Evidence map›Paper›PMID 39398561›Full record

ArticleAmerican journal of translational research2024

Clinical significance of liver biopsy in the diagnosis of liver disease and the evaluation of the clinical efficacy of antiviral treatment for chronic hepatitis B.

Xuemei Xie, Xiongzhi He, Xiangyang Ye, Xiaogang Huang, Zhenting Hu, Fengfeng Zheng, Rongxian Qiu

Abstract read
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Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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

2 citing papers in PubMed.

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4 · The record

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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

7 authors.

Xuemei XieDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Xiongzhi HeDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Xiangyang YeDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Xiaogang HuangDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Zhenting HuDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Fengfeng ZhengDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.
Rongxian QiuDepartment of Infectious Disease, The Affiliated Hospital of Putian University Putian 351100, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the diagnostic value of liver biopsy in patients with acute/chronic liver diseases and to evaluate the application value of repeated liver biopsy in assessing the efficacy of antiviral therapy in patients with chronic hepatitis B.

methodsThis retrospective study involved 146 patients with acute and chronic liver diseases who underwent liver biopsy at the Affiliated Hospital of Putian University from January 2018 to December 2023. Differential diagnoses were made for patients with liver diseases based on their pathological results from liver biopsy. Additionally, the effectiveness of antiviral treatment and changes in liver fibrosis in patients with hepatitis B infection before and after antiviral therapy were assessed using repeated liver biopsy.

resultsThe overall concordance rate between clinical and histopathological diagnoses was 79.45% (116/146). Specifically, the highest concordance rate was for chronic hepatitis B at 82.61% (76/92), followed by fatty liver disease at 77.78% (7/9), autoimmune liver disease at 75% (12/16), and drug-induced liver injury at 72.72% (16/22), and lastly, hepatitis B-related cirrhosis at 71.43% (5/7). After antiviral therapy, the number of cases with positive HBeAg and HBV-DNA significantly decreased compared to before treatment, while the number of cases with negative HBeAg increased, showing a statistically significant difference (P<0.001). The number of patients at fibrosis stages S3-S4 decreased after antiviral therapy compared to before treatment (P=0.040 and P=0.028), while the number of patients at stage S2 increased (P=0.040).

conclusionLiver biopsy aids in the diagnosis of liver diseases and can effectively evaluate the degree of liver fibrosis before and after antiviral therapy for chronic hepatitis B.

Indexed as

entecavirHepatitis Bliver biopsyliver fibrosispathological staging

Identifiers

PMID39398561
PMCPMC11470329

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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.