Evidence map›Paper›PMID 30626818›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Carotid Intima-media Thickness and Small Dense Low-density Lipoprotein Cholesterol Increase after One Year of Treatment with Direct-acting Antivirals in Patients with Hepatitis C Virus Infection.

Tatsuki Ichikawa, Hisamitsu Miyaaki, Satoshi Miuma, Yasuhide Motoyoshi, Syouhei Narita, Satomi Toda, Youichi Takahashi, Tetsurou Honda, Hiroyuki Yajima, Ryouhei Uehara and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. La Tunisie medicale · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
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  13. The effect of direct acting antiviral agents on vascular endothelial function in Egyptian patients with chronic hepatitis C virus infection.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
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  17. Observational
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  20. Improvement of carotid atherosclerosis and peripheral artery disease after hepatitis C virus eradication by direct-acting antivirals.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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 2 institutions in 1 country.

Tatsuki IchikawaDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Hisamitsu MiyaakiDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Satoshi MiumaDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Yasuhide MotoyoshiDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Syouhei NaritaDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Satomi TodaInnovation and Translational Research Center, Nagasaki Harbor Medical Center, Japan.
Youichi TakahashiInnovation and Translational Research Center, Nagasaki Harbor Medical Center, Japan.
Tetsurou HondaDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Hiroyuki YajimaDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Ryouhei UeharaDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Naoyuki HinoDepartment of Comprehensive Community Care Systems, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Tomoko HoriDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Ryousuke HirataDepartment of Gastroenterology, Nagasaki Harbor Medical Center, Japan.
Naota TauraDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Kazuhiko NakaoDepartment of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Nagasaki Medical Center · JPNagasaki University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Direct-acting antivirals (DAAs) for treating hepatitis C virus (HCV) infection exert a significantly high sustained viral response (SVR), and patients experience a rebound increase in low-density lipoprotein cholesterol (LDL) and total cholesterol levels. Carotid intima-media thickness (IMT) is a highly reproducible and non-invasive parameter for assessing the atherosclerotic process, and the small dense (sd) LDL level is useful for clinically evaluating the atherogenic risk. Methods A total of 48 patients with chronic HCV infection were treated with DAAs. All patients exhibited an SVR 24 weeks later. We compared the metabolic profiles of the patients, including the sdLDL and IMT values, at the start of DAA treatment with those after one year of treatment. We verified whether the HCV clearance after the administration of DAAs is associated with the development of atherosclerosis. Results The sdLDL, %sdLDL (sdLDL/LDL), and LDL values were exacerbated after a year of treatment; however, the triglyceride level, glycated hemoglobin level, insulin resistance, and body weight remained unaltered. The max-IMT was increased after a year compared to that at the start of treatment. Differences in the max-IMT (dmax-IMT) were greater in men than in women; however, no correlation was observed between the dmax-IMT and genotype, fibrosis, hypertension, hyperlipidemia, diabetes, obesity, and dialysis status. The %sdLDL at the start and a year later was positively correlated with the dmax-IMT. No correlation was observed among various factors including the LDL, triglyceride, body mass index, insulin resistance and dmax-IMT. In uni- and multivariate analyses, a significant correlation was observed between %sdLDL≥16% at the start of treatment and the sex and dmax-IMT. Conclusion Because the sdLDL and IMT values were exacerbated after a year of DAA treatment, atherosclerosis must be evaluated in patients achieving an SVR.

Indexed as

Carotid Intima-Media ThicknessAdultAgedAged, 80 and overAntiviral AgentsAtherosclerosisBody Mass IndexCholesterol, LDLFemaleHepacivirusHepatitis C, ChronicHumansInsulin ResistanceMaleMiddle AgedMultivariate AnalysisAntiviral AgentsCholesterol, LDLTriglyceridesdirect-acting antiviralshepatitis C virusintima-media thicknesssmall dense low-density lipoprotein cholesterol

Identifiers

PMID30626818
PMCPMC6543209
OpenAlexW2910891004

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.