Objective:To investigate the clinical features of chronic hepatitis B patients after stopping nucleos(t)ide analogues and related factors for hepatitis B relapse. Methods:We investigated 73 chronic hepatitis B patients who withdrew nucleos(t)ide analogues and analyzed the reasons for withdrawal and related factors for hepatitis B relapse. Results:Those who stopped lamivudine had longer relapse time compared with combination therapy(P=0.031). Among patients with total treatment duration more than 24 months,those who stopped entecavir had longer relapse time compared with combination therapy(P=0.048),and lower HBV DNA level while relapsed compared with lamivudine(P=0.039). The COX proportional hazards model analysis showed that total treatment duration was the risk factor for hepatitis B relapse after stopping nucleos(t)ide analogues with patients who did not achieve cessation criteria. Conclusion:Most patients stopped nucleos(t)ide analogues without achieving cessation criteria. There was a still high relapse rate among patients in spite of they had achieved cessation criteria. The longer antiviral treatment duration was associated with a short time recurrence with those who did not achieve cessation criteria.
Reference
Related
Cited by
Get Citation
Shi Ping, Jiang Longfeng, Han Yaping, Xu Lingyao, Liu Yao, Yue Ming, Li Jun. Clinical features of chronic hepatitis B patients after stopping nucleos(t)ide analogues[J].,2018,(5):638-642.