Evidence map›Paper›PMID 26563120›Full record

GuidelineHepatology international2016

Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update.

S K Sarin, M Kumar, G K Lau, Z Abbas, H L Y Chan, C J Chen, D S Chen, H L Chen, P J Chen, R N Chien and 23 more

11 registry-linked trialsAbstract readPractice Guideline
In one paragraph

Guideline in Hepatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 11 registered trials, which are not on this map. Cited by 1,286 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,286citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT03308890 phase4unknown statusnot on this mapstarted 2017, after this paper: background citation

The Effect of Entecavir Consolidation on Post-TDF Treatment Durability

TypeinterventionalSponsorTaipei Veterans General Hospital, TaiwanRan2017 to 2022Enrolled156ConditionsChronic Hepatitis BArms0.5mg Baraclude(entecavir)
NCT03471624 phase4completednot on this mapstarted 2018, after this paper: background citation

Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)

TypeinterventionalSponsorStanford UniversityRan2018 to 2022Enrolled270ConditionsHepatitis B, ChronicArmsTenofovir Alafenamide
NCT04182321 nacompletednot on this mapstarted 2020, after this paper: background citation

Metformin as Add-on to the Standard Therapy in Patients With Chronic Hepatitis B: A Randomized, Double-Blind, Placebo-Controlled Trial

TypeinterventionalSponsorFu-Sheng WangRan2020 to 2021Enrolled60ConditionsChronic Hepatitis BArmsMetformin & Entecavir, Placebo & Entecavir
NCT04683341 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

Safety and Efficacy of Tenofovir Alafenamide for Chronic Hepatitis B Patients With Decompensated Liver Disease

TypeinterventionalSponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2020 to 2025Enrolled100ConditionsHBVArmsTenofovir Alafenamide Tablets
NCT04724785 unknown statusnot on this mapstarted 2020, after this paper: background citation

Real World Study on the Effect of HBV-DNA High-precision Detection Based Anti-viral Regimen Adjustment on Achieving Complete Virologic Response in Patients With Chronic Hepatitis B.(REACH)

TypeobservationalSponsorThe Second Affiliated Hospital of Chongqing Medical UniversityRan2020 to 2022Enrolled10,000ConditionsSustained Virologic Response, Hepatitis B, ChronicArmsonly monitoring, monitoring and regimen change if necessary, regimen change
NCT04904900 unknown statusnot on this mapstarted 2021, after this paper: background citation

Prospective Evaluation of a Fast-track Treatment Pathway for Patients With Chronic Hepatitis B Under Primary Care

TypeobservationalSponsorChinese University of Hong KongRan2021 to 2025Enrolled3,300ConditionsChronic Hep B
NCT05317260 completednot on this map

Prognostic Relevance of Fatty Liver Disease for Patients With Chronic Hepatitis B

TypeobservationalSponsorMahidol UniversityRan2002 to 2021Enrolled408ConditionsFatty Liver, Chronic Hepatitis bArmsAntiviral Agents
NCT05423834 active not recruitingnot on this mapstarted 2022, after this paper: background citation

Chronic Kidney Disease Progression in Chronic Hepatitis B Patients on Tenofovir Alafenamide (TAF) Versus Entecavir

Typeobservational_patient_registrySponsorChinese University of Hong KongRan2022 to 2026Enrolled1,800ConditionsChronic Hepatitis BArmsTenofovir alafenamide, Entecavir
NCT05793268 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Safety and Efficacy of Finite Versus Continuous Nucleos(t)Ide Analogues Therapy in Patients With Chronic Hepatitis B: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorE-DA HospitalRan2022 to 2026Enrolled360ConditionsChronic Hepatitis bArmsNuc Discontinuation, Entecavir or Tenofovir
NCT06650124 phase2 / phase3not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Induction of Remission in Autoimmune Hepatitis With Azathioprine vs. MMF

TypeinterventionalSponsorInstitute of Liver and Biliary Sciences, IndiaRan2024 to 2025Enrolled108ConditionsAutoimmune HepatitisArmsMycophenolate Mofetil + Prednisolone Participants will receive mycophenolate mofetil in combination., Azathioprine + Prednisolone
NCT06990438 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Long-Term Use of Tenofovir (TDF) on Bone Density in Patients With Chronic Hepatitis B

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled172ConditionsTenofovir Disoproxil Fumarate, Bone Density, Chronic HBV InfectionArmsTDF (Tenofovir)
3 · Its place in the literature

Who cites it

1,286 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. [Interpretation of key updates of the 2026 version of the APASL clinical practice guidelines for the management of chronic hepatitis B].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Guideline
  3. Guideline
  4. Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
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1,226 more citing papers are in PubMed but not listed here.

