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Causal Mediation Analyses for the Natural Course of Hepatitis C: A Prospective Cohort Study
Authors
Yi-Ting Huang, Yao-Chun Hsu, Hwai-I Yang, Mei-Hsuan Lee, Tai-Hsuan Lai, Chien-Jen Chen, Yen-Tsung Huang
J-Stage
Highlights
- We employ disease-mediating mortality separating disease-specific mortality into disease (the mediator) and mortality (the outcome) to characterize the natural course of hepatitis C virus (HCV).
- We identified three liver diseases (eg, liver cirrhosis, liver cancer) and nine non-liver diseases (eg, septicemia, renal diseases, endocrine diseases, hypertension) that mediate HCV-induced mortality and provide the proportion of mediation to reflect their relative contributions.
- For developing countries with limited access to direct-acting antiviral agents, our study may guide health policies in screening for particular diseases (except liver diseases) to reduce the preventable deaths of the HCV-infected population.
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