TOPIC:

If you have a look here:

fixhepc.com/decision-support

You will find the first iteration of an HCV prescribing decision support tool. Please feel free to take it for a spin and make comments.

The repository for it is here: github.com/gp2u/hcv

From the README

The purpose of this tool is to provide a simple user interface to navigate the upcoming Australian HCV treatment Guidelines which are by necessity limited to dealing with the PBS listed medications Sofosbuvir, Ledipasvir, Daclatasvir, Ribavirin, Viekira Pak, and Simeprevir with Interferon.

The intention is to also support the AASLD and EASL guidelines which have a wider scope.

You can find a demonstration at gp2u.com.au/hcv

Public contributions are welcome.

1. SVR Statistics and comments in the code referencing them
2. Addition of medications like Abbvie Viekira Pak
3. The AASLD and EASL guidelines code
4. Support for past treatment status

For simplicity everything is contained in a single standalone HTML file.

For more details..... RTFS

No programmer but Past Treatment field probably needs to allow more than one choice? Eg Sofosbuvir 12wk and Ribavirin or Eg Sofosbuvir 24wk and NS3 NS4 NS5A

I don't think the aim is to provide all permutations in the tool GAJ (ie some permutations may have same outcome) - so much as we be sure that the critical DAA components in each permutation which would produce or require a reframing / diversion in the decision trees are accounted for - Unless in the end, to achieve this, it does require all permutations hope Im making sense archer.

I agree that more options for previous treatment might be useful.
Some components of previous treatments may affect the recommendation due to resistance.
I was unsuccessfully treated with un-pegylated interferon alone in 1997.

I agree that some variations may (probably will?) give the same outcome.
But using me as an example which past treatment fail should be selected? Interferon/riba or NS3/4/5? I had both in trial but wonder whether the outcome from both choices could be the same? Admittedly mine would be a small subset. And in Tim's case possibly Inferferon/Riba may be considered close enough?

........but what about the case of someone who failed Harvoni (branded or generic), should the selection be for failing Sofosbuvir Xwks or failing NS3/4/5? How would that decision be arrived at? And would the outcome be the same for either?

<edit> Ouch Tim, that would be 3 jabs per week!