Magnitude and Kinetics of Decrease in Liver Stiffness After Antiviral Therapy in Patients With Chronic Hepatitis C: A Systematic Review and Meta-analysis 

Slides:



Advertisements
Similar presentations
Irritable Bowel Syndrome and Microscopic Colitis: A Systematic Review and Meta- analysis Eline J.C.A. Kamp, John S. Kane, Alexander C. Ford Clinical Gastroenterology.
Advertisements

Risk of Neoplasia After Colectomy in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis Lauranne A.A.P. Derikx, Loes H.C.
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thrombocytopenia With Abnormal Liver Function Tests
No Benefit of Covered vs Uncovered Self-Expandable Metal Stents in Patients With Malignant Distal Biliary Obstruction: A Meta-analysis  Majid A. Almadi,
High Prevalence of Osteoporosis in Patients With Chronic Pancreatitis: A Systematic Review and Meta-analysis  Sinead N. Duggan, Niamh D. Smyth, Anne Murphy,
Arpan Mohanty, Sebhat Erqou, Kathleen A
No Benefit of Covered vs Uncovered Self-Expandable Metal Stents in Patients With Malignant Distal Biliary Obstruction: A Meta-analysis  Majid A. Almadi,
Huge Adrenal Hemangioma: A Rare Cause of Deceivingly High Liver Stiffness Measurement by Transient Elastography  Grace Lai-Hung Wong, Raymond Kwok, Vincent.
Covering the Cover Gastroenterology
Accuracy of Spleen Stiffness Measurement in Detection of Esophageal Varices in Patients With Chronic Liver Disease: Systematic Review and Meta-analysis 
Volume 153, Issue 4, Pages (October 2017)
A Shocking Cystory Clinical Gastroenterology and Hepatology
Prevalence of Irritable Bowel Syndrome–type Symptoms in Patients With Celiac Disease: