mdlinx mdlinx
Latest (546) Full Text Articles (11656) Article Summary

The Prognosis of Hepatitis B-related Liver Cirrhosis in the Era of Oral Nucleos(t)ide analogue Antiviral Agents
Journal of Gastroenterology and Hepatology,  Clinical Article

Kim CH et al. – Oral antiviral agents have improved the prognosis of patients with hepatitis B virus (HBV)–related cirrhosis and affected the prognostic values of factors constituting the Child–Pugh system, necessitating a more efficient prognostic system.

Methods
  • Between January 1999 and February 2009, a total of 240 consecutive patients who had HBV-related cirrhosis without malignancy were treated with lamivudine and second line nucleos(t)ide analogues.
  • The group of historical controls consisted of 481 consecutive patients with HBV-related cirrhosis who were managed without any antiviral treatment prior to 1999.

Results
  • In 78% of the patients who received antiviral treatment, sustained viral suppression (serum HBV DNA <105 copies/mL) was achieved during a mean follow-up period of 46 months.
  • The occurrences of death, hepatic decompensation, and hepatocellular carcinoma (HCC) were less frequent in the treated cohort than in untreated historical controls, with the 5-year cumulative incidences being 19.4% vs. 43.9% (log-rank p<0.001), 15.4% vs. 45.4% (p=0.001), and 13.8% vs. 23.4% (p=0.074), respectively.
  • For patients who received antiviral treatment, suboptimal viral suppression (HBV DNA >105 copies/mL at last follow-up) was an important independent risk factor of death (p<0.001) and hepatic decompensation (p=0.019), and was linked to an increased risk of HCC (p=0.042).
  • Although the Child-Pugh grade remained a useful prognostic factor, no significant differences were found between patients with Child-Pugh grade B and C cirrhosis at the beginning of antiviral treatment (p=0.656).

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Physician Assistant

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Physician Assistant Articles

Last month's top read Top Articles of 2013

1 Empirical validation of the information–motivation–behavioral skills model of diabetes medication adherence: a framework for intervention Diabetes Care, March 26, 2014    Clinical Article

2 Evidence-informed frameworks for cost-effective cancer care and prevention in low, middle, and high-income countries The Lancet Oncology, March 10, 2014    Clinical Article

3 Beta blockers in hypertension: studies and meta-analyses over the years Canadian Journal of Cardiology, March 21, 2014    Evidence Based Medicine    Review Article    Clinical Article

4 Vitamin D and cardiovascular disease Circulation Research, February 3, 2014    Review Article    Clinical Article

5 Genetic markers of toxicity from capecitabine and other fluorouracil-based regimens: Investigation in the QUASAR2 study, systematic review, and meta-analysis Journal of Clinical Oncology, March 19, 2014    Evidence Based Medicine

6 Tea consumption and prostate cancer: An updated meta-analysis Full Text World Journal of Surgical Oncology, February 24, 2014    Free full text    Evidence Based Medicine    Review Article

7 Statin treatment, new-onset diabetes, and other adverse effects: a systematic review Current Cardiology Reports, February 12, 2014    Evidence Based Medicine    Review Article    Clinical Article

8 The antithrombotic effects of statins Annual Review of Medicine, March 20, 2014    Review Article    Clinical Article

9 Effect of citalopram on agitation in Alzheimer disease: The CitAD randomized clinical trial JAMA, February 19, 2014    Evidence Based Medicine    Clinical Article

10 Current evidence on physical therapy in patients with adhesive capsulitis: What are we missing? Clinical Rheumatology, January 10, 2014    Review Article

11 Tea consumption and the risk of five major cancers: A dose-response meta-analysis of prospective studies Full Text BMC Cancer, March 18, 2014    Free full text    Evidence Based Medicine    Review Article

12 U.S. physicians perspective of adult vaccine delivery Annals of Internal Medicine, February 4, 2014    Evidence Based Medicine    Clinical Article

13 Comparison of pregabalin with pramipexole for restless legs syndrome New England Journal of Medicine, February 14, 2014    Evidence Based Medicine    Clinical Article

14 Portion sizes for children are predicted by parental characteristics and the amounts parents serve themselves American Journal of Clinical Nutrition, February 13, 2014    Clinical Article

15 Is ginger effective for the treatment of irritable bowel syndrome? A double blind randomized controlled pilot trial Complementary Therapies in Medicine, March 4, 2014    Clinical Article

16 Prevalence of childhood and adult obesity in the United States, 2011-2012 JAMA, February 26, 2014    Evidence Based Medicine    Clinical Article

17 An inactivated enterovirus 71 vaccine in healthy children New England Journal of Medicine, February 28, 2014    Evidence Based Medicine    Clinical Article

18 Coffee consumption and prostate cancer risk: An updated meta-analysis Cancer Causes and Control, March 3, 2014    Evidence Based Medicine    Clinical Article

19 Clevidipine in acute heart failure: results of the a study of blood pressure control in acute heart failure—a pilot study (PRONTO) American Heart Journal, March 27, 2014    Clinical Article

20 Diet-induced weight loss: the effect of dietary protein on bone Journal of the Academy of Nutrition and Dietetics, January 6, 2014    Clinical Article

Indexed Journals in Physician Assistant: Advance for Physicians Assistants, American Family Physicianmore

Other Topics in Physician Assistant

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Stay current - Media Tool

Newsletter
RSS
Follow
Like

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close