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3-93.6] and 93.7% (95% CI 90.5-95.6), respectively. Only alcohol abuse [odds ratio (OR) 0.33; 95% CI 0.138-0.789, P = 0.013] and a higher basal bilirubin level (OR 0.595; 95% CI 0.416-0.851, P = 0.004) were independently associated to therapeutic failure. A progressive decrease in the proportion of sub-optimal treatments was observed over time, from 75% in 2014 to 0% in 2018. Being treated with a sub-optimal regimen was not associated with failure. Despite numerous difficulties in treatment access and in adaptation to the changing guideli