Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.

Alessia Piacevole (A)

Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.

Ernesto Claar (E)

Hepatology Unit, Ospedale Evangelico Betania, 80147 Naples, Italy.

Classifications MeSH