Evidence map›Paper›PMID 31686765›Full record

ArticleWorld journal of gastroenterology2019

Sustained virologic response to direct-acting antiviral agents predicts better outcomes in hepatitis C virus-infected patients: A retrospective study.

GianLuca Colussi, Debora Donnini, Rosario Francesco Brizzi, Silvia Maier, Luca Valenti, Cristiana Catena, Alessandro Cavarape, Leonardo Alberto Sechi, Giorgio Soardo

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 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

9 authors at 1 institution in 1 country.

GianLuca ColussiDepartment of Medicine, University of Udine, Udine 33100, Italy.
Debora DonniniDepartment of Medicine, University of Udine, Udine 33100, Italy.
Rosario Francesco BrizziDepartment of Medicine, University of Udine, Udine 33100, Italy.
Silvia MaierDepartment of Medicine, University of Udine, Udine 33100, Italy.
Luca ValentiDepartment of Medicine, University of Udine, Udine 33100, Italy.
Cristiana CatenaDepartment of Medicine, University of Udine, Udine 33100, Italy.
Alessandro CavarapeDepartment of Medicine, University of Udine, Udine 33100, Italy.
Leonardo Alberto SechiDepartment of Medicine, University of Udine, Udine 33100, Italy.
Giorgio SoardoDepartment of Medicine, University of Udine, Udine 33100, Italy. giorgio.soardo@uniud.it.
University of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDirect-acting antiviral agents (DAAs) are extremely effective in eradicating hepatitis C virus (HCV) in chronically infected patients. However, the protective role of the sustained virologic response (SVR) achieved by second- and third-generation DAAs against the onset of hepatocellular carcinoma (HCC) and mortality is less well established.

aimTo examine the occurrence of HCC or death from any cause in a retrospective-prospective study of patients treated with DAAs.

methodsPatients were enrolled from a tertiary academic hospital center for liver disease management that collects subject data mainly from northeastern Italy. The study was conducted in 380 patients (age: 60 ± 13 years, 224 males, 32% with cirrhosis) treated with DAAs with or without SVR (95/5%), with a median follow up of 58 wk (interquartile range: 38-117). The baseline anthropometric features, HCV viral load, severity of liver disease, presence of extra-hepatic complications, coinfection with HIV and/or HBV, alcohol consumption, previous interferon use, alpha-fetoprotein levels, and renal function were considered to be confounders.

resultsThe incidence rate of HCC in patients with and without SVR was 1.3 and 59 per 100 person-years, respectively (incidence rate ratio: 44, 95%CI: 15-136,

conclusionDAA treatment is effective in inducing SVR and protecting against HCC or death. A residual risk of HCC persists in patients with advanced liver disease or with complications, such as mixed cryoglobulinemia or renal failure.

Indexed as

Sustained Virologic ResponseAgedAntiviral AgentsCarcinoma, HepatocellularDrug Therapy, CombinationFemaleHepacivirusHepatitis C, ChronicHumansIncidenceItalyLiver NeoplasmsMaleMiddle AgedProspective StudiesRegistriesAntiviral AgentsCirrhosisDirect-acting antiviral agentsHepatitis C virusMixed cryoglobulinemiaSurvival analysisSustained virologic response

Identifiers

PMID31686765
PMCPMC6824275
OpenAlexW2982117238

What OpenQuestion holds

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LicenceCC BY-NC
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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.