[The chronic inflammation of the liver caused by the hepatitis C virus diagnosis and treatment procedures of financing]

2013 Hungarian Gazette 71 (50720, 50721, 50726, 50738)

The chronic inflammation of the liver caused by the hepatitis C virus diagnosis and treatment procedures of financing
Throughout the document, FibroScan (transient elastography) is proposed as a validated non-invasive testing method to determine the stage of liver fibrosis on patients with chronic hepatitis C. A liver biopsy can be replaced by a FibroScan examination. [...]
- The chronic inflammation of the liver caused by the hepatitis C virus diagnosis and treatment procedures of financing [...]
- The diagnosis Pillars [...]
  detection of liver disease transaminase (GPT / ALT) and / or liver biopsy and / or transient elastography (FibroScan test) and / or the latter two procedures other validated non-invasive testing methods (eg. FibroTest, ELF makes a contraindication / impossibility / inaccessibility of the event) basis.
Contraindications absence of detectable HCV-RNA and biochemical, histological and non-invasive method justified activity and / or fibrosis treatment is recommended. [...]
- Medication can be justified if [...]
  elevated ALT or viral infection characterized by inflammation and necrosis in liver biopsies show and / or transient elastography (FibroScan) shows fibrosis.
The genotypes 2 and 3 of therapy up to 80-87% of a sustained virological response, which means the virus eradication.
For genotype 1 is the result of the latest triple combination therapies reach 66-80%, respectively. Domestic chronic hepatitis C virus-infected patients with more than 95% belong to the genotype 1. [...]
- The benefit is conditional on the [...]
- The details of the algorithm [...]
  Liver biopsy, transient elastography, other validated non-invasive testing method
Liver biopsy may be done if the doctor deems it necessary to decide on the definition of liver fibrosis stage, necroinflammatory activity and prognostic purposes or for treatment. A liver biopsy can replace FibroScan test. HCV G2, G3 and G4 genotypes were omitted in the case of the FibroScan and liver biopsy examination.
The former methods contraindication / inaccessible / impossibility for other validated non-invasive testing methods (eg. FibroTest, ELF test) may be performed. [...]
- Corner control points which form the basis of the financial control [...]
- Having been made in the liver biopsy, transient elastography or other validated non-invasive method to determine the fibrosis stage in case of normal GPT?