1. Anti-viral therapy is associated with improved survival but is underutilised in patients with hepatitis B virus-related hepatocellular carcinoma: real-world east and west experience
- Author
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Dae Won Jun, Mindie H. Nguyen, Mei Hsuan Lee, Nathan G. Kim, Chia-Yen Dai, Lewis R. Roberts, Hansen Dang, Young-Min Lim, Ming-Lung Yu, Wan-Lung Chuang, Hamdi A. Ali, Ming-Lun Yeh, Vincent L. Chen, Pei-Chien Tsai, Jee-Fu Huang, Chung Feng Huang, Waqar Khalid Saeed, Ju Dong Yang, Ning Zhang, Pauline Nguyen, Hyo Young Lee, M. Jun, Nasra H. Giama, and An Le
- Subjects
Liver Cirrhosis ,Male ,Hepatitis B virus ,medicine.medical_specialty ,Asia ,Carcinoma, Hepatocellular ,Cirrhosis ,Inappropriate Prescribing ,Health Services Misuse ,medicine.disease_cause ,Antiviral Agents ,Gastroenterology ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Drug Misuse ,Internal medicine ,medicine ,Carcinoma ,Humans ,Pharmacology (medical) ,Practice Patterns, Physicians' ,Survival analysis ,Aged ,Neoplasm Staging ,Hepatology ,Proportional hazards model ,business.industry ,Liver Neoplasms ,Hazard ratio ,Cancer ,Middle Aged ,Hepatitis B ,medicine.disease ,Survival Analysis ,United States ,digestive system diseases ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Female ,030211 gastroenterology & hepatology ,business - Abstract
BACKGROUND Hepatitis B virus (HBV) is the leading cause of hepatocellular carcinoma (HCC) worldwide. It remains incompletely understood in the real world how anti-viral therapy affects survival after HCC diagnosis. METHODS This was an international multicentre cohort study of 2518 HBV-related HCC cases diagnosed between 2000 and 2015. Cox proportional hazards models were utilised to estimate hazard ratios (HR) with 95% (CI) for anti-viral therapy and cirrhosis on patients' risk of death. RESULTS Approximately, 48% of patients received anti-viral therapy at any time, but only 17% were on therapy at HCC diagnosis (38% at US centres, 11% at Asian centres). Anti-viral therapy would have been indicated for >60% of the patients not on anti-viral therapy based on American criteria. Patients with cirrhosis had lower 5-year survival (34% vs 46%; P
- Published
- 2018
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