Evidence map›Paper›PMID 27822295›Full record

ArticleInfectious agents and cancer2016

Infection with hepatitis viruses, FIB-4 index and risk of hepatocellular carcinoma in southern Italy: a population-based cohort study.

Mario Fusco, Pierluca Piselli, Saverio Virdone, Pietro Di Cicco, Paola Scognamiglio, Paolo De Paoli, Valerio Ciullo, Diana Verdirosi, Michele D'Orazio, Luigino Dal Maso and 3 more

Open access · goldAbstract read
In one paragraph

Article in Infectious agents and cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 15 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

13 authors at 5 institutions in 3 countries.

Mario Fusco *Registro Tumori, ASL Napoli-3 Sud, Brusciano, Napoli Italy.
Pierluca Piselli *Clinical Epidemiology Unit, National Institute for Infectious Diseases "L. Spallanzani", Rome, Italy.
Saverio VirdoneUnit of Cancer Epidemiology, CRO Aviano National Cancer Institute, Via F. Gallini 2, 33081 Aviano, (PN) Italy.
Pietro Di CiccoAzienda Sanitaria Locale (ASL) Napoli 3, Brusciano, Napoli Italy.
Paola ScognamiglioClinical Epidemiology Unit, National Institute for Infectious Diseases "L. Spallanzani", Rome, Italy.
Paolo De PaoliScientific Directorate, CRO Aviano National Cancer Institute, Via F. Gallini 2, 33081 Aviano, (PN) Italy.
Valerio CiulloRegistro Tumori, ASL Napoli-3 Sud, Brusciano, Napoli Italy.
Diana VerdirosiUnit of Cancer Epidemiology, CRO Aviano National Cancer Institute, Via F. Gallini 2, 33081 Aviano, (PN) Italy.
Michele D'OrazioAzienda Sanitaria Locale (ASL) Napoli 3, Brusciano, Napoli Italy.
Luigino Dal MasoUnit of Cancer Epidemiology, CRO Aviano National Cancer Institute, Via F. Gallini 2, 33081 Aviano, (PN) Italy.
Enrico GirardiClinical Epidemiology Unit, National Institute for Infectious Diseases "L. Spallanzani", Rome, Italy.
Silvia FranceschiInternational Agency for Research on Cancer, Lyon, France.
Diego SerrainoUnit of Cancer Epidemiology, CRO Aviano National Cancer Institute, Via F. Gallini 2, 33081 Aviano, (PN) Italy.ORCID 0000-0003-0565-8920
National Cancer Institute · UAIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITASL Roma · ITRegione Campania · ITCentre international de recherche sur le cancer · FR

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe incidence of hepatocellular carcinoma (HCC) and its association with hepatitis C (HCV) and hepatitis B virus (HBV) infections, FIB-4 index and liver enzymes was assessed in an area of the province of Naples covered by a population-based cancer registry.

methodsWe conducted a cohort investigation on 4492 individuals previously enrolled in a population-based seroprevalent survey on HCV and HBV infections. The diagnosis of HCC was assessed through a record linkage with the cancer registry. Hepatic metabolic activity was measured through serum alanine transaminase, aspartate aminotransferase, gamma-glutamyl-transferase, and platelet. The FIB-4 index was used as a marker of fibrosis. We computed HCC incidence rates (IR) for 100,000 (10

resultsTwenty two cases of HCC were diagnosed during follow-up (IR = 63.3 cases/10

conclusionsAn elevated FIB-4 index turned out to be an important predictor of HCC occurrence. Although the standard method to assess hepatic fibrosis in chronic hepatitis remains the histologic staging of liver biopsy specimen, the assessment of FIB-4 in HCV RNA-positive individuals may help in identifying the highest HCC-risk individuals who need anti-HCV treatment most urgently.

Indexed as

EpidemiologyLiver diseasesLiver fibrosis indexRelative riskSouthern ItalyViral hepatitis

Identifiers

PMID27822295
PMCPMC5093978
OpenAlexW2547978403

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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.