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- Title
High Rates of Liver Cirrhosis and Hepatocellular Carcinoma in Chronic Hepatitis B Patients with Metabolic and Cardiovascular Comorbidities.
- Authors
Bockmann, Jan-Hendrik; Kohsar, Matin; Murray, John M.; Hamed, Vanessa; Dandri, Maura; Lüth, Stefan; Lohse, Ansgar W.; Schulze-zur-Wiesch, Julian; Chemin, Isabelle
- Abstract
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.
- Subjects
CHRONIC hepatitis B; CIRRHOSIS of the liver; HEPATOCELLULAR carcinoma; CARDIOVASCULAR diseases; HEPATITIS B; CORONARY disease
- Publication
Microorganisms, 2021, Vol 9, Issue 5, p968
- ISSN
2076-2607
- Publication type
Article
- DOI
10.3390/microorganisms9050968