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 is a problem in each step in the HCV care cascade, even in the current era where highly effective treatments are available and where it has been possible to simplify the cascade of care. HCV can be micro-eliminated in the LTFU population through retrieval. We present an example of nationwide retrieval in the Netherlands, which shows retrieval is feasible and can contribute to HCV elimination. We propose that micro-elimination through retrieval becomes standard of care on the road to viral hepatitis elimination. Furthermore, efforts to retain patients in care should be implemented in daily clinical practice.