Evidence map›Paper›PMID 34359594›Full record

ArticleCancers2021

Five-Year Follow-Up of Cured HCV Patients under Real-World Interferon-Free Therapy.

Robert Flisiak, Dorota Zarębska-Michaluk, Ewa Janczewska, Tadeusz Łapiński, Magdalena Rogalska, Ewa Karpińska, Tomasz Mikuła, Beata Bolewska, Jolanta Białkowska, Katarzyna Flejscher-Stępniewska and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 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

18 authors at 11 institutions in 1 country.

Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, 15-540 Bialystok, Poland.ORCID 0000-0003-3394-1635
Dorota Zarębska-MichalukDepartment of Infectious Diseases, Jan Kochanowski University, 25-369 Kielce, Poland.ORCID 0000-0003-0938-1084
Ewa JanczewskaDepartment of Basic Medical Sciences, Faculty of Health Sciences in Bytom, Medical University of Silesia, 41-902 Bytom, Poland.ORCID 0000-0002-5406-4603
Tadeusz ŁapińskiDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, 15-540 Bialystok, Poland.
Magdalena RogalskaDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, 15-540 Bialystok, Poland.
Ewa KarpińskaDepartment of Infectious Diseases, Hepatology and Liver Transplantation, Pomeranian Medical University, 70-204 Szczecin, Poland.
Tomasz MikułaDepartment of Infectious and Tropical Disease and Hepatology, Medical University of Warsaw, 02-091 Warsaw, Poland.
Beata BolewskaDepartment of Infectious Diseases, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Jolanta BiałkowskaDepartment of Infectious and Liver Diseases, Medical University of Lodz, 90-419 Lodz, Poland.
Katarzyna Flejscher-StępniewskaDepartment of Infectious Diseases, Liver Diseases and Immune Deficiencies, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Krzysztof TomasiewiczDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, 20-059 Lublin, Poland.
Kornelia KarwowskaDepartment of Infectious Diseases and Hepatology, Collegium Medicum, Nicolaus Copernicus University, 87-030 Bydgoszcz, Poland.
Monika Pazgan-SimonDepartment of Infectious Diseases and Hepatology, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Lodz, 90-419 Lodz, Poland.ORCID 0000-0002-7188-4881
Hanna BerakDaily Unit, Hospital of Infectious Diseases in Warsaw, 01-201 Warsaw, Poland.
Olga TroninaDepartment of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.
Aleksander GarlickiDepartment of Infectious and Tropical Diseases, Jagiellonian University Medical College, 31-008 Krakow, Poland.
Jerzy JaroszewiczDepartment of Infectious Diseases and Hepatology, Medical University of Silesia, 40-055 Katowice, Poland.
Medical University of Białystok · PLMedical University of Lodz · PLMedical University of Silesia · PLMedical University of Warsaw · PLWroclaw Medical University · PLJagiellonian University · PLJan Kochanowski University · PLMedical University of Lublin · PLNicolaus Copernicus University · PLPomeranian Medical University · PLPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Treatment of hepatitis C virus (HCV) infections with direct-acting antivirals (DAA) has demonstrated high efficacy and an excellent safety profile. The cured patients showed a sustained virological response and improved liver function, but also a continued risk of hepatocellular carcinoma (HCC) during the 2-3 years of follow-up after treatment; (2) Methods: A total of 192 patients out of 209 of the primary AMBER study were analyzed five years after treatment with ombitasvir/paritaprevir/ritonavir with or without dasabuvir and with or without ribavirin. Results: We confirmed that HCV clearance after DAA treatment is stable regardless of baseline liver fibrosis. We found that sustained virologic response is associated with a gradual but significant reduction in liver stiffness over 5 years. Liver function improved during the first 2 years of follow-up and remained stable thereafter. The risk of death due to HCC as well as death due to HCV persists through 5 years of follow-up after successful DAA treatment. However, in non-cirrhotic patients, it appears to clear up 3 years after treatment; (3) Conclusions: Monitoring for more than 5 years after curing HCV infection is necessary to assess the long-term risk of possible development of HCC, especially in patients with cirrhosis of the liver.

Indexed as

hepatocellular carcinomaliver cirrhosislong-term follow-upsustained virologic responsetherapyviral hepatitis C

Identifiers

PMID34359594
PMCPMC8345092
OpenAlexW3184208410

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.