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HCV Cure Benefits Dialysis — ESENeph MCQ

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EasyHaemodialysisHCV Cure Benefits DialysisESENeph

A 70-year-old man on haemodialysis has hepatitis C (genotype 3). His gastroenterologist recommends treatment. How does HCV cure benefit him from a renal perspective even though he is already on dialysis?

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Correct answer: C — HCV cure improves transplant eligibility, reduces post-transplant HCV-related complications, and reduces liver disease progression

Curing HCV in dialysis patients provides multiple benefits: (1) removes a barrier to transplant listing and improves post-transplant outcomes; (2) allows receipt of HCV-positive donor organs (expands donor pool); (3) halts liver disease progression (reducing cirrhosis/HCC risk); (4) reduces extrahepatic manifestations (cryoglobulinaemia, GN); and (5) reduces transmission risk. NICE NG49 and KDIGO recommend treating HCV in all CKD patients including those on dialysis.

Reference: NICE NG49 2016 – HCV; KDIGO 2021 – GN Guideline