Patients With Compensated Hepatitis B Virus-Related Cirrhosis and Low-Level Viremia: Treat or Not to Treat?


Journal

The American journal of gastroenterology
ISSN: 1572-0241
Titre abrégé: Am J Gastroenterol
Pays: United States
ID NLM: 0421030

Informations de publication

Date de publication:
01 06 2023
Historique:
received: 23 01 2023
accepted: 31 01 2023
pmc-release: 01 06 2024
medline: 2 6 2023
pubmed: 21 3 2023
entrez: 20 3 2023
Statut: ppublish

Résumé

Patients with hepatitis B virus-related cirrhosis and low-level viremia represent a special group that might benefit from treatment because of their higher risk of complications. Evidence for the benefit of treatment in this population is lacking. The current study, which analyzed data of a historical cohort of 627 patients from a single Korean center with hepatitis B virus-related compensated cirrhosis, reported a 2.4-fold increased hepatocellular carcinoma risk among patients with low-level viremia compared with those with undetectable viremia provides indirect evidence in support of treatment for this population. The study underscores the importance of treating patients before the development of cirrhosis and the need for finite duration curative therapy.

Identifiants

pubmed: 36940387
doi: 10.14309/ajg.0000000000002224
pii: 00000434-202306000-00016
pmc: PMC10238665
mid: NIHMS1875575
doi:

Substances chimiques

Antiviral Agents 0

Types de publication

Editorial Research Support, N.I.H., Intramural Comment

Langues

eng

Sous-ensembles de citation

IM

Pagination

970-971

Subventions

Organisme : Intramural NIH HHS
ID : Z01 DK054517
Pays : United States

Commentaires et corrections

Type : CommentOn

Informations de copyright

Copyright © 2023 by The American College of Gastroenterology.

Références

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Auteurs

Marc G Ghany (MG)

Liver Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA.

Vivek A Saraswat (VA)

Department of Hepatology and Liver Transplantation, Mahatma Gandhi Medical College, Sitapura, Jaipur, India .

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