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Hepatitis C and Quality of Life

November 23, 2004

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The following article is about quality of life issues with Hepatitis C patients.

It is our opinion that anyone who knows they have a chronic and potentially deadly disease is going to have a negatively affected quality of life. Fear, anxiety, concerns about debilitating illness and mortality all take a toll on a persons outlook on life.

People infected prior to age 25, as well as male gender, seem to be the only factors that predicted a lesser impact on quality of life for Hepatitis C patients.

To make the leap of logic in the conclusion of this report that even those with little or no liver damage should consider anti viral therapy left us a bit incredulous. What pharmaceutical company funded this study, anyway?

Did the authors not consider the impact of interferon therapy on QoL (at least during therapy)? And, what of the other important factors, like a 30% success rate for genotype 1? Shouldn’t that figure into the equation?

Food for thought, no?

The Quality of Life Among Patients with Chronic Hepatitis C in Relation to Host and Viral Factors

There is increasing evidence for impaired Quality of life (QoL) in patients with hepatitis C virus (HCV) infection even in the absence of liver disease. The aim of the study was to discriminate the role of viral and host factors in regard to QoL.

A cohort of 630 patients initially recruited in 1996/1997 in eight European Hepatology Centers to analyse epidemiology and immunogenetics of HCV infection were followed in 2002/2003. All patients answered an SF-36 questionnaire for the assessment of their QoL.

Two summary scores were analysed: the Physical Component Score (PCS) and the Mental Component Score (MCS). These patients are representative of what is usually seen in clinical practice since no restriction was made at inclusion.

Results

Patients with sustained virological response showed significantly better QoL than patients with either relapse or non-response (p<0.001 and p=0.001, for MCS and PCS respectively), even when limited to patients with only minimal fibrosis (F<2), p=0.001 for PCS.

An association was also found with age at infection and sex. Patients younger than 25 years at infection and males showed better PCS (p<0.001 and p=0.008) and MCS (p=0.063 and p=0.002), respectively.

None of the HLA alleles tested showed any association with QoL. Likewise genotype 1a vs. 1b or genotype 1 vs. non-1 had no significant relevance.

Conclusion

The authors conclude, “The better quality of life in patients with sustained virological response indicates that antiviral therapy might even be indicated in the absence of any liver disease.”

11/22/04

Reference

H L Tillmann and others (for the HENCORE group). QUALITY OF LIFE IN HEPATITIS C PATIENTS IN RELATION TO HOST AND VIRAL FACTORS. Abstract 1207 (poster). 55th AASLD. October 29-November 2, 2004. Boston, MA.

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  • ames4

    In your recent article,”Quality of Life,” after reading it, really hit home……There is none. As a 48 year old Architect, making good money and finally being able to reap some of the rewards of my profession, something was’nt “right.” After seeing at least 10 Dr’s. of varied diciplines, I FINALLY found out that I had chronic viral Hepatitis C. I then made the decision to seek treatment, only to find out that I’m not a good candidate for the Interferon regimine. Now, I’m reduced to chronic pain, fatigue, depression, and straddling that fine line that gives us our dignity. All of my assets are gone; my “friends and family” avoid me; I get by on disability and Public Aid.(Unfortunately, my teeth are breaking in front, and I need restorative work……however the previous programs don’t cover these conditions!). I’ve GAINED almost 8″ in my waist area, although I eat like a mouse. I am not living; just existing; I can’t make plans because I truly don’t know how I’ll feel tomorrow. It’s enough to do anyone in! I’m finally “throwing in the towel.” I am so tired of testing, pain clinics, hospitals, biopsies, living like a monk, not being able to contribute and make a living, not to mention being treated like a “Leper!” Quality of Life? – It should be “How to Die with a Minimum of Dignity.” Sicerely, Thresher Ames Rippey,IV

  • nusrat

    Words cannot really console you, I am sure of that after reading what you have written about yourself here. There are others like you around, so many infected with the same bug, and their life being ravaged by it. Arent there any people around you who do not consider you a ‘leper’ as you say? If there are, you must find them.
    i have known people with HCV, one very closely, so I know it is bad, really bad.
    If you are a believing man, you might find some solace in your faith. God tests us sometimes, some more than others. I hope and pray that He gives you the strength to go on.