High Rates of Liver Cirrhosis and Hepatocellular Carcinoma in Chronic Hepatitis B Patients with Metabolic and Cardiovascular Comorbidities.

Autor:	Bockmann JH; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.; German Center for Infection Research (DZIF), Hamburg-Lübeck-Borstel Site, Martinistr. 52, 20246 Hamburg, Germany., Kohsar M; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany., Murray JM; School of Mathematics and Statistics, UNSW Sydney, Sydney 2052, Australia., Hamed V; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany., Dandri M; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.; German Center for Infection Research (DZIF), Hamburg-Lübeck-Borstel Site, Martinistr. 52, 20246 Hamburg, Germany., Lüth S; University Medical Center Brandenburg, Center of Internal Medicine II, Brandenburg Medical School Theodor Fontane, Hochstr. 29, 14770 Brandenburg an der Havel, Germany., Lohse AW; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.; German Center for Infection Research (DZIF), Hamburg-Lübeck-Borstel Site, Martinistr. 52, 20246 Hamburg, Germany., Schulze-Zur-Wiesch J; Department of Internal Medicine, University Medical Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.; German Center for Infection Research (DZIF), Hamburg-Lübeck-Borstel Site, Martinistr. 52, 20246 Hamburg, Germany.
Jazyk:	angličtina
Zdroj:	Microorganisms [Microorganisms] 2021 Apr 30; Vol. 9 (5). Date of Electronic Publication: 2021 Apr 30.
DOI:	10.3390/microorganisms9050968
Abstrakt:	Background: The prevalence of metabolic and cardiovascular diseases is rising worldwide. However, little is known about the impact of such disorders on hepatic disease progression in chronic hepatitis B (CHB) during the era of potent nucleo(s)tide analogues (NAs). Methods: We retrospectively analyzed a single-center cohort of 602 CHB patients, comparing the frequency of liver cirrhosis at baseline and incidences of liver-related events during follow-up (hepatocellular carcinoma, liver transplantation and liver-related death) between CHB patients with a history of diabetes, obesity, hypertension or coronary heart disease (CHD). Results: Rates of cirrhosis at baseline and liver-related events during follow-up (median follow-up time: 2.51 years; NA-treated: 37%) were substantially higher in CHB patients with diabetes (11/23; 3/23), obesity (6/13; 2/13), CHD (7/11; 2/11) or hypertension (15/43; 4/43) compared to CHB patients without the indicated comorbidities (26/509; 6/509). Multivariate analysis identified diabetes as the most significant predictor for cirrhosis ( p = 0.0105), while comorbidities did not correlate with liver-related events in pre-existing cirrhosis. Conclusion: The combination of metabolic diseases and CHB is associated with substantially increased rates of liver cirrhosis and secondary liver-related events compared to CHB alone, indicating that hepatitis B patients with metabolic comorbidities warrant particular attention in disease surveillance and evaluation of treatment indication.
Databáze:	MEDLINE
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