Improvement in quality of life measures in patients with refractory hepatitis C, responding to re-treatment with Pegylated interferon alpha -2b and ribavirin
2006

Improvement in Quality of Life for Hepatitis C Patients After Treatment

Sample size: 152 publication Evidence: moderate

Author Information

Author(s): Mathew Abraham, Peiffer Laurie P, Rhoades Kathy, McGarrity Thomas J

Primary Institution: Milton S. Hershey Medical Center, Pennsylvania State University

Hypothesis

The health-related quality of life (HRQOL) will improve in patients who attain sustained viral response similar to naïve patients undergoing treatment for HCV.

Conclusion

Patients who respond to treatment show different HRQOL patterns compared to non-responders, with responders tending to have better scores in certain domains after treatment.

Supporting Evidence

  • 25 of the 152 patients achieved a sustained viral response.
  • HRQOL scores were lower in HCV patients compared to national norms at baseline.
  • Responders showed a significant decrease in vitality scores during treatment.

Takeaway

This study looked at how treatment affects the quality of life for people with hepatitis C. Those who responded well to treatment felt better in some areas compared to those who didn't respond.

Methodology

HRQOL data was collected from 152 patients enrolled in a randomized study for re-treatment of HCV refractory to prior therapy with interferon alpha-2b and ribavirin over 48 weeks.

Potential Biases

Drop-outs were considered treatment failures, which may introduce bias in the results.

Limitations

The study had a relatively small sample size and a significant drop-out rate, which may affect the results.

Participant Demographics

The mean age was 46, with 74% men and 26% women; 90% were Caucasian.

Statistical Information

P-Value

p = .06 for vitality, p = .03 for role-emotional, p = .06 for social functioning

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1477-7525-4-30

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