Evidence map›Paper›PMID 32028404›Full record

Observational studyMedicine2020

Direct acting antivirals treatment for hepatitis C virus infection does not increase the incidence of de novo hepatocellular carcinoma occurrence: Results from an Italian real-life cohort (LINA cohort).

Antonio Riccardo Buonomo, Riccardo Scotto, Carmine Coppola, Biagio Pinchera, Giulio Viceconte, Costanza Maria Rapillo, Laura Staiano, Mariarosaria Saturnino, Ferdinando Scarano, Federica Portunato and 7 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Estimates of Cancer Mortality Attributable to Carcinogenic Infections in Italy.International journal of environmental research and public health · 2020
    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

17 authors at 3 institutions in 6 countries.

Antonio Riccardo BuonomoDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Riccardo ScottoDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Carmine CoppolaDepartment of Internal Medicine - Unit of Hepatology and Interventional Ultrasonography. OORR Area Stabiese, Plesso Nuovo Gragnano, Naples.
Biagio PincheraDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Giulio ViceconteDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Costanza Maria RapilloDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Laura StaianoDepartment of Internal Medicine - Unit of Hepatology and Interventional Ultrasonography. OORR Area Stabiese, Plesso Nuovo Gragnano, Naples.
Mariarosaria SaturninoDepartment of Internal Medicine - Unit of Hepatology and Interventional Ultrasonography. OORR Area Stabiese, Plesso Nuovo Gragnano, Naples.
Ferdinando ScaranoDepartment of Internal Medicine - Unit of Hepatology and Interventional Ultrasonography. OORR Area Stabiese, Plesso Nuovo Gragnano, Naples.
Federica PortunatoDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Mariantonietta PisaturoDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Stefania De PascalisDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Salvatore MartiniDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Grazia TosoneDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Salvatore NappaDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
Nicola CoppolaDepartment of Mental Health and Public Medicine - Infectious Diseases Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Ivan GentileDepartment of Clinical Medicine and Surgery - Section of Infectious Diseases, University of Naples Federico II.
University of Naples Federico II · ITGilead Sciences (Australia) · AUJanssen (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness of direct-acting antivirals (DAAs) against hepatitis C virus (HCV) infection is ascertained. However, some authors raised the issue of an increased incidence of de novo hepatocellular carcinoma (HCC) in patients treated with DAAs. Aim of the study was to evaluate the rate of HCC occurrence in a real-life cohort of patients who received anti-HCV treatment with DAAs.A prospective multicentre study was conducted. All adult patients with HCV infection who received treatment between March 2015 and December 2017 in 4 hospital of Campania region (South Italy) with at least 6 months of follow-up were enrolled.A total of 323 patients were included in the study. Most patients had HCV genotype 1b (61.8%). The overall SVR12 rate was 95.5%. Median time of observation was 10 months. The incidence rate of HCC was 0.2 per 100 person-months (crude incidence rate 3.4%, 95 confidence interval: 1.5%-5.3%). The median time for HCC occurrence was 11 months. HCC occurrence rate was significantly higher among patients who did not achieve SVR12 compared with patients who did (28.6% vs 2.8%, P < 0.05). No patient with F0-F3 fibrosis developed HCC. Among patients with cirrhosis, at the multivariate time-to-event analysis, no covariates were independently associated with the risk of HCC occurrence.Treatment with DAAs did not increase the risk of HCC occurrence. Patients who achieved SVR12 had a lower rate of HCC occurrence. Further studies are needed to estimate the incidence and the risk for HCC in the long-term follow-up among patients undergoing treatment with DAAs.

Indexed as

AgedAntiviral AgentsCarcinoma, HepatocellularCohort StudiesFemaleHepatitis C, ChronicHumansIncidenceItalyLiver NeoplasmsMaleMiddle AgedProspective StudiesSurvival AnalysisAntiviral Agents

Identifiers

PMID32028404
PMCPMC7015572
OpenAlexW3005226238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.