Clinical features of chronic hepatitis B patients after stopping nucleos(t)ide analogues
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    Abstract:

    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.

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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.

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History
  • Received:December 13,2017
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  • Online: May 16,2018
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