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

33 authors.

S K SarinDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India. shivsarin@gmail.com.
M KumarDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
G K LauDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong SAR, China.
Z AbbasDepartment of Hepatogastroenterlogy, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
H L Y ChanInstitute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.
C J ChenGenomics Research Center, Academia Sinica, National Taiwan University, Taipei, Taiwan.
D S ChenDepartment of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
H L ChenGraduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
P J ChenDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
R N ChienLiver Research Unit, Chang Gung Memorial Hospital and University, Chilung, Taiwan.
A K DokmeciDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey.
Ed GaneNew Zealand Liver Transplant Unit, Auckland City Hospital, Auckland, New Zealand.
J L HouDepartment of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Guangzhou, China.
W JafriDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
J JiaBeijing Friendship Hospital, Capital Medical University, Beijing, China.
J H Kim, Seoul, Korea.
C L LaiDepartment of Medicine, University of Hong Kong, Hong Kong, China.
H C LeeInternal Medicine Asan Medical Center, Seoul, Korea.
S G LimDivision of Gastroenterology and Hepatology, National University Health System, Singapore, Singapore.
C J LiuGraduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
S LocarniniResearch and Molecular Development, Victorian Infectious Diseases Reference Laboratory, Melbourne, Australia.
M Al MahtabBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
R MohamedDepartment of Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
M OmataYamanashi Hospitals (Central and Kita) Organization, 1-1-1 Fujimi, Kofu-shi, Yamanashi, 400-8506, Japan.
J ParkDepartment of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
T PiratvisuthNKC Institute of Gastroenterology and Hepatology, Prince of Songkla University, Songkhla, Thailand.
B C SharmaDepartment of Gastroenterology, G.B. Pant Hospital, New Delhi, India.
J SollanoDepartment of Medicine, University of Santo Tomas, Manila, Philippines.
F S WangTreatment and Research Center for Infectious Diseases, Beijing 302 Hospital, Beijing, China.
L WeiPeking University Hepatology Institute, Beijing, China.
M F YuenDivision of Gastroenterology and Hepatology, Department of Medicine, University of Hong Kong, Pofulam, Hong Kong.
S S ZhengDepartment of Hepatobiliary and Pancreatic Surgery, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang Province, China.
J H KaoGraduate Institute of Clinical Medicine and Hepatitis Research Center, National Taiwan University College of Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Worldwide, some 240 million people have chronic hepatitis B virus (HBV), with the highest rates of infection in Africa and Asia. Our understanding of the natural history of HBV infection and the potential for therapy of the resultant disease is continuously improving. New data have become available since the previous APASL guidelines for management of HBV infection were published in 2012. The objective of this manuscript is to update the recommendations for the optimal management of chronic HBV infection. The 2015 guidelines were developed by a panel of Asian experts chosen by the APASL. The clinical practice guidelines are based on evidence from existing publications or, if evidence was unavailable, on the experts' personal experience and opinion after deliberations. Manuscripts and abstracts of important meetings published through January 2015 have been evaluated. This guideline covers the full spectrum of care of patients infected with hepatitis B, including new terminology, natural history, screening, vaccination, counseling, diagnosis, assessment of the stage of liver disease, the indications, timing, choice and duration of single or combination of antiviral drugs, screening for HCC, management in special situations like childhood, pregnancy, coinfections, renal impairment and pre- and post-liver transplant, and policy guidelines. However, areas of uncertainty still exist, and clinicians, patients, and public health authorities must therefore continue to make choices on the basis of the evolving evidence. The final clinical practice guidelines and recommendations are presented here, along with the relevant background information.

Indexed as

Acute DiseaseAfricaAntiviral AgentsAsiaDisease ManagementFemaleHepatitis BHepatitis B, ChronicHepatitis B virusHumansMaleAntiviral AgentsAcute hepatitisGuidelinesHBV

Identifiers

PMID26563120
PMCPMC4722087

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Registered trials

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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.