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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019

Health-related quality of life in hepatitis C patients who achieve sustained virological response to direct-acting antivirals: a comparison with the general population.

Regina Juanbeltz, Jesús Castilla, Iván Martínez-Baz, Aisling O'Leary, Maite Sarobe, Ramón San Miguel

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Impact of a minimal monitoring HCV treatment approach on Health-Related Quality of Life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  4. Article
  5. Article
  6. Impaired health-related quality of life in the HCV cure era: who is concerned? (ANRS CO22 HEPATHER French cohort).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Regina JuanbeltzDepartment of Hospital Pharmacy, Complejo Hospitalario de Navarra-IdiSNA, Pamplona, Spain. regina.juanbeltz.zurbano@navarra.es.ORCID http://orcid.org/0000-0003-3772-0442
Jesús CastillaInstituto de Salud Pública de Navarra-IdiSNA, Pamplona, Spain.ORCID http://orcid.org/0000-0002-6396-7265
Iván Martínez-BazInstituto de Salud Pública de Navarra-IdiSNA, Pamplona, Spain.ORCID http://orcid.org/0000-0002-3405-2277
Aisling O'LearyNational Centre for Pharmacoeconomics, St Jame's Hospital, Dublin, Ireland.
Maite SarobeDepartment of Hospital Pharmacy, Complejo Hospitalario de Navarra-IdiSNA, Pamplona, Spain.
Ramón San MiguelDepartment of Hospital Pharmacy, Complejo Hospitalario de Navarra-IdiSNA, Pamplona, Spain.

Funding

Carlos III Institute of Health with the European Regional Development Fund CM17/00095Carlos III Institute of Health with the European Regional Development Fund INT17/00066Spanish Ministry of Health and Carlos III Health Institute EIPT-VHC
6 · The paper itself

Abstract

purposeTo compare health-related quality of life (HRQoL) between hepatitis C patients who achieve sustained virological response (SVR) to direct-acting antivirals and a sex- and age-paired sample of the general population.

methodsHRQoL was evaluated in patients recruited in Navarre, Spain, from May 2016 to April 2017 at baseline and after SVR, using the EQ-5D-5L questionnaire. Both results were compared to those of general population of the same sex and age obtained from the 2011/12 National Health Survey in Spain. Observed/expected (O/E) ratios for health dimensions and differences between O-E in EQ-5D utility and visual analogical scale (VAS) scores were calculated.

results206 patients were studied. Before treatment, patients had more problems than the general population in every domain of EQ-5D-5L, except in self-care dimension (O/E = 1.1). After SVR, patients continued having more limitation, especially for usual activities (O/E = 3.1), anxiety/depression (O/E = 2.8) and EQ-5D utility (- 0.086, p < 0.001); however, differences in VAS score between patients and general population disappeared (74.8 vs 76.5, p = 0.210). F0-F1 patients with SVR had minor differences with the general population in EQ-5D-5L dimensions, utility and VAS score. Although cirrhotic patients also reduced that difference, they still had worse HRQoL, especially in usual activities, self-care, EQ-5D utility (- 0.152, p < 0.001) and VAS score (- 8.5, p = 0.005).

conclusionsHRQoL of chronic hepatitis C patients remains lower than that of the general population despite viral clearance, with primary problems in usual activities and anxiety/depression. Knowledge of these on-going problems despite cure serves to guide healthcare interventions and patient's follow-up.

Indexed as

Health StatusAdultAgedAntiviral AgentsDepressionFemaleHealth SurveysHepacivirusHepatitis C, ChronicHumansMaleMiddle AgedQuality of LifeSelf CareSpainSurveys and QuestionnairesAntiviral AgentsDirect-acting antiviralEQ-5DHealth-related quality of lifeHepatitis CPopulation normsQuality of life

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.