2021
DOI: 10.1002/hep4.1771
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Liver Cancer Has a Distinctive Profile in Black Patients: Current Screening Guidelines May Be Inadequate

Abstract: There is mounting evidence that Black patients develop more advanced liver cancers with less advanced liver disease. These findings have important implications for the future of liver cancer screening.

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Cited by 9 publications
(11 citation statements)
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“…[34][35][36][37] Additional studies are needed to determine whether surveillance guidelines should be adjusted to account for the tendency of HCC to arise in African American patients with relatively well-preserved liver function. 38 Our findings confirmed data showing that insurance status (private vs. others), race, and socioeconomic status are associated with HCC surveillance. 9,10,28,39 After adjusting for gender and liver status, private insurance had ORs ranging from 2.5 to 2.7 in our study.…”
Section: Discussionsupporting
confidence: 89%
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“…[34][35][36][37] Additional studies are needed to determine whether surveillance guidelines should be adjusted to account for the tendency of HCC to arise in African American patients with relatively well-preserved liver function. 38 Our findings confirmed data showing that insurance status (private vs. others), race, and socioeconomic status are associated with HCC surveillance. 9,10,28,39 After adjusting for gender and liver status, private insurance had ORs ranging from 2.5 to 2.7 in our study.…”
Section: Discussionsupporting
confidence: 89%
“…Black patients present with more advanced HCC than Whites, but are younger, have better liver function, and are less likely to have cirrhosis 34–37 . Additional studies are needed to determine whether surveillance guidelines should be adjusted to account for the tendency of HCC to arise in African American patients with relatively well‐preserved liver function 38 …”
Section: Discussionmentioning
confidence: 99%
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“…(2) organ failure (except liver); (3) a history of radiotherapy, chemotherapy, surgery, and antibiotic therapy within the first half of the year of admission; (4) severe cirrhosis with diffuse regenerative nodules or dysplastic nodules; (5) first underwent RFA at other hospitals; (6) underwent surgery as the primary treatment and RFA for recurrence; (7) patients were during pregnancy or lactation.…”
Section: Eligibility Criteriamentioning
confidence: 99%
“…are believed to be its predisposing factors [ 4 ]. Liver cancer is often deadly, but the chances of survival can be improved by early detection, thus opening the door for curative treatments, such as resection, liver transplantation, and radiofrequency ablation (RFA) [ 5 ]. RFA as the current mainstay for clinical liver cancer treatment still has limitations as it cannot provide complete removal of the tumor focus, with a possibility of disease relapse [ 6 ].…”
Section: Introductionmentioning
confidence: 99%