Predictive models for hepatocellular carcinoma development after sustained virological response in advanced hepatitis C

Fraile-López, Miguel; Álvarez-Navascués, Carmen; González-Diéguez, M.L.; Cadahía, Valle; Chiminazzo, Valentina; Castaño, A; Varela, Marı́a; García, Manuel Rodríguez

doi:10.1016/j.gastrohep.2023.01.008

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Furthermore, emerging evidence suggests a persistent risk of HCC in CHC patients post-DAAs therapy, even after achieving SVR[ 10 ]. Therefore, in the effort to eradicate HCV and subsequently minimize its associated complications, there are countless studies focused on identifying high-risk patient profiles prone to post-SVR complications[ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Shear-wave elastography to predict hepatocellular carcinoma after hepatitis C virus eradication: A systematic review and meta-analysis

Esposto,

Santini,

Galasso

et al. 2024

World J Gastroenterol

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BACKGROUND Direct-acting antiviral agents (DAAs) are highly effective treatment for chronic hepatitis C (CHC) with a significant rate of sustained virologic response (SVR). The achievement of SVR is crucial to prevent additional liver damage and slow down fibrosis progression. The assessment of fibrosis degree can be performed with transient elastography, magnetic resonance elastography or shear-wave elastography (SWE). Liver elastography could function as a predictor for hepatocellular carcinoma (HCC) in CHC patients treated with DAAs. AIM To explore the predictive value of SWE for HCC development after complete clearance of hepatitis C virus (HCV). METHODS A comprehensive literature search of clinical studies was performed to identify the ability of SWE to predict HCC occurrence after HCV clearance. In accordance with the study protocol, a qualitative and quantitative analysis of the evidence was planned. RESULTS At baseline and after 12 wk of follow-up, a trend was shown towards greater liver stiffness (LS) in those who go on to develop HCC compared to those who do not [baseline LS standardized mean difference (SMD): 1.15, 95% confidence interval (95%CI): 020-2.50; LS SMD after 12 wk: 0.83, 95%CI: 0.33-1.98]. The absence of a statistically significant difference between the mean LS in those who developed HCC or not may be related to the inability to correct for confounding factors and the absence of raw source data. There was a statistically significant LS SMD at 24 wk of follow-up between patients who developed HCC vs not (0.64; 95%CI: 0.04-1.24). CONCLUSION SWE could be a promising tool for prediction of HCC occurrence in patients treated with DAAs. Further studies with larger cohorts and standardized timing of elastographic evaluation are needed to confirm these data.

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Section: Introductionmentioning

confidence: 99%

Shear-wave elastography to predict hepatocellular carcinoma after hepatitis C virus eradication: A systematic review and meta-analysis

Esposto,

Santini,

Galasso

et al. 2024

World J Gastroenterol

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“…The study’s design precluded the determination of the optimal timing for patient assessment during follow-up, given the disparate timelines among participants. Notably, various authors propose risk-stratifying patients at a specific juncture, namely, 12 weeks posttreatment upon achieving SVR 7,8 . The absence of a protocolized serial evaluation of peripheral blood mononuclear cells between the time of SVR and the occurrence of HCC tampers the confidence of using TIM-3 hi and CD38 + at SVR12 to risk-stratify patients.…”

mentioning

confidence: 99%