Evidence map›Paper›PMID 36680177›Full record

Observational studyViruses2022

Patients Treated for HCV Infection and Listed for Liver Transplantation in a French Multicenter Study: What Happens at Five Years?

Lucy Meunier, Mohamed Belkacemi, George Philippe Pageaux, Sylvie Radenne, Anaïs Vallet-Pichard, Pauline Houssel-Debry, Christophe Duvoux, Danielle Botta-Fridlund, Victor de Ledinghen, Filomena Conti and 14 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. SASLT guidelines: Update in treatment of hepatitis C virus infection, 2024.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024
    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

24 authors at 15 institutions in 2 countries.

Lucy MeunierMontpellier Saint Eloi University Hospital, 80 Avenue Augustin Fliche, 34090 Montpellier, France.ORCID 0000-0001-5697-286X
Mohamed BelkacemiNouvelles Technologies, AESIO Santé, 34070 Montpellier, France.
George Philippe PageauxMontpellier Saint Eloi University Hospital, 80 Avenue Augustin Fliche, 34090 Montpellier, France.
Sylvie RadenneCroix-Rousse Hospital, Lyon University Hospital, 103 Grande Rue de la Croix-Rousse, 69004 Lyon, France.
Anaïs Vallet-PichardCochin Hospital, Public Hospitals of Paris, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France.
Pauline Houssel-DebryPontchaillou University Hospital, 2 Rue Henri le Guilloux, 35000 Rennes, France.
Christophe DuvouxHenri-Mondor University Hospital, Public Hospitals of Paris, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
Danielle Botta-FridlundMarseille Public Hospital, Timone University Hospital, 264 Rue Saint Pierre, 13005 Marseille, France.
Victor de LedinghenHepatology and Liver Transplantation Unit, Haut-Lévêque Hospital, Bordeaux University Hospital, 33600 Pessac, France.
Filomena ContiPitié-Salpêtrière University Hospital, Public Hospitals of Paris, 47-83 Boulevard de l'Hôpital, 75013 Paris, France.
Rodolphe AntyArchet 2 Hospital, Nice University Hospital, 151 Route de Saint-Antoine, 06200 Nice, France.ORCID 0000-0001-8194-9805
Vincent Di MartinoBesançon Regional University Hospital, 3 Boulevard Alexandre Fleming, 25000 Besançon, France.
Marilyne Debette-GratienLimoges University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, France.
Vincent LeroyService d'Hépato-Gastroentérologie, Pôle Digidune, CHU Grenoble Alpes, 38700 La Tronche, France.
Theophile GersterService d'Hépato-Gastroentérologie, Pôle Digidune, CHU Grenoble Alpes, 38700 La Tronche, France.
Pascal LebrayPitié-Salpêtrière University Hospital, Public Hospitals of Paris, 47-83 Boulevard de l'Hôpital, 75013 Paris, France.
Laurent AlricRangueil Hospital, Toulouse 3 University Hospital, 31000 Toulouse, France.
Armand AbergelGabriel-Montpied Hospital, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000 Clermont-Ferrand, France.ORCID 0000-0001-7480-1052
Jérôme DumortierEdouard Herriot Hospital, Lyon University Hospital, 5 Place d'Arsonval, 69003 Lyon, France.
Camille BeschHautepierre Hospital, Strasbourg University Hospital, 1 Avenue Molière, 67200 Strasbourg, France.
Helene MontialouxRouen University Hospital, 37 Boulevard Gambetta, 76000 Rouen, France.
Didier SamuelPaul-Brousse Hospital, Public Hospsitals of Paris, 12 Avenue Paul Vaillant Couturier, FHU Hépatinov, 94800 Villejuif, France.
Jean-Charles Duclos-ValléePaul-Brousse Hospital, Public Hospsitals of Paris, 12 Avenue Paul Vaillant Couturier, FHU Hépatinov, 94800 Villejuif, France.
Audrey CoillyPaul-Brousse Hospital, Public Hospsitals of Paris, 12 Avenue Paul Vaillant Couturier, FHU Hépatinov, 94800 Villejuif, France.ORCID 0000-0003-3149-8617
Hôpital Paul-Brousse · FRCentre Hospitalier Universitaire de Grenoble · FRAssistance Publique Hôpitaux de Marseille · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRHôpital Cardiologique du Haut-Lévêque · FRHôpital Cochin · FRHôpital de la Croix-Rousse · FRHôpital d'Hautepierre · FRHôpital Pontchaillou · FRHôpital Rangueil · FRHôpitaux Universitaires Henri-Mondor · FRHospices Civils de Lyon · FRInstitute for Biomedicine · ITUniversité de Limoges · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDirect-acting antiviral (DAA) agents for the treatment of hepatitis C virus (HCV) infection have been proven safe and effective in cirrhotic patients awaiting liver transplantation (LT). However, in the long term, data remain minimal regarding the clinical impact of viral eradication on patients listed for decompensated cirrhosis or hepatocellular carcinoma (HCC). We aimed to elucidate the clinical outcomes of patients regarding delisting and the evolution of HCC during the long-term follow-up.

methodsAn observational, multicenter, retrospective analysis was carried out on prospectively collected data from HCV-positive patients treated with an interferon-free regimen while awaiting LT in 18 French hospitals.

resultsA total of 179 patients were included in the study. The indication for LT was HCC in 104 (58.1%) patients and cirrhosis in 75 (41.9%) patients. The sustained virological response was 84.4% and the treatment was well tolerated. At five years, among 75 patients with cirrhosis treated for HCV, 19 (25.3%) were delisted following improvement after treatment. Predictive factors for delisting highlighted an absence of ascites, MELD score ≤ 15, and Child-Pugh score ≤ 7. No patients with refractory ascites were delisted. Among patients with HCC, 82 (78.9%) were transplanted. The drop-out rate was low (6.7%) and few recurrences of HCC after LT were observed.

conclusionsDAAs are safe and effective in patients awaiting LT for cirrhosis or HCC. A quarter of patients with cirrhosis can be delisted because of clinical improvement. Predictive factors for delisting, as a result of improvement, may assist prescribers, before initiating HCV infection therapy in the long-term perspective.

Indexed as

Carcinoma, HepatocellularHepatitis CHepatitis C, ChronicLiver NeoplasmsLiver TransplantationAntiviral AgentsAscitesHepacivirusHumansLiver CirrhosisRetrospective StudiesWaiting ListsAntiviral Agentsanti HCV therapyDAAsdecompensated cirrhosishepatocellular carcinomaliver transplantationrecurrence after liver transplantationwaiting list

Identifiers

PMID36680177
PMCPMC9865729
OpenAlexW4313472200

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.