Evidence map›Paper›PMID 30420590›Full record

Observational studyAnnals of transplantation2018

Recurrence of Hepatitis B Infection in Liver Transplant Patients Receiving Long-Term Hepatitis B Immunoglobulin Prophylaxis.

Susanne Beckebaum, Kerstin Herzer, Artur Bauhofer, William Gelson, Paolo De Simone, Robert de Man, Cornelius Engelmann, Beat Müllhaupt, Julien Vionnet, Mauro Salizzoni and 13 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05293158 (Impact of Hepatitis B Immunoglobulins in Patients With Chronic Hepatitis B on Hepatocellular Carcinoma), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT05293158 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Impact of Hepatitis B Immunoglobulins in Patients With Chronic Hepatitis B on Hepatocellular Carcinoma

TypeinterventionalSponsorMedical University of GrazRan2024 to 2026Enrolled5ConditionsHepatocellular Carcinoma, HBVArmsHepatect CP 50 I.E./ml infusion solution
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. State of the art treatment of hepatitis B virus hepatocellular carcinoma and the role of hepatitis B surface antigen post-liver transplantation and resection.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Prevention of HBV Recurrence after Liver Transplant: A Review.Journal of clinical and translational hepatology · 2020
    Review
  13. Review
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

23 authors at 17 institutions in 5 countries.

Susanne BeckebaumDepartment of Gastroenterology and Hepatology, University Hospital Münster, Münster, Germany.
Kerstin HerzerDepartment of Gastroenterology and Hepatology, University Hospital Essen, Essen, Germany.
Artur BauhoferCorporate Medical Affairs and Corporate Clinical Research and Development, Biotest AG, Dreieich, Germany.
William GelsonCambridge Liver Unit, Addenbrooke's Hospital, Cambridge, United Kingdom.
Paolo De SimoneHepatobiliary Surgery and Liver Transplantation, Chirurgia Epatica e del Trapianto Fegato Pisa, Pisa, Italy.
Robert de ManDepartment of Gastroenterology and Hepatology, Erasmus Medical Center, Rotterdam, Netherlands.
Cornelius EngelmannDepartment of Gastroenterology and Rheumatology, University of Leipzig, Leipzig, Germany.
Beat MüllhauptSwiss HPB Center and Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Julien VionnetTransplantation Centre and Service of Gastroenterology and Hepatology, Lausanne, Switzerland.
Mauro SalizzoniChirurgia Generale 2U, Centro Trapianto Fegato, AO Città della Salute e della Scienza di Torino, Turin, Italy.
Riccardo VolpesHepatology and Gastroenterology Unit, ISMETT-IRCCS, Palermo, Italy.
Giorgio ErcolaniDepartment of General Surgery, Morgagni-Pierantoni General Hospital, University of Bologna, Bologna, Italy.
Luciano De CarlisSurgery and Abdominal Transplantation Division, Niguarda Ca' Granda Hospital, Milan, Italy.
Paolo AngeliMultivisceral Transplant Unit, Padua University Hospital, Padua, Italy.
Patrizia BurraMultivisceral Transplant Unit, Padua University Hospital, Padua, Italy.
Jean-François DufourUniversity Clinic for Visceral Surgery and Medicine, Inselspital, Bern, Switzerland.
Massimo RossiDepartment of General Surgery and Organ Transplantation, Umberto I Policlinic, Sapienza University, Rome, Italy.
Umberto CilloMultivisceral Transplant Unit, Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University Hospital of Padua, Padova, Italy.
Ulf NeumannDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Lutz FischerDepartment of Hepatobiliary and Transplant Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Gabriele NiemannCorporate Medical Affairs and Corporate Clinical Research and Development, Biotest AG, Dreieich, Germany.
Luca TotiTransplant Centre, Faculty of Medicine, Azienda Ospedaliera Policlinico Tor Vergata, Rome, Italy.
Guiseppe TisoneTransplant Centre, Faculty of Medicine, Azienda Ospedaliera Policlinico Tor Vergata, Rome, Italy.
University of Padua · ITBiotest (Germany) · DEPoliclinico Tor Vergata · ITAddenbrooke's Hospital · GBAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITErasmus MC · NLEssen University Hospital · DEIstituti di Ricovero e Cura a Carattere Scientifico · ITLausanne Natation · CHPoliclinico Umberto I · ITRWTH Aachen University · DEUniversity Hospital Münster · DEUniversity Hospital of Bern · CHUniversity Hospital of Zurich · CHUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Long-term real-world data are relatively sparse regarding recurrence of chronic hepatitis B virus (HBV) infection after liver transplantation using hepatitis B immunoglobulin (HBIg) and nucleos(t)ide analogue (NUC) prophylaxis. MATERIAL AND METHODS Data from 371 adults transplanted for HBV-related disease at 20 European centers and given HBIg for ³12 months ± NUC therapy were analyzed retrospectively. RESULTS HBIg comprised Hepatect® (iv HBIgB; n=299), subcutaneous Zutectra® (sc HBIg, n=236), and other HBIg preparations (n=130); 93.5% received NUC therapy. Mean follow-up was 6.8±3.5 years. The primary efficacy variable, freedom from HBV recurrence, occurred in 95.7% of patients (95% CI [93.1%, 97.5%]). The observed incidence of recurrence was 16/371 (4.3%) (annual rate 0.65%); 5/16 patients with recurrence had discontinued HBIg and 7/16 had anti-HBs <100 IU/l. Excluding these 7 patients, the HBV recurrence rate was 2.4%. The recurrence rate while on HBIg therapy was 1 per 2069 months. In patients who discontinued HBIg, risk of HBV recurrence versus sc HBIg users was increased by 5.2-fold (1 per 1 603 versus 1 per 8379 treatment months). The annual rate of HBV-related hepatocellular carcinoma (HCC) recurrence was 1.7%. CONCLUSIONS These results support the long-term use of HBIg with NUC therapy as an effective management strategy to minimize risk of HBV recurrence and virus-related complications after liver transplantation.

Indexed as

Liver TransplantationAdolescentAdultAgedAged, 80 and overAntiviral AgentsDrug Therapy, CombinationFemaleFollow-Up StudiesHepatitis B, ChronicHumansImmunoglobulinsMaleMiddle AgedNucleosidesRecurrenceAntiviral AgentsBT088 immunoglobulin, humanImmunoglobulinsNucleosides

Identifiers

PMID30420590
PMCPMC6249983
OpenAlexW2900983194

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.