Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김휘영 | * |
dc.date.accessioned | 2018-12-14T16:30:24Z | - |
dc.date.available | 2018-12-14T16:30:24Z | - |
dc.date.issued | 2018 | * |
dc.identifier.issn | 0146-6615 | * |
dc.identifier.issn | 1096-9071 | * |
dc.identifier.other | OAK-22884 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/247575 | - |
dc.description.abstract | Prophylactic antiviral therapy is recommended for hepatitis B virus (HBV)-infected patients with malignancies who are undergoing systemic chemotherapy. In the current study, we aimed to develop a risk scoring system to guide the selection of prophylactic antiviral agents. In this retrospective analysis, we included consecutive chronic hepatitis B patients who received antiviral prophylaxis for chemotherapy of solid or hematologic malignancies at three large-volume hospitals in Korea. The primary endpoint was HBV reactivation. The inverse probability treatment weighting method was used to minimize selection bias in terms of antiviral assignments. A total of 419 patients were enrolled: 129 patients received lamivudine (LAM), 216 received telbivudine (LdT), and 74 received entecavir (ETV), respectively. Of these, 36 patients developed on-treatment HBV reactivation (LAM, 17; LdT, 18; ETV, 1). Multivariate analysis identified three independent predictors for reactivation: hepatitis B e-antigen positivity, HBV DNA level, and type of malignancy. Accordingly, a risk scoring system was developed wherein one point was assigned for each of the risk factors. HBV reactivation occurred more frequently in the high-risk group (score 2) than in the low-risk group (hazards ratio, 14.17; P < 0.001). ETV exhibited superior prophylactic efficacy over LdT or LAM in the high-risk group, whereas no significant difference was noted in the low-risk group. The prognostic scoring system was useful for risk stratification of chemotherapy-related HBV reactivation. High genetic barrier agents appear to be vital for high-risk patients, whereas cost-effectiveness may be more relevant for low-risk patients. | * |
dc.language | English | * |
dc.publisher | WILEY | * |
dc.subject | antiviral agents | * |
dc.subject | hepatitis B | * |
dc.subject | virus reactivation | * |
dc.title | Scoring system for risk stratification of viral reactivation during prophylactic antiviral treatment in Korean patients with hepatitis B undergoing anticancer chemotherapy: A multicenter study | * |
dc.type | Article | * |
dc.relation.issue | 10 | * |
dc.relation.volume | 90 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1593 | * |
dc.relation.lastpage | 1603 | * |
dc.relation.journaltitle | JOURNAL OF MEDICAL VIROLOGY | * |
dc.identifier.doi | 10.1002/jmv.25241 | * |
dc.identifier.wosid | WOS:000441751200006 | * |
dc.identifier.scopusid | 2-s2.0-85050617423 | * |
dc.author.google | Kim, Hwi Young | * |
dc.author.google | Yoo, Jeong-Ju | * |
dc.author.google | Oh, Sohee | * |
dc.author.google | Yu, Su Jong | * |
dc.author.google | Kim, Yoon Jun | * |
dc.author.google | Yoon, Jung-Hwan | * |
dc.author.google | Kim, Won | * |
dc.author.google | Jung, Yong Jin | * |
dc.author.google | Kim, Bo Hyun | * |
dc.author.google | Kim, Chang-Min | * |
dc.author.google | Park, Joong-Won | * |
dc.author.google | Lee, Jeong-Hoon | * |
dc.contributor.scopusid | 김휘영(56493773500) | * |
dc.date.modifydate | 20240222164443 | * |