The Impact of Hepatitis C Anti Viral Therapy Initiative on Overall Health Maintenance

Alani, Firas; Kalra, Amita; Yeoun, Daniel; Lerer, Renata; Pashukyants, Margarita; McFarlane, Samy I.; Zahiruddin, Ayesha; Aytaman, Ayse

doi:10.14309/00000434-201810001-00999

Cited by 1 publication

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“…Considering that the early symptoms of liver cancer are relatively insidious and not typical enough, they often develop to middle to advanced stages when they are discovered. At this time, liver transplantation, liver resection, interventional therapy, radiotherapy, chemotherapy, and other methods should be selected [ 6 ]. Transcatheter arterial chemoembolization (TACE) is the most common surgical treatment for liver cancer, which has a strong inhibitory and killing effect on tumor.…”

Section: Introductionmentioning

confidence: 99%

Big Data Information under Proportional Hazard Mathematical Model in Analysis of Hepatitis B Virus Infection Data of Patients with Interventional Liver Cancer through Antiviral Therapy of Entecavir

Zhang

Zhao

Ding

et al. 2021

Journal of Healthcare Engineering

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The objective of this study was to analyze the application of proportional hazard mathematical model (PHMM) in Hepatitis B Virus (HBV) infection analysis of interventional liver cancer patients treated with entecavir, so as to provide data support for clinical diagnosis and treatment. Based on the survival analysis, the treatment factor x was undertaken as an independent variable to perform linear regression. The regression model took the hazard rate function as the dependent variable to establish an exponential regression equation to construct a PHMM. 136 patients with primary liver cancer receiving interventional chemoembolization combined with the drug (entecavir) were selected as the experimental group, who were in the computer gene expression omnibus (GEO). 87 patients with primary liver cancer who underwent interventional chemoembolization therapy without antiviral treatment were taken as the control group. The PHMM was adopted for comprehensive analysis. In addition, the factors affecting the virological response to antiviral therapy were analyzed using the multiple logistic regression. The results revealed that HBV deoxyribonucleic acid (DNA) negative conversion rate, Hepatitis B e-Antigen (HBeAg) negative conversion rate, and HBeAg serological conversion rate in the experimental group were much higher than those in the control group ( P < 0.05 ). HBV DNA level and proportion of HBsAg <100 IU/mL in the experimental group were much lower than those in the control group ( P < 0.05 ). The virological breakthrough rate and incidence of adverse events at week 24 in the experimental group were greatly lower than those in the control group ( P < 0.05 ). The adverse virological response of patient was positively correlated with HBV DNA load and HBeAg status and negatively correlated with alanine aminotransferase (ALT) level ( P < 0.05 ). Therefore, entecavir can significantly inhibit HBV DNA replication in patients with liver cancer, showing high antiviral effect. High baseline HBV DNA load, positive HBeAg, and low baseline alanine aminotransferase levels were independent risk factors for adverse virology response to entecavir antiviral therapy, which provided a reference for the selection of antiviral drugs for HBV infection.

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Section: Introductionmentioning

confidence: 99%