Evidence map›Paper›PMID 41028032›Full record

ArticleScientific reports2025

Nationwide analysis of renal outcomes in chronic hepatitis B patients treated with Tenofovir Alafenamide vs. Entecavir.

Hyuk Kim, Jae Young Kim, Hye-Jin Yoo, Log Young Kim, Jeong-Ju Yoo, Sang Gyune Kim, Young-Seok Kim

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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

7 authors.

Hyuk Kim *Division of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Jae Young Kim *Department of Internal Medicine, Soonchunhyang University School of Medicine, Cheonan, Republic of Korea.
Hye-Jin YooDepartment of Internal Medicine, Soonchunhyang University School of Medicine, Cheonan, Republic of Korea.
Log Young KimDepartment of Big DATA Strategy, National Health Insurance Service, Wonju, Republic of Korea.
Jeong-Ju YooDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea. puby17@naver.com.ORCID http://orcid.org/0000-0002-7802-0381
Sang Gyune KimDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Young-Seok KimDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.

Funding

Soonchunhyang University 2024
6 · The paper itself

Abstract

Patients with chronic hepatitis B (CHB) are at a higher risk of chronic kidney disease (CKD) compared to the general population. This study compared renal outcomes in treatment-naive CHB patients receiving tenofovir alafenamide (TAF) or entecavir (ETV) using South Korea's nationwide health insurance database. Two cohorts were analyzed: patients with normal renal function (cohort 1) and those with CKD but not end-stage renal disease (ESRD) (cohort 2). Propensity score matching (PSM) balanced baseline characteristics. Before PSM, ETV users had higher CKD (10.88 vs. 4.48 per 1000 person-years, incidence rate ratio [IRR] 2.43, 95% CI 2.13-2.77) and ESRD rates (40.33 vs. 22.13, IRR 1.82, 95% CI 1.26-2.63) than TAF users. Post-PSM, CKD and ESRD incidence showed no significant difference (CKD IRR 1.20, 95% CI 0.69-2.10; ESRD IRR 1.49, 95% CI 0.81-2.75). Cox regression confirmed that the antiviral agent was not a significant predictor of CKD or ESRD. In conclusion, TAF and ETV demonstrated similar renal safety profiles in CHB patients. These findings provide robust evidence for clinical decision-making, particularly for patients at risk of renal impairment.

Indexed as

AdenineAntiviral AgentsGuanineHepatitis B, ChronicRenal Insufficiency, ChronicTenofovirAdultAlanineFemaleHumansIncidenceKidney Failure, ChronicMaleMiddle AgedRepublic of KoreaTreatment OutcomeAdenineAlanineAntiviral AgentsentecavirGuanineTenofovirtenofovir alafenamideChronic hepatitis BKidney diseasePropensity score matchingRenal insufficiencyTenofovir Alafenamide

Identifiers

PMID41028032
PMCPMC12484731

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LicenceCC BY-NC-ND
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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.