{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:03:33Z","timestamp":1765487013401,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004330","name":"GlaxoSmithKline","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004330","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Prevalence and severity of pruritus\u00a0among US patients with chronic hepatitis B and C (HBV, HCV) are not well\u2010documented. Chronic Hepatitis Cohort Study (CHeCS) patients were surveyed to examine pruritus prevalence and impact on quality of life (QoL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who reported experiencing pruritus \u22653 on a Numeric Rating Scale (NRS) within the past 30\u2009days were invited to participate in a 6\u2010month study using the SF\u201036 questionnaire. General regression (univariate followed by multivariable modelling) was used to analyse pruritus intensity and eight QoL dimensions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 1654 patients (HBV\u2009=\u2009358, HCV\u2009=\u20091296, HBV\/HCV\u2009=\u20096), pruritus prevalence was significantly higher among patients with HCV than those with HBV (44% vs. 35%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). One hundred and twenty\u2010three patients (21 HBV and 102 HCV) participated in the QoL study (72% \u226560\u2009years; 50% men; 25% Black; 37% with cirrhosis; 66% had BMI &gt;\u200925). Mean NRS was 4.9\u20135.3. QoL responses for social functioning and emotional well\u2010being were higher (70\u201372 points) than responses for energy\/fatigue (50\u201351). Antiviral treatment rates were higher in HCV (92%, SVR 99%) than HBV (71% ever, 43% ongoing). Multivariable analyses showed no significant effect of hepatitis type or antiviral treatments on itch. Antihistamines were associated with severe itch. Higher NRS was associated with significantly reduced QoL. Each unit increase in NRS was associated with a 2\u20133 unit decline in emotional well\u2010being, general health, physical function, energy\/fatigue, social functioning and emotional health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pruritus negatively affects many viral hepatitis patients, regardless of antiviral treatment status. Improved treatment options are needed to address its impact on QoL.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.15803","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T20:02:07Z","timestamp":1702411327000},"page":"577-588","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Persistent pruritus associated with worse quality of life in patients with chronic hepatitis"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3313-6428","authenticated-orcid":false,"given":"Mei","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loralee B.","family":"Rupp","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Health Services Research Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Melkonian","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheri","family":"Trudeau","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Henry Ford Health  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yihe G.","family":"Daida","sequence":"additional","affiliation":[{"name":"Center for Integrated Health Care Research, Kaiser Permanente Hawaii  Honolulu Hawaii USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente Northwest  Portland Oregon 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