The Burden of Untreated Hepatitis C Virus Infection: A US Patients' Perspective

Merck & Co., Inc., WP 97-A423, 770 Sumneytown Pike, West Point, PA, 19486, USA, .
Digestive Diseases and Sciences (Impact Factor: 2.61). 06/2012; 57(11):2995-3003. DOI: 10.1007/s10620-012-2233-1
Source: PubMed


Hepatitis C virus (HCV) infection is widespread and associated with high economic costs and reduced quality of life, but the impact of untreated HCV infection on patient outcome is not well understood.
To estimate the impact of untreated HCV infection on work productivity, daily activity, healthcare use, economic costs, and health-related quality of life (HRQoL).
Respondents to the 2010 US National Health and Wellness Survey (n = 75,000) reporting physician diagnosis of HCV infection but not current or previous treatment (patients) were matched to respondents without HCV infection (controls) by use of propensity scores. Those reporting infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV) were excluded. Self-reported work impairment, activity impairment, healthcare resource use, and HRQoL were compared between patients and controls. Indirect and direct costs were estimated.
A total of 306 patients met inclusion criteria. Patients were more impaired at work than controls, with overall work impairment of 26 % versus 15 %, respectively (P < 0.001), mostly because of presenteeism in both groups. Annual productivity losses were estimated at $10,316 per employed patient compared with $5,469 per control (P < 0.001). Patients used more healthcare, with all-cause healthcare costs estimated at $22,818 per patient annually, compared with $15,362 per control (P < 0.001). HRQoL and activity impairment were also worse among patients than controls.
Untreated HCV infection is associated with substantial economic costs to society, through loss of productivity and increased use of healthcare resources, and with impaired well-being of the patient.

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    • "Seventh, this analysis was done from the payer perspective. Patients with chronic HCV or the sequelae of cirrhosis have been shown to experience increased work and productivity losses, suffer activity impairment, and incur increased indirect medical costs compared with people without HCV [61-63]. Inclusion of such costs would result in lower ICERs for both boceprevir-regimens compared with dual therapy since the treatment efficacy of both BOC/RGT and BOC/PR48 are greater than the efficacy of treatment with PR48. "
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