Evidence map›Paper›PMID 29644524›Full record

ArticleInternational urology and nephrology2018

Discontinuation of antiviral prophylaxis increased the risk of hepatitis B virus reactivation in glomerulonephritis patients under immunotherapy: a real-life observation.

Jing Fang, Wenge Li, Min Tan, Wen Chen, Cong Zhang, Wenbo Wang, Qianqian Xu, Xinzhen Guo

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Article in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Jing FangDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China. jingfang2018@163.com.
Wenge LiDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Min TanDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Wen ChenDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Cong ZhangDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Wenbo WangDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Qianqian XuDepartment of Nephrology, China-Japan Friendship Hospital, No.2 East Yinghua Street, Chaoyang District, Beijing, 100029, China.
Xinzhen GuoDepartment of Hepatology, China-Japan Friendship Hospital, Beijing, China.
China-Japan Friendship Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntiviral prophylaxis is proved to be effective in reducing the risk of hepatitis B virus (HBV) reactivation in hepatitis B surface antigen (HBsAg)-positive patients under immunotherapy. But outcomes referring to discontinuation of antiviral prophylaxis in these patients are lacking.

methodsWe performed a retrospective study of 105 HBsAg-positive patients under immunotherapy for glomerulonephritis and evaluated the incidence and risk factors for HBV reactivation.

resultsAmong 105 patients, 55.24% completed antiviral prophylaxis, while 20.00% discontinued and 24.76% rejected antiviral prophylaxis. HBV reactivation was significantly different among completion, discontinuation, and rejection of antiviral prophylaxis: 5.17% versus 38.10% versus 15.38% in the incidence of HBV reactivation (P = 0.001), 3.45% versus 23.81% versus 11.54% in HBV DNA ≥ 5 Log copies/ml (P = 0.023), and 0 versus 14.29% versus 3.85% in hepatitis B e antigen seroconversion from negative to positive (P = 0.014). Survival curve showed the median occurrence time of HBV reactivation in discontinuation group was 32 months (95% CI 24-39 months), earlier than 69 months (95% CI 65-72 months) of completion group and 43 months (95% CI 37-49 months) of rejection group (χ

conclusionsDiscontinuation of antiviral prophylaxis increased the risk of HBV reactivation in HBsAg-positive patients under immunotherapy for glomerulonephritis.

Indexed as

AdultAntibodies, ViralAntiviral AgentsDNA, ViralFemaleGlomerulonephritisHepatitis BHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B virusHumansImmunosuppressive AgentsMaleMiddle AgedRecurrenceRetrospective StudiesAntibodies, ViralAntiviral AgentsDNA, ViralHepatitis B e AntigensHepatitis B Surface AntigensImmunosuppressive AgentsAntiviral prophylaxisGlomerulonephritisHBsAg-positiveHBV reactivationImmunotherapy

Identifiers

PMID29644524
OpenAlexW2797729437

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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.