Coffee consumption protects against progression in liver cirrhosis and increases long-term survival after liver transplantation
| Autor: | Kilian, Friedrich, Mark, Smit, Andreas, Wannhoff, Christian, Rupp, Sabine G, Scholl, Christoph, Antoni, Matthias, Dollinger, Christoph, Neumann-Haefelin, Wolfgang, Stremmel, Karl Heinz, Weiss, Peter, Schemmer, Daniel Nils, Gotthardt |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Liver Cirrhosis Male Time Factors Waiting Lists Cholangitis Sclerosing Kaplan-Meier Estimate Middle Aged Protective Factors Coffee Liver Transplantation End Stage Liver Disease Treatment Outcome Risk Factors Multivariate Analysis Disease Progression Odds Ratio Humans Female Survivors Liver Diseases Alcoholic Proportional Hazards Models Retrospective Studies |
| Zdroj: | Journal of gastroenterology and hepatology. 31(8) |
| ISSN: | 1440-1746 |
| Popis: | Therapeutic options to treat progression of end-stage liver disease (ESLD) or improve long-term survival after liver transplantation remain scarce. We investigated the impact of coffee consumption under these conditions.We recorded coffee consumption habits of 379 patients with ESLD awaiting liver transplantation and 260 patients after liver transplantation. Survival was analyzed based on coffee intake.One hundred ninety-five patients with ESLD consumed coffee on a daily basis, while 184 patients did not. Actuarial survival was impaired (P = 0.041) in non-coffee drinkers (40.4 ± 4.3 months, 95% confidence interval [CI]: 32.0-48.9) compared with coffee drinkers (54.9 ± 5.5 months, 95% CI: 44.0-65.7). In subgroup analysis, the survival of patients with alcoholic liver disease (ALD; P = 0.020) and primary sclerosing cholangitis (PSC; P = 0.017) was increased with coffee intake while unaffected in patients with chronic viral hepatitis (P = 0.517) or other liver disease entities (P = 0.652). Multivariate analysis showed that coffee consumption of PSC and ALD patients retained as an independent risk factor (odds ratio [OR]: 1.94; 95% CI: 1.15-3.28; P = 0.013) along with MELD score (OR: 1.13; 95% CI: 1.09-1.17; P = 0.000). Following liver transplantation, long-term survival was longer in coffee drinkers (coffee: 61.8 ± 2.0 months, 95% CI: 57.9-65.8) than non-drinkers (52.3 ± 3.5 months, 95% CI: 45.4-59.3; P = 0.001).Coffee consumption delayed disease progression in ALD and PSC patients with ESLD and increased long-term survival after liver transplantation. We conclude that regular coffee intake might be recommended for these patients. |
| Databáze: | OpenAIRE |
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