Evidence map›Paper›PMID 29335905›Full record

ArticleInfection2018

Influence of antiviral therapy on the liver stiffness in chronic HBV hepatitis.

Luca Rinaldi, Antonio Ascione, Vincenzo Messina, Valerio Rosato, Giovanna Valente, Vincenzo Sangiovanni, Rosa Zampino, Aldo Marrone, Luca Fontanella, Nicolina de Rosa and 5 more

Abstract read
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Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
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

15 authors at 3 institutions in 1 country.

Luca RinaldiDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy. luca.rinaldi@unicampania.it.
Antonio AscioneDepartment of Internal Medicine, Centre for Liver Diseases, Ospedale Buon Consiglio Fatebenefratelli, Naples, Italy.
Vincenzo MessinaInfectious Diseases C.O. Unit, AORN S. Anna and S. Sebastiano, Caserta, Italy.
Valerio RosatoDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy.
Giovanna ValenteDepartment of Medical Sciences, AORN S.Anna e S. Sebastiano, Caserta, Italy.
Vincenzo SangiovanniDepartment of Infectious Emergencies and Infectious Diseases, Azienda Ospedaliera Dei Colli, Naples, Italy.
Rosa ZampinoDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy.
Aldo MarroneDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy.
Luca FontanellaDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy.
Nicolina de RosaDepartment of Diagnostic Service, Azienda Ospedaliera dei Colli, Naples, Italy.
Pasquale OrabonaDepartment of Service, AORN S. Anna and S. Sebastiano, Caserta, Italy.
Carmela BuonomoDepartment of Service, AORN S. Anna and S. Sebastiano, Caserta, Italy.
Antonio ChirianniDepartment of Infectious Emergencies and Infectious Diseases, Azienda Ospedaliera Dei Colli, Naples, Italy.
Luigi Elio AdinolfiDepartment of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Miraglia, 80138, Naples, Italy.
Guido PiaiDepartment of Medical Sciences, AORN S.Anna e S. Sebastiano, Caserta, Italy.
University of Campania "Luigi Vanvitelli" · ITI.R.C.C.S. Oasi Maria SS · ITOspedale Buon Consiglio Fatebenefratelli · IT

Funding

Progetto SATTE- Campania Region DGR 1389/2009
6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the effects of antiviral therapy on liver stiffness measurement (LSM).

methodsTwo hundred HBV patients were enrolled from four hospital centers in southern Italy; median age was 50.7 (25-75) males were 68%; 171 patients underwent to liver biopsy and 200 patients had LSM at baseline and 189 at the end of follow-up. One hundred and forty-nine patients were treated with nucleos(t)ide analogs, while 51 patients were untreated. The cutoffs of the LSM, related to the fibrosis stages, were as follows: non-advanced fibrosis ≤ 8.1 kPa and advanced fibrosis ≥ 8.2 Kpa.

resultsAt baseline, the median value of LSM was 14.1 kPa for advanced fibrosis/cirrhosis and 6.9 kPa for non-advanced fibrosis. LSM was performed at 24 months from the start of therapy. The treated patients (68% received Entecavir and 32% Tenofovir) showed a decrease in liver stiffness measurement of 1.5 kPa (p < 0.001) in non-advanced fibrosis and of 6 kPa (p < 0.001) in advanced fibrosis/cirrhosis. In the patients not undergoing antiviral treatment, no statistically significant change of the LSM was observed (p = 0.26). A logistic binary regression model showed that the only independent factor associated with a significant change in the LSM was the liver stiffness value at baseline (odd ratio 2.855; 95% CI 1.456-5.788; (p = 0.007).

conclusionLong-term antiviral therapy induced a significant reduction of liver stiffness measurement and this result may be related to the reduction of liver fibrosis.

Indexed as

AdultAgedAntiviral AgentsElasticity Imaging TechniquesFemaleHepatitis B, ChronicHumansLiver CirrhosisMaleMiddle AgedProspective StudiesAntiviral AgentsAntiviral therapyChronic hepatitis BHepatic fibrosisLiver stiffnessTransient elastography

Identifiers

PMID29335905
OpenAlexW2783249303

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.