Pretreatment Assessment in Adults With Chronic HCV Infection: Cirrhosis Recs

Cirrhosis Evaluation
  • Clinicians should determine the severity of cirrhosis (A1) and refer patients with a history of decompensation or decompensated cirrhosis (CTP class B or C) to a liver disease specialist. (A3)
  • Clinicians should refer all patients with HCV-related cirrhosis for an upper endoscopy to screen for the presence of esophageal varices. (A3)
  • Clinicians should screen for HCC with ultrasound, CT, or MRI every 6 months in patients with HCV-related bridging fibrosis or cirrhosis. (A3)