Loss to Follow-up in the Hepatitis C Care Cascade: A Substantial Problem but Opportunity for Micro-elimination

A Substantial Problem But Opportunity for Micro-elimination

Marleen van Dijk; Joost P.H. Drenth


J Viral Hepat. 2020;27(12):1270-1283. 

In This Article

LTFU After SVR (CHCoC Step 7)

Guidelines suggest that people with advanced fibrosis (METAVIR score F3) or cirrhosis (F4) who reached SVR should be subjected to surveillance for hepatocellular carcinoma (HCC) every six months by means of ultrasound.[13,17] Furthermore, cirrhotic patients with varices present at pre-treatment endoscopy should be surveyed for oesophageal varices.[13,17] Unfortunately, data on how many cured patients actually receive such surveillance are lacking. Most studies stop reporting on the care cascade at the moment SVR is reached. A recent review showed that less than 30% of cirrhotic patients are included in surveillance programmes, independent from aetiology.[18] More studies on the surveillance adherence among cured HCV patients with an indication for surveillance are needed.