Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis
Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and We...
Ausführliche Beschreibung
Autor*in: |
Yun Liu [verfasserIn] Minglei Jia [verfasserIn] Shengdi Wu [verfasserIn] Wei Jiang [verfasserIn] Yifan Feng [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2019 |
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Übergeordnetes Werk: |
In: International Journal of Infectious Diseases - Elsevier, 2015, 86(2019), Seite 201-207 |
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Übergeordnetes Werk: |
volume:86 ; year:2019 ; pages:201-207 |
Links: |
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DOI / URN: |
10.1016/j.ijid.2019.07.036 |
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Katalog-ID: |
DOAJ040156036 |
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520 | |a Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs | ||
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700 | 0 | |a Yifan Feng |e verfasserin |4 aut | |
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10.1016/j.ijid.2019.07.036 doi (DE-627)DOAJ040156036 (DE-599)DOAJ48a605d02b3041929b5b6870f7ed19e4 DE-627 ger DE-627 rakwb eng RC109-216 Yun Liu verfasserin aut Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs Infectious and parasitic diseases Minglei Jia verfasserin aut Shengdi Wu verfasserin aut Wei Jiang verfasserin aut Yifan Feng verfasserin aut In International Journal of Infectious Diseases Elsevier, 2015 86(2019), Seite 201-207 (DE-627)341907669 (DE-600)2070533-5 18783511 nnns volume:86 year:2019 pages:201-207 https://doi.org/10.1016/j.ijid.2019.07.036 kostenfrei https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 kostenfrei http://www.sciencedirect.com/science/article/pii/S1201971219303224 kostenfrei https://doaj.org/toc/1201-9712 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 86 2019 201-207 |
spelling |
10.1016/j.ijid.2019.07.036 doi (DE-627)DOAJ040156036 (DE-599)DOAJ48a605d02b3041929b5b6870f7ed19e4 DE-627 ger DE-627 rakwb eng RC109-216 Yun Liu verfasserin aut Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs Infectious and parasitic diseases Minglei Jia verfasserin aut Shengdi Wu verfasserin aut Wei Jiang verfasserin aut Yifan Feng verfasserin aut In International Journal of Infectious Diseases Elsevier, 2015 86(2019), Seite 201-207 (DE-627)341907669 (DE-600)2070533-5 18783511 nnns volume:86 year:2019 pages:201-207 https://doi.org/10.1016/j.ijid.2019.07.036 kostenfrei https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 kostenfrei http://www.sciencedirect.com/science/article/pii/S1201971219303224 kostenfrei https://doaj.org/toc/1201-9712 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 86 2019 201-207 |
allfields_unstemmed |
10.1016/j.ijid.2019.07.036 doi (DE-627)DOAJ040156036 (DE-599)DOAJ48a605d02b3041929b5b6870f7ed19e4 DE-627 ger DE-627 rakwb eng RC109-216 Yun Liu verfasserin aut Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs Infectious and parasitic diseases Minglei Jia verfasserin aut Shengdi Wu verfasserin aut Wei Jiang verfasserin aut Yifan Feng verfasserin aut In International Journal of Infectious Diseases Elsevier, 2015 86(2019), Seite 201-207 (DE-627)341907669 (DE-600)2070533-5 18783511 nnns volume:86 year:2019 pages:201-207 https://doi.org/10.1016/j.ijid.2019.07.036 kostenfrei https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 kostenfrei http://www.sciencedirect.com/science/article/pii/S1201971219303224 kostenfrei https://doaj.org/toc/1201-9712 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 86 2019 201-207 |
allfieldsGer |
10.1016/j.ijid.2019.07.036 doi (DE-627)DOAJ040156036 (DE-599)DOAJ48a605d02b3041929b5b6870f7ed19e4 DE-627 ger DE-627 rakwb eng RC109-216 Yun Liu verfasserin aut Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs Infectious and parasitic diseases Minglei Jia verfasserin aut Shengdi Wu verfasserin aut Wei Jiang verfasserin aut Yifan Feng verfasserin aut In International Journal of Infectious Diseases Elsevier, 2015 86(2019), Seite 201-207 (DE-627)341907669 (DE-600)2070533-5 18783511 nnns volume:86 year:2019 pages:201-207 https://doi.org/10.1016/j.ijid.2019.07.036 kostenfrei https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 kostenfrei http://www.sciencedirect.com/science/article/pii/S1201971219303224 kostenfrei https://doaj.org/toc/1201-9712 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 86 2019 201-207 |
allfieldsSound |
10.1016/j.ijid.2019.07.036 doi (DE-627)DOAJ040156036 (DE-599)DOAJ48a605d02b3041929b5b6870f7ed19e4 DE-627 ger DE-627 rakwb eng RC109-216 Yun Liu verfasserin aut Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs Infectious and parasitic diseases Minglei Jia verfasserin aut Shengdi Wu verfasserin aut Wei Jiang verfasserin aut Yifan Feng verfasserin aut In International Journal of Infectious Diseases Elsevier, 2015 86(2019), Seite 201-207 (DE-627)341907669 (DE-600)2070533-5 18783511 nnns volume:86 year:2019 pages:201-207 https://doi.org/10.1016/j.ijid.2019.07.036 kostenfrei https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 kostenfrei http://www.sciencedirect.com/science/article/pii/S1201971219303224 kostenfrei https://doaj.org/toc/1201-9712 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 86 2019 201-207 |
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RC109-216 Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis |
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predictors of relapse after cessation of nucleos(t)ide analog treatment in hbeag-negative chronic hepatitis b patients: a meta-analysis |
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Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis |
abstract |
Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs |
abstractGer |
Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs |
abstract_unstemmed |
Objectives: The aim of this study was to identify the predictors of relapse after the withdrawal of nucleos(t)ide analog (NA) therapy in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB). Methods: The PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched through January 2019. A random-effects model meta-analysis was performed, with hazard ratios (HR) and 95% confidence intervals (CI) used as summary statistics. Results: Seventeen studies were included in the meta-analysis. Age (HR = 1.022 per year), baseline hepatitis B surface antigen (HBsAg) (HR = 1.509 per log IU/l), end of treatment (EOT) HBsAg level (HR = 1.896 per log IU/l), EOT HBsAg level ≥1000 IU/ml (HR = 1.749), and HBsAg decline from baseline to EOT (HR = 0.748 per log IU/l) were associated with virological relapse. The predictors of clinical relapse were baseline HBsAg level (HR = 1.312 per log IU/l), EOT HBsAg level (HR = 1.458 per log IU/l), EOT HBsAg level ≥100 IU/ml (HR = 3.199) or ≥1000 IU/ml (HR = 1.810), and duration of consolidation therapy (HR = 0.991 per month). Conclusions: This meta-analysis indicates that age, the duration of consolidation therapy, and levels of baseline and EOT HBsAg were factors predictive of relapse in HBeAg-negative CHB patients who discontinued NA treatment. Keywords: Chronic hepatitis B, HBeAg-negative, Stopping therapy, Nucleot(s)ide analogs |
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Predictors of relapse after cessation of nucleos(t)ide analog treatment in HBeAg-negative chronic hepatitis B patients: A meta-analysis |
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https://doi.org/10.1016/j.ijid.2019.07.036 https://doaj.org/article/48a605d02b3041929b5b6870f7ed19e4 http://www.sciencedirect.com/science/article/pii/S1201971219303224 https://doaj.org/toc/1201-9712 |
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