Socioeconomic Deprivation Weighs Heavily on Liver Fibrosis and Mortality After Hepatitis C Cure (ANRS CO22 Hepather).

direct‐acting antivirals hepatitis C, chronic liver disease mortality socioeconomic status

Journal

Journal of viral hepatitis
ISSN: 1365-2893
Titre abrégé: J Viral Hepat
Pays: England
ID NLM: 9435672

Informations de publication

Date de publication:
10 Sep 2024
Historique:
revised: 12 07 2024
received: 19 03 2024
accepted: 23 08 2024
medline: 10 9 2024
pubmed: 10 9 2024
entrez: 10 9 2024
Statut: aheadofprint

Résumé

Although Hepatitis C virus (HCV) infection can be cured with direct-acting antivirals (DAA), some cured patients face a serious risk of advanced liver damage and early mortality. In order to avoid these two negative health outcomes, it is important to identify and assess related risk factors. Little is currently known about socioeconomic and behavioural factors in this context. Using data from the ANRS CO22 Hepather cohort, we tested for associations between socioeconomic and behavioural factors and (i) advanced liver fibrosis (defined as an FIB-4 > 3.25) assessed longitudinally using a mixed-effects logistic regression model (both the whole population and stratified on advanced liver fibrosis status at the time of HCV cure) and (ii) all-cause mortality (Cox proportional hazards model), during post-HCV cure follow-up. Among 5833 participants cured of HCV, living in poverty was associated with postcure advanced liver fibrosis in participants without this diagnosis at the time of HCV cure (population attributable fraction-PAF-of 8.6%) and with mortality in the whole study population (PAF of 10.6%). The detrimental effects of unhealthy alcohol use and heavy tobacco smoking, as well as the beneficial effect of living with a stable partner were also highlighted. We highlighted the major role of poverty and behavioural factors in advanced liver fibrosis and all-cause mortality in patients cured of HCV. Encouraging linkage to social support services and healthy behaviours after successful DAA treatment could limit morbidity and increase survival in this population. Clinical Trial Registration: ClinicalTrials.gov: NCT01953458.

Identifiants

pubmed: 39252600
doi: 10.1111/jvh.14006
doi:

Banques de données

ClinicalTrials.gov
['NCT01953458']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : the French DGS (Direction Générale de la Santé)
Organisme : the French ANR (Agence Nationale de la Recherche)
Organisme : INSERM-ANRS MIE (France REcherche Nord&sud Sida-vih Hepatites | Maladies Infectieuses Emergentes)
Organisme : Roche
Organisme : Bristol-Myers Squibb
Organisme : AbbVie
Organisme : Gilead
Organisme : Janssen-Cilag
Organisme : Merck Sharp and Dohme France

