Trends in hepatitis C-related mortality in Switzerland.
Details
Serval ID
serval:BIB_9830BFA81CE0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Trends in hepatitis C-related mortality in Switzerland.
Journal
Journal of viral hepatitis
Working group(s)
Swiss Hepatitis C Cohort Study and the Swiss National Cohort
ISSN
1365-2893 (Electronic)
ISSN-L
1352-0504
Publication state
Published
Issued date
02/2018
Peer-reviewed
Oui
Volume
25
Number
2
Pages
152-160
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
In order to accurately assess the burden of hepatitis C (HCV) and develop effective interventions, we must understand the magnitude and trends of mortality related to the disease. In the United States, HCV-related mortality is continuously increasing. We have no comparable data for Switzerland and other European countries, although a modelling study predicted a similar increase. We analysed time trends (1 January 1995-31 December 2014) in HCV-specific mortality rates in the Swiss general population using the death registry of the Swiss Federal Statistical Office (SFSO). We compared HCV-related mortality to HIV-related and hepatitis B (HBV)-related mortality. To determine potential under-reporting in HCV-related mortality, we probabilistically linked the SFSO data to persons who died in the Swiss Hepatitis C Cohort Study (SCCS). SFSO data showed that HCV-related mortality more than doubled between 1995 and 2003, but has since stabilized at ~2.5/100 000 person-years. Since 2000, HCV-related mortality has been higher than HIV-related mortality and was about fivefold higher in 2014. HBV-related mortality remained low at ~0.5/100 000 person-years. Of 4556 persons in the SCCS, 421 have died and 86.2% could be linked to the death registry. According to the SCCS, 133 deaths were HCV-related. HCV was not mentioned on the SFSO death certificate of 45% of these (n = 60/133). In conclusion, HCV-related mortality remained constant, possibly because quality of care was high, or because of under-reporting or because mortality has not yet increased. However, HCV-related mortality is now much higher than HIV- and HBV-related mortality, and under-reporting was common.
Keywords
Adult, Cohort Studies, Female, HIV Infections/mortality, Hepatitis C/mortality, Hepatitis C, Chronic/mortality, Humans, Male, Middle Aged, Registries, Switzerland/epidemiology, United States/epidemiology, HIV, cohort, hepatitis B, hepatitis C, mortality
Pubmed
Web of science
Create date
23/11/2017 19:58
Last modification date
20/08/2019 15:59