Evidence map›Paper›PMID 34083617›Full record

ArticleScientific reports2021

Liver stiffness regression after sustained virological response by direct-acting antivirals reduces the risk of outcomes.

Juliana Piedade, Gustavo Pereira, Lívia Guimarães, Joana Duarte, Lívia Victor, Caroline Baldin, Cintia Inacio, Ricardo Santos, Úrsula Chaves, Estevão P Nunes and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Liver Stiffness Measurement and Risk Prediction of Hepatocellular Carcinoma After HCV Eradication in Veterans With Cirrhosis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

14 authors at 2 institutions in 1 country.

Juliana PiedadeOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Gustavo PereiraHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Lívia GuimarãesHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Joana DuarteHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Lívia VictorHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Caroline BaldinHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Cintia InacioOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Ricardo SantosOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Úrsula ChavesOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Estevão P NunesOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Beatriz GrinsztejnOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Valdilea G VelosoOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil.
Flavia FernandesHepatology Department, Bonsucesso Federal Hospital, Rio de Janeiro, Brazil.
Hugo PerazzoOswaldo Cruz Foundation (FIOCRUZ), Evandro Chagas National Institute of Infectious Diseases (INI), Rio de Janeiro, Brazil. hugo.perazzo@ini.fiocruz.br.
Fundação Oswaldo Cruz · BRHospital Geral de Bonsucesso · BR

Funding

The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)UM1AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI BEATRIZ GRINSZTEJN · 2012 to 2026
$26.3M
The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)U01AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI GRINSZTEJN, BEATRIZ · 2008 to 2011
$14.0M
NIAID NIH HHS U01 AI069476NIAID NIH HHS UM1 AI069476
6 · The paper itself

Abstract

The role of liver stiffness measurement (LSM) after sustained virological response (SVR) in HCV patients treated by direct-acting antivirals (DAAs) remains unclear. We aimed to evaluate LSM regression value after SVR and to identify risk factors associated with liver related complications (LRC) or death. This retrospective study analyzed patients with LSM ≥ 10 kPa with LSM by transient elastography pre-DAAs and post-SVR. Patients with previous hepatic decompensation were excluded. Medical records were reviewed to identify primary outcomes. Kaplan-Meier curves and time-to-event Cox proportional-hazard models were performed. 456 patients [65% female, 62 years (IQR 57-68)] were included. During a follow-up of 2.3 years (IQR 1.6-2.7), 28 patients developed 37 outcomes [rate = 29.0 (95% CI 20.0-42.0) per 1000 person-years]. The cumulative incidence of outcomes was significantly lower in patients who regressed LSM ≥ 20% [3.4% (95% CI 1.8-7.0) vs. 9.0% (5.5-14.5), p = 0.028]. In a multivariate Cox-model [HR(95% CI)], male gender [HR = 3.00 (1.30-6.95), p = 0.010], baseline albumin < 3.5 mg/dL [HR = 4.49 (1.95-10.34), p < 0.001] and baseline unfavorable Baveno-VI [HR = 4.72 (1.32-16.83), p = 0.017] were independently associated and LSM regression ≥ 20% after SVR had a trend to reduce the risk of LRC or death [HR = 0.45 (0.21-1.02), p = 0.058]. The use of simple parameters before DAAs and repetition of LSM post-SVR can identify patients with different risks for severe outcome after HCV eradication.

Indexed as

Antiviral AgentsCoinfectionElasticity Imaging TechniquesFemaleGenotypeHepacivirusHepatitis BHepatitis C, ChronicHumansIncidenceLiver CirrhosisMalePatient Outcome AssessmentRetrospective StudiesRisk FactorsSustained Virologic ResponseAntiviral Agents

Identifiers

PMID34083617
PMCPMC8175552
OpenAlexW3163999835

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.