The aim of this study was to elucidate the rate of development to cirrhosis and the rate of appearance of hepatocellular carcinoma in chronic viral hepatitis and to assess the risk factors for the development of disease in 2215 consecutive patients with viral hepatitis who were prospectively studied for a median observation period of 4.1 years Results : The rates of development to cirrhosis were 7.6%, 21.7%, and 32.2%, at the 5th, 10th, and 15th year, respectively.
The carcinogenesis rates were 3.4%, 10.5%, and 22.4% at the 5th, 10th, and 15th year, respectively.
The appearance rates of cancer in 645 patients with only hepatitis B surface antigen and in 1500 patients with only anti-hepatitis C virus antibodies were 2.1% and 4.8% at the 5th year, 4.9% and 13.6% at the 10th year, and 18.8% and 26.0% at the 15th year, respectively.
The proportional hazard model identified that the amount of alcohol intake (p=0.0002) and the indocyanine green retention rate (p=0.022) were independently associated with carcinogenesis in hepatitis type B ; and stage of hepatitis (p<0.0001), gamma-glutamyl transpeptidase (p=0.0046), history of blood transfusion (p=0.0093), albumin (p=0.012), and amount of alcohol intake (p=0.031) were independently associated with the carcinogenesis rate in hepatitis type C. (...)
Mots-clés Pascal : Hépatite virale, Virose, Infection, Chronique, Prospective, Carcinome hépatocellulaire, Cirrhose, Facteur risque, Etude longitudinale, Evaluation, Homme, Japon, Asie, Appareil digestif pathologie, Foie pathologie, Tumeur maligne, Statistique
Mots-clés Pascal anglais : Viral hepatitis, Viral disease, Infection, Chronic, Prospective, Hepatocellular carcinoma, Cirrhosis, Risk factor, Follow up study, Evaluation, Human, Japan, Asia, Digestive diseases, Hepatic disease, Malignant tumor, Statistics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0301916
Code Inist : 002B05C02G. Création : 27/11/1998.