Evidence map›Paper›PMID 22231575›Full record

Trial reportJournal of gastroenterology2012

Long-term effect of lamivudine treatment on the incidence of hepatocellular carcinoma in patients with hepatitis B virus infection.

Mika Kurokawa, Naoki Hiramatsu, Tsugiko Oze, Takayuki Yakushijin, Masanori Miyazaki, Atsushi Hosui, Takuya Miyagi, Yuichi Yoshida, Hisashi Ishida, Tomohide Tatsumi and 19 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 59 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 14 institutions in 2 countries.

Mika KurokawaDepartment of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Naoki Hiramatsu
Tsugiko Oze
Takayuki Yakushijin
Masanori Miyazaki
Atsushi Hosui
Takuya Miyagi
Yuichi Yoshida
Hisashi Ishida
Tomohide Tatsumi
Shinichi Kiso
Tatsuya Kanto
Akinori Kasahara
Sadaharu Iio
Yoshinori Doi
Akira Yamada
Masahide Oshita
Akira Kaneko
Kiyoshi Mochizuki
Hideki Hagiwara
Eiji Mita
Toshifumi Ito
Yoshiaki Inui
Kazuhiro Katayama
Harumasa Yoshihara
Yasuharu Imai
Eijirou Hayashi
Norio Hayashi
Tetsuo Takehara
Osaka University · JPKansai Rosai Hospital · JPHigashi Osaka City General Hospital · JPHyogo Prefectural Nishinomiya Hospital · JPIkeda Municipal Hospital · JPKinki Central Hospital · JPNagasaki Rousai Hospital · JPNTT WEST Osaka Hospital · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPOsaka National Hospital · JPOsaka Police Hospital · JPOtemae Hospital · JPPushkin Museum · RUSumitomo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNucleotide analogues have recently been approved for the treatment of patients with hepatitis B virus (HBV) infection. However, it is still controversial whether the decrease of HBV-DNA amount induced by treatment with nucleotide analogues can reduce the risk of hepatocellular carcinoma (HCC) development in HBV patients.

methodsA total of 293 HBV patients without HCC who were treated with lamivudine (LAM) were enrolled in a multicenter trial. The incidence of HCC was examined after the start of LAM therapy, and the risk factors for liver carcinogenesis were analyzed. The mean follow-up period was 67.6 ± 27.4 months.

resultsOn multivariate analysis for HCC development in all patients, age ≥50 years, platelet count <14.0 × 10(4)/mm(3), cirrhosis, and median HBV-DNA levels of ≥4.0 log copies/ml during LAM treatment were significant risk factors. The cumulative carcinogenesis rate at 5 years was 3% in patients with chronic hepatitis and 30% in those with cirrhosis. For the chronic hepatitis patients, the log-rank test showed the significant risk factors related to HCC development to be age ≥50 years, platelet count <14.0 × 10(4)/mm(3), and hepatitis B e antigen negativity, but median HBV-DNA levels of <4.0 log copies/ml (maintained viral response, MVR) did not significantly suppress the development of HCC. In cirrhosis patients, however, the attainment of MVR during LAM treatment was revealed to reduce the risk of HCC development.

conclusionsThese results suggest that the incidence of HCC in HBV patients with cirrhosis can be reduced in those with an MVR induced by consecutive LAM treatment.

Indexed as

AdultAntiviral AgentsCarcinoma, HepatocellularDNA, ViralFemaleHepatitis B, ChronicHepatitis B virusHumansIncidenceJapanLamivudineLiver NeoplasmsMaleMiddle AgedRisk FactorsTreatment OutcomeAntiviral AgentsDNA, ViralLamivudine

Identifiers

PMID22231575
OpenAlexW2093278852

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.