Investigateurs

Laurent Alric (L)
Delphine Bonnet (D)
Virginie Payssan-Sicart (V)
Chloe Pomes (C)
Fabien Zoulim (F)
Marianne Maynard (M)
Roxane Bai (R)
Lucie Hucault (L)
François Bailly (F)
François Raffi (F)
Eric Billaud (E)
David Boutoille (D)
Maeva Lefebvre (M)
Elisabeth André-Garnier (E)
Paul Cales (P)
Isabelle Hubert (I)
Adrien Lannes (A)
Françoise Lunel (F)
Jérôme Boursier (J)
Tarik Asselah (T)
Nathalie Boyer (N)
Nathalie Giuily (N)
Corinne Castelnau (C)
Giovanna Scoazec (G)
Stanislas Pol (S)
Hélène Fontaine (H)
Emilie Rousseaud (E)
Anaïs Vallet-Pichard (A)
Philippe Sogni (P)
Victor de Ledinghen (V)
Juliette Foucher (J)
Jean-Baptiste Hiriart (JB)
Jancell M'Bouyou (J)
Marie Irlès-Depé (M)
Marc Bourlière (M)
Si Nafa Si Ahmed (SNS)
Valérie Oules (V)
Albert Tran (A)
Rodolphe Anty (R)
Eve Gelsi (E)
Régine Truchi (R)
Dominique Thabut (D)
Saloua Hammeche (S)
Joseph Moussali (J)
Xavier Causse (X)
Barbara De Dieuleveult (B)
Brahim Ouarani (B)
Damien Labarrière (D)
Nathalie Ganne (N)
Véronique Grando-Lemaire (V)
Pierre Nahon (P)
Séverine Brulé (S)
Dominique Guyader (D)
Caroline Jezequel (C)
Audrey Brener (A)
Anne Laligant (A)
Aline Rabot (A)
François Habersetzer (F)
Thomas F Baumert (TF)
Michel Doffoel (M)
Catherine Mutter (C)
Pauline Simo-Noumbissie (P)
Esma Razi (E)
Jean-Pierre Bronowicki (JP)
Hélène Barraud (H)
Mouni Bensenane (M)
Abdelbasset Nani (A)
Sarah Hassani-Nani (S)
Marie-Albertine Bernard (MA)
Georges-Philippe Pageaux (GP)
Dominique Larrey (D)
Magda Meszaros (M)
Sophie Metivier (S)
Christophe Bureau (C)
Thibault Morales (T)
Jean Marie Peron (JM)
Marie Angèle Robic (MA)
Thomas Decaens (T)
Marine Faure (M)
Bruno Froissart (B)
Marie-Noelle Hilleret (MN)
Jean-Pierre Zarski (JP)
Ghassan Riachi (G)
Odile Goria (O)
Fatima Paris (F)
Hélène Montialoux (H)
Vincent Leroy (V)
Giuliana Amaddeo (G)
Anne Varaut (A)
Mélanie Simoes (M)
Rachida Amzal (R)
Olivier Chazouillières (O)
Tony Andreani (T)
Bénédicte Angoulevant (B)
Azeline Chevance (A)
Lawrence Serfaty (L)
Didier Samuel (D)
Teresa Antonini (T)
Audrey Coilly (A)
Jean-Charles Duclos Vallée (JD)
Mariagrazia Tateo (M)
Armand Abergel (A)
Maud Reymond (M)
Chanteranne Brigitte (C)
Buchard Benjamin (B)
Léon Muti (L)
Claire Geist (C)
Guillaume Conroy (G)
Raphaëlle Riffault (R)
Isabelle Rosa (I)
Camille Barrault (C)
Laurent Costes (L)
Hervé Hagège (H)
Véronique Loustaud-Ratti (V)
Paul Carrier (P)
Maryline Debette-Gratien (M)
Philippe Mathurin (P)
Guillaume Lassailly (G)
Elise Lemaitre (E)
Valérie Canva (V)
Sébastien Dharancy (S)
Alexandre Louvet (A)
Anne Minello (A)
Marianne Latournerie (M)
Marc Bardou (M)
Thomas Mouillot (T)
Louis D'Alteroche (L)
Didier Barbereau (D)
Charlotte Nicolas (C)
Laure Elkrief (L)
Anaïs Jaillais (A)
Jérôme Gournay (J)
Caroline Chevalier (C)
Isabelle Archambeaud (I)
Sarah Habes (S)
Isabelle Portal (I)
Moana Gelu-Simeon (M)
Eric Saillard (E)
Marie-Josée Lafrance (MJ)
Lucie Catherine (L)
Fabrice Carrat (F)
Frederic Chau (F)
Céline Dorival (C)
Isabelle Goderel (I)
Clovis Lusivika-Nzinga (C)
Jonathan Bellet (J)
Jessica Chane-Teng (J)
Grégory Pannetier (G)
Jérôme Nicol (J)
Florian Sebal (F)
Rafika Bekhti (R)
Carole Cagnot (C)
Anaïs Boston (A)
Laura Nailler (L)
Guillaume Le Meut (G)
Alpha Diallo (A)
Ventzislava Petrov-Sanchez (V)
Marc Bourlière (M)
Jérôme Boursier (J)
Fabrice Carrat (F)
Patrizia Carrieri (P)
Elisabeth Delarocque-Astagneau (E)
Victor De Ledinghen (V)
Céline Dorival (C)
Hélène Fontaine (H)
Slim Fourati (S)
Chantal Housset (C)
Dominique Larrey (D)
Pierre Nahon (P)
Georges-Philippe Pageaux (GP)
Ventzislava Petrov-Sanchez (V)
Stanislas Pol (S)
Mathias Bruyand (M)
Linda Wittkop (L)
Fabien Zoulim (F)
Jessica Zucman-Rossi (J)
Marianne L'hennaff (M)
Michèle Sizorn (M)
Carole Cagnot (C)

Informations de copyright

© 2024 The Author(s). Journal of Viral Hepatitis published by John Wiley & Sons Ltd.

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Auteurs

Tangui Barré (T)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Lucia Parlati (L)

Département d'Hépatologie/Addictologie, Hôpital Cochin, Université de Paris Cité, INSERM U1016, AP-HP, Paris, France.

Marc Bourlière (M)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
Département D'hépatologie et Gastroentérologie, Hôpital Saint Joseph, Marseille, France.

Clémence Ramier (C)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Fabienne Marcellin (F)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Camelia Protopopescu (C)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Vincent Di Beo (V)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Cécile Moins (C)

Department of Clinical Research, ANRS Emerging Infectious Diseases, Paris, France.

Celine Dorival (C)

Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France.

Jérôme Nicol (J)

Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France.

Jessica Zucman-Rossi (J)

Centre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université Paris Cité, Paris, France.
Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.

Philippe Mathurin (P)

Service des Maladies de l'Appareil Digestif, Université Lille 2 and Inserm U795, Lille, France.

Dominique Larrey (D)

Liver Unit-IRB-INSERM 1183, Hôpital Saint Eloi, Montpellier, France.

Jérôme Boursier (J)

Hepato-Gastroenterology Department, Angers University Hospital, Angers, France.
HIFIH Laboratory, UPRES 3859, SFR 4208, Angers University, Angers, France.

Fabrice Carrat (F)

Sorbonne Université, Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Hôpital Saint-Antoine, Unité de Santé Publique, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.

Patrizia Carrieri (P)

Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.

Classifications MeSH