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논문 기본 정보

자료유형
학술저널
저자정보
Ahn Young-Hwan (Departments of Gastroenterology Ajou Research Institute for Innovative Medicine Ajou University Sch) Lee Heirim (Departments of Biomedical Informatics Ajou Research Institute for Innovative Medicine Ajou Universi) Kim Do Young (Department of Internal Medicine Yonsei University College of Medicine Seoul Korea.) Lee Hye Won (Department of Internal Medicine Yonsei University College of Medicine Seoul KoreaYonsei Liver Cente) Yu Su Jong (Department of Internal Medicine and Liver Research Institute Seoul National University College of M) Cho Young Youn (Department of Internal Medicine and Liver Research Institute Seoul National University College of M) Jang Jeong Won (Department of Internal Medicine College of Medicine The Catholic University of Korea Seoul Korea) Jang Byoung Kuk (Department of Internal Medicine Keimyung University School of Medicine Daegu Korea.) Kim Chang Wook (Division of Hepatology Department of Internal Medicine Uijeongbu St. Mary's Hospital College of Med) Kim Hee Yeon (Division of Hepatology Department of Internal Medicine Uijeongbu St. Mary's Hospital College of Med) Park Hana (Department of Internal Medicine CHA Bundang Medical Center CHA University Seongnam Korea) Cho Hyo Jung (Departments of Gastroenterology Ajou Research Institute for Innovative Medicine Ajou University Sch) Park Bumhee (Departments of Biomedical Informatics Ajou Research Institute for Innovative Medicine Ajou Universi) Kim Soon Sun (Departments of Gastroenterology Ajou Research Institute for Innovative Medicine Ajou University Sch) Cheong Jae Youn (Departments of Gastroenterology Ajou Research Institute for Innovative Medicine Ajou University Sch)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제3호
발행연도
2021.1
수록면
410 - 419 (10page)

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Background/Aims: This study was performed to evaluate the efficacy of direct-acting antivirals (DAAs) in Korean patients with hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC) and to investigate the risk factors associated with HCC recurrence. Methods: A total of 100 patients with HCV-related HCC, who were treated with DAAs between May 2015 and December 2016, were recruited from seven university hospitals in Korea. Claim data of 526 patients with HCC obtained from the Health Insurance Review and Assessment Service in South Korea were used for external validation of the results. Results: Among the 100 patients, 88% achieved a sustained virological response (SVR) 12 weeks after the end of DAA therapy (SVR12), and 37% experienced HCC recurrence after DAA therapy. Short last HCC treatment durability (<12 months) before DAA commencement was independently associated with HCC recurrence (hazard ratio [HR], 2.89; p=0.011). In the nationwide validation cohort, 20.3% of the patients experienced HCC recurrence. The last HCC treatment with a noncurative method, a short last HCC treatment durability (<12 months), and a longer total duration of HCC treatment (≥18 months) were independently related with HCC recurrence (HR 3.73, p<0.001; HR 3.34, p<0.001; and HR 1.74, p=0.006; respectively). Conclusions: DAA therapy showed an acceptable SVR12 rate in patients with HCV-related HCC. Short last HCC treatment durability (<12 months) was associated with HCC recurrence after DAA therapy. This finding suggests that the last HCC treatment durability is an important predictor of HCC recurrence after DAA therapy.

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