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Interferon alfa plus ribavirin has a significant beneficial
effect on the virological and histological response in patients with
chronic hepatitis C, irrespective of previous treatment. Kjaergaard and
colleagues (p 1151) conducted a systematic review of randomised trials
comparing interferon alfa plus ribavirin combination therapy with
interferon alfa. Compared with interferon, combination therapy reduced
by 26% the risk of not having a sustained virological response for six
months in naive patients, 33% in patients with relapse, and 11% in
non-responders. However, none of the trials was designed to show
whether treatment has an effect on morbidity or mortality.