Evidence map›Paper›PMID 37155527›Full record

ArticleWorld journal of gastroenterology2023

Changes in characteristics of patients with hepatitis C virus-related cirrhosis from the beginning of the interferon-free era.

Michał Brzdęk, Dorota Zarębska-Michaluk, Piotr Rzymski, Beata Lorenc, Adam Kazek, Magdalena Tudrujek-Zdunek, Justyna Janocha-Litwin, Włodzimierz Mazur, Dorota Dybowska, Hanna Berak and 6 more

Abstract readMulticenter Study
In one paragraph

Article in World journal of gastroenterology, 2023. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. Distribution and inflammatory potential of hepatitis C virus genotypes in the United States, 2011-2020.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Pangenotypic tripleClinical and experimental hepatology · 2023
    Article
  10. Observational
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

16 authors.

Michał BrzdękDepartment of Infectious Diseases, Jan Kochanowski University, Kielce 25-317, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases, Jan Kochanowski University, Kielce 25-317, Poland. dorota1010@tlen.pl.
Piotr RzymskiDepartment of Environmental Medicine, Poznan University of Medical Sciences, Poznań 60-806, Poland.
Beata LorencPomeranian Center of Infectious Diseases, Medical University Gdańsk, Gdańsk 80-214, Poland.
Adam KazekID Clinic, Mysłowice 41-400, Poland.
Magdalena Tudrujek-ZdunekDepartment of Infectious Diseases, Medical University of Lublin, Lublin 20-059, Poland.
Justyna Janocha-LitwinDepartment of Infectious Diseases and Hepatology, Medical University Wrocław, Wrocław 50-367, Poland.
Włodzimierz MazurClinical Department of Infectious Diseases, Clinical University of Silesia in Katowice, Chorzów 41-500, Poland.
Dorota DybowskaDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Nicolaus Copernicus University, Bydgoszcz 85-030, Poland.
Hanna BerakDaily Department, Hospital for Infectious Diseases in Warsaw, Warszawa 01-201, Poland.
Anna Parfieniuk-KowerdaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, Białystok 15-089, Poland.
Jakub KlapaczyńskiDepartment of Internal Medicine and Hepatology, Central Clinical Hospital of the Ministry of Internal Affairs and Administration, Warszawa 00-241, Poland.
Marek SitkoDepartment of Infectious and Tropical Diseases, Jagiellonian University, Kraków 31-088, Poland.
Barbara Sobala-SzczygiełDepartment of Infectious Diseases, Medical University of Silesia in Katowice, Bytom 41-902, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, Łódź 90-419, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, Białystok 15-089, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNearly 290000 patients with chronic hepatitis C die annually from the most severe complications of the disease. One of them is liver cirrhosis, which occurs in about 20% of patients chronically infected with the hepatitis C virus (HCV). Direct-acting antivirals (DAAs), which replaced interferon (IFN)-based regimens, significantly improved the prognosis of this group of patients, increasing HCV eradication rates and tolerability of therapy. Our study is the first to assess changes in patient profile, effectiveness, and safety in the HCV-infected cirrhotic population in the IFN-free era.

aimTo document changes in patient characteristics and treatment regimens along with their effectiveness and safety profile over the years.

methodsThe studied patients were selected from 14801 chronically HCV-infected individuals who started IFN-free therapy between July 2015 and December 2021 in 22 Polish hepatology centers. The retrospective analysis was conducted in real-world clinical practice based on the EpiTer-2 multicenter database. The measure of treatment effectiveness was the percentage of sustained virologic response (SVR) calculated after excluding patients lost to follow-up. Safety data collected during therapy and the 12-wk post-treatment period included information on adverse events, including serious ones, deaths, and treatment course.

resultsThe studied population (

conclusionWe have documented changes in the profile of HCV-infected cirrhotic patients over the years of accessibility to changing DAA regimens, confirming the high effectiveness of IFN-free therapy in all analyzed periods.

Indexed as

Hepatitis CHepatitis C, ChronicAntiviral AgentsDrug Therapy, CombinationGenotypeHepacivirusHumansInterferonsLiver CirrhosisMaleRetrospective StudiesSustained Virologic ResponseAntiviral AgentsInterferonsDirect-acting antiviralsEpidemiologyGenotype-specificHepatitis CLiver cirrhosisPangenotypic

Identifiers

PMID37155527
PMCPMC10122793

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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.