Reduction of the Risk of Hepatocellular Carcinoma over Time Using Direct-Acting Antivirals: A Propensity Score Analysis of a Real-Life Cohort (PITER HCV).
Humans
Carcinoma, Hepatocellular
/ epidemiology
Male
Antiviral Agents
/ therapeutic use
Female
Liver Neoplasms
/ epidemiology
Middle Aged
Propensity Score
Aged
Incidence
Sustained Virologic Response
Hepacivirus
/ drug effects
Hepatitis C, Chronic
/ drug therapy
Liver Cirrhosis
/ virology
Prospective Studies
Italy
/ epidemiology
Risk Factors
Cohort Studies
Adult
direct-acting antiviral
hepatitis C virus
hepatocellular carcinoma
real-life cohort
sustained virological response
Journal
Viruses
ISSN: 1999-4915
Titre abrégé: Viruses
Pays: Switzerland
ID NLM: 101509722
Informations de publication
Date de publication:
26 Apr 2024
26 Apr 2024
Historique:
received:
28
03
2024
revised:
23
04
2024
accepted:
24
04
2024
medline:
25
5
2024
pubmed:
25
5
2024
entrez:
25
5
2024
Statut:
epublish
Résumé
The treatment of hepatitis C virus (HCV) with direct-acting antivirals (DAA) leads to high sustained virological response (SVR) rates, but hepatocellular carcinoma (HCC) risk persists in people with advanced liver disease even after SVR. We weighted the HCC risk in people with cirrhosis achieving HCV eradication through DAA treatment and compared it with untreated participants in the multicenter prospective Italian Platform for the Study of Viral Hepatitis Therapies (PITER) cohort. Propensity matching with inverse probability weighting was used to compare DAA-treated and untreated HCV-infected participants with liver cirrhosis. Kaplan-Meier analysis and competing risk regression analysis were performed. Within the first 36 months, 30 de novo HCC cases occurred in the untreated group (
Identifiants
pubmed: 38793565
pii: v16050682
doi: 10.3390/v16050682
pii:
doi:
Substances chimiques
Antiviral Agents
0
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM