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Kronik Hepatit C Tedavisinde Direkt Etkili Antiviral Ajanların Tedavi Yanıtının Gerçek Yaşam Verileri: Tek Merkez Çalışması
2019
Journal:  
Sakarya Tıp Dergisi
Author:  
Abstract:

Amaç: Kronik Hepatit C tedavisinde ülkemizde Haziran 2016’dan beri kullanıma giren direkt etkili antiviral ajanların tedavi yanıtlarının gerçek yaşam verilerini sunarak, bu tedavilerin etkinliğini araştırmayı amaçladık. Materyal ve Method: Hastanemizde Temmuz 2017 ile Eylül 2018 tarihleri arasında Kronik Hepatit C nedeniyle direkt etkili antiviral ajanlarla tedavi olmuş hastalar retrospektif olarak tedavi yanıtları incelendi. Hastaların klinik, demografik özellikleri, tedavi sırasındaki yan etkiler, 4.,12. ve 24. Hafta HCV RNA seviyeleri hastane veri tabanından kaydedildi. Bulgular: Araştırma popülasyonu (Ombitasvir+Paritaprevir+Ritonavir)+Dasabuvir kullanan 7 hasta (%36,8) ve (Ombitasvir+Paritaprevir+Ritonavir)+Dasabuvir + Ribavirin kullanan 12 hasta (%63,2) olmak üzere toplam 19 Kronik Hepatit C hastasından oluştu. Hastaların yaş aralığı 20-69 yıl olup ortalaması 43,8±13,6 yıl ve %57,9’u (n:11) erkek idi. Hastaların %42,1’inde (n:8) genotip 1a, %36,8’inde (n:7) genotip 1b ve %21,1’inde (n:4) genotip 4 idi. OPrD kullanan hastalarda 4.haftada RNA düzeyi 0 olan hasta oranı %28,6 ve <12 IU/ml’nin altında olan hasta oranı %42,9 idi, 12. ve 24.haftada hastaların tamamında RNA düzeyi 0 idi (p<0,001). OPrD+rib kullanan hastalarda 4.haftada RNA düzeyi 0 olan hasta oranı %58,3 ve <12’nin altında olan hasta oranı %33,3 idi, 12. ve 24.haftada hastaların tamamında RNA düzeyi 0 idi (p<0,001). Sonuç: Kronik Hepatit C tedavisinde direkt etkili antiviral ajanların kalıcı viral yanıt oranı gerçek yaşamverilerimizde %100 olup, iyi tolere edilebilen ilaçlardır.

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Real life data of the treatment response of direct effective antiviral agents in the treatment of chronic hepatitis C: one-center study
2019
Author:  
Abstract:

Purpose: In the treatment of chronic hepatitis C in our country since June 2016, we aimed to investigate the effectiveness of these treatments by providing real life data of the treatment responses of direct-effective antiviral agents that have been used in our country since June 2016. Materials and Methods: Patients who were treated with direct-effective antiviral agents due to chronic hepatitis C between July 2017 and September 2018 in our hospital were retrospective treatment responses examined. Clinical, demographic characteristics of patients, side effects during treatment, 4, 12 and 24. Weekly HCV RNA levels were recorded from the hospital database. Results: The research population (Ombitasvir+Paritaprevir+Ritonavir)+Dasabuvir was composed of a total of 19 chronic hepatitis C patients, including 7 patients (36.8%) and 12 patients (63.2%) using (Ombitasvir+Paritaprevir+Ritonavir)+Dasabuvir+Ribavir. The age range of patients was 20-69 years, with an average of 43.8±13.6 years and 57.9% (n:11) men. In 42.1 percent of patients (n:8) genotype 1a, in 36.8 percent (n:7) genotype 1b and in 21.1 percent (n:4) genotype 4 was. In patients using OPrD, the rate of patients with RNA levels 0 in the 4th week was 28.6%, and the rate of patients below <12 IU/ml was 42.9%, and in all patients in the 12th and 24th weeks the rate of RNA was 0 (p<0,001). In patients using OPrD+rib, the rate of patients with RNA levels 0 in the 4th week was 58.3%, and the rate of patients under <12 was 33.3%, 12 and 24. The level of RNA in all patients per week was 0 (p<0,001). The permanent viral response rate of antiviral agents that are directly effective in chronic hepatitis C treatment is 100% in our real life data and are well-tolerable medications.

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Sakarya Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Sakarya Tıp Dergisi