Quality of Life in Patients With HCV Related Liver Cirrhosis Before and After Direct Acting Antiviral Drugs

Study Overview
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Brief Summary
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To evaluate the effects of DAAs on HRQL in patients with liver cirrhosis secondary to chronic HCV infection

Detailed Description
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Hepatitis C has been associated with substantial resource utilization as a result of its effect on the liver as well as other organ systems (the extrahepatic manifestations of HCV). It has been widely reported to have a profound negative impact on patient's health-related quality of life (HRQL). The reduction of HRQL is probably also due to physical and psychiatric symptoms as a direct consequence of this chronic infection and its sequelae (such as cirrhosis). The chronic inflammation is believed to signal the brain and to give rise to neurovegetative symptoms (e.g. malaise and fatigue) and to amongst others depression and concentration difficulties. Possibly, also the brain itself is infected by HCV . The Egyptian government introduced Sofosbuvir as the first DAAs into Egypt through the government funded National Treatment Program. These agents are highly efficacious with significantly fewer side effects . To date, there is only one study reported about how Egyptian HCV patients receiving the new DAAs perceive their HRQL. This study is first one to be done in Upper Egypt to assess health-related quality of life of HCV patients receiving direct acting antivirals (DAAs) therapy prior and at the end of therapy

Official Title
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Quality of Life in Patients With HCV Related Liver Cirrhosis Before and After Direct Acting Antiviral Drugs

Conditions
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HCV Related Liver Cirrhosis Direct Acting Antiviral Drugs

Intervention / Treatment
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* Behavioral: short form 36


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with hepatitis C related liver cirrhosis (diagnosed clinically laboratory and by imaging). Age 18 years or older Eligible for starting DAAs therapy according to Egyptian National Guidelines will be enrolled. Follow up of those patients during and after DAAs therapy (clinically ,laboratory,imaging and with a questionnaire ) to determine HRQL. Exclusion Criteria: Any patient with liver cirrhosis secondary to causes other than chronic HCV infection e. g. auto immune liver disease, PBC Coinfection with other viruses as HBV, HIV. Had significant psychiatric illnesses (diagnosed by psychiatrist)

Ages Eligible for Study
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Minimum Age: 11 Months
Maximum Age: 12 Months

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: short form 36|The Short Form (SF)-36 Health Survey was used to measure HRQL. The SF-36 generates a profile of HRQL outcomes by measuring health across eight different dimensions: physical functioning, role limitation because of physical health, social functioning, vitality, bodily pain, mental health, role limitation because of emotional problems and general health. Responses to each question within a dimension are combined to generate a score from 0to100; where100 indicates good health|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life in patients with HCV related liver cirrhosis before and after Direct Acting Antiviral Drugs | evaluate the effects of DAAs on HRQL in patients with liver cirrhosis secondary to chronic HCV infection | one year |