{"id":2026,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/rcp-hepatite-c-un-parcours-de-grand-combattant-pour-langh\/"},"modified":"2018-10-20T18:40:19","modified_gmt":"2018-10-20T16:40:19","slug":"rcp-hepatite-c-un-parcours-de-grand-combattant-pour-langh","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/rcp-hepatite-c-un-parcours-de-grand-combattant-pour-langh\/","title":{"rendered":"RCP h\u00e9patite C : un parcours de grand combattant pour l\u2019ANGH ?"},"content":{"rendered":"<p><strong>2015<\/strong><\/p>\n<p><em>Andr\u00e9-Jean REMY pour l&rsquo;ANGH<\/em><\/p>\n<p><strong>Vie Professionnelle <\/strong>&#8211; \u00a02015-04-30 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>L\u2019ANGH c\u2019est plus de 300 services d\u2019h\u00e9pato-gastroent\u00e9rologie dont plus de 120 services sp\u00e9cialis\u00e9s en h\u00e9patologie. Les cohortes APROVVIE 1 et 2 ont inclus pr\u00e8s de 2000 malades. Les r\u00e9unions de concertation pluridisciplinaire dans l\u2019h\u00e9patite C nous ont \u00e9t\u00e9 impos\u00e9s par une instruction minist\u00e9rielle du 29 d\u00e9cembre 2014 pour toute nouvelle prescription d\u2019agents antiviraux directs (AAD), ent\u00e9rinant les termes d\u00e9j\u00e0 \u00e9nonc\u00e9s en novembre pour l\u2019AMM du SOVALDI*. Cela a entra\u00een\u00e9 un changement radical  \u00e0 l\u2019image de ce qu\u2019ont connu les oncologues pr\u00e9c\u00e9demment. Jusqu\u2019en 2013 aucune restriction n\u2019\u00e9tait impos\u00e9e y compris pour la prescription des inhibiteurs de prot\u00e9ase de 1\u00e8re g\u00e9n\u00e9ration aux effets ind\u00e9sirables potentiellement graves. En janvier 2014  nous avons d\u00e9couvert des AMM et des conditions de remboursement des AAD tr\u00e8s restreintes et bient\u00f4t contraintes, cela m\u00eame alors que les recommandations \u00e9voluaient tous les 2 ou 3 mois ! L\u2019ANGH ayant \u00e9t\u00e9 inform\u00e9e  de la mise en place prochaine de ces RCP, nous vous avons sollicit\u00e9 par questionnaire internet en d\u00e9cembre 2014 et vous avez \u00e9t\u00e9 114 \u00e0 r\u00e9pondre : 40 RCP (36%) existaient d\u00e9j\u00e0 soit plus que les 33 services experts ; avec une fr\u00e9quence 1 fois par mois dans la moiti\u00e9 des cas et 1 fois par semaine pour 18% des RCP. Les autres CHG r\u00e9f\u00e9rent leurs patients dans les CHU (37%), ce qui laissait 27% des centres ne faisant pas passer leurs dossiers patients en RCP avant de traiter avec les nouveaux agents antiviraux directs\u2026 La composition de ces RCP suivait les recommandations pr\u00e9conis\u00e9es par l\u2019AFEF : h\u00e9pato-gastroent\u00e9rologues hospitaliers 100%, h\u00e9pato-gastroent\u00e9rologues lib\u00e9raux 30%, pharmaciens hospitaliers 67%, virologue 56%, infirmier(e) d\u2019\u00e9ducation th\u00e9rapeutique 51%, secr\u00e9taire 33% et travailleur social 12%. 72% des CHG utilisaient la fiche type AFEF de pr\u00e9sentation et la dur\u00e9e moyenne \u00e9tait de 69 minutes  avec 11 patients pr\u00e9sent\u00e9s en moyenne .soit un minimum de 440 dossiers patients pr\u00e9sent\u00e9s par mois ! conclusions : 40 RCP existaient en CHG en 2014, mises en place sans moyens sp\u00e9cifiques d\u00e9di\u00e9s et assurant une prise en charge de proximit\u00e9 pour plus de 700 patients\/ mois. Sera expos\u00e9 en suite en d\u00e9tail l\u2019\u00e9volution des discussions avec la DGS en 2015 et la mise en place de web-conf\u00e9rences libell\u00e9es ANGH \u00e0 d\u00e9clinaison r\u00e9gionale, r\u00e9ponse pragmatique \u00e0 une volont\u00e9 administrative centralisatrice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2015 Andr\u00e9-Jean REMY pour l&rsquo;ANGH Vie Professionnelle &#8211; \u00a02015-04-30 &#8211;\u00a0CO &#8211; ________________________________ L\u2019ANGH c\u2019est plus de 300 services d\u2019h\u00e9pato-gastroent\u00e9rologie dont plus de 120 services sp\u00e9cialis\u00e9s en h\u00e9patologie. Les cohortes APROVVIE 1 et 2 ont inclus pr\u00e8s de 2000 malades. Les r\u00e9unions de concertation pluridisciplinaire dans l\u2019h\u00e9patite C nous ont \u00e9t\u00e9 impos\u00e9s par une instruction minist\u00e9rielle [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[26],"class_list":["post-2026","post","type-post","status-publish","format-standard","hentry","category-professionnel","tag-26"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>RCP h\u00e9patite C : un parcours de grand combattant pour l\u2019ANGH ? - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/rcp-hepatite-c-un-parcours-de-grand-combattant-pour-langh\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RCP h\u00e9patite C : un parcours de grand combattant pour l\u2019ANGH ? 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