Do We Need A Roadmap or GPS?, Dr. Robert Gish - Hepatitis B ...

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It is no longer darkoutside and you havea simple map
Roadmap to manage or prevent resistance inTreatment-Naive PatientsAvailable treatmentoptionsLAM/ADV TDF ETV TelbivudineResponse andResistanceMonitoringMeasure HBV DNA with sensitive assays;monitor virologic changes every 3-6 months;monitor for breakthrough, and compliance etcOutcomeNo resistanceidentifiedwith viralnegativityResistanceidentified“Suboptimalresponse”:4-12w Lam6m: LdT1 year ADF3+years ETV/?TDFTherapeuticPlanContinue withplannedmedicationAdd secondmedicationadd secondmedication
Page 2 and 3: GPS, Road Map or Seeing EyeDog?
Page 5 and 6: Basics• For any person at risk fo
Page 7 and 8: All patients: consider• Documenti
Page 9 and 10: Should the roadmap include“health
Page 11 and 12: Should our roadmapinterpret HBV DNA
Page 13 and 14: One Idea for aRoadmap•DNA +Treat
Page 15 and 16: $$Financial GradientDNA >2,000 IULa
Page 17 and 18: Real World: Insurance and costrestr
Page 19 and 20: HBeAg seroconversion is considered
Page 21 and 22: Should the new Roadmapinclude pretr
Page 23 and 24: Changes in Size of Esophageal Varic
Page 25 and 26: How does the adefovirtreatment vehi
Page 27 and 28: ADV+LAM vs.. ADV for HBeAg- LAM-R P
Page 29 and 30: Results:Projected Ten-Year Risk: Us
Page 31 and 32: TenofovirHBeAg+ patients: % HBV DNA
Page 33 and 34: The Resistance Route if full of can
Page 35 and 36: Resistance is badResistance is comm
Page 37 and 38: Management of HBV ResistanceLamivud
Page 39 and 40: What does the roadmap say is the be
Page 41: Who is best patient for interferon?
Page 45 and 46: Ultra-Deep Pyrosequencing forHIVWan
Page 47 and 48: What is the best road map tomanage

Do We Need A Roadmap or GPS?, Dr. Robert Gish - Hepatitis B ...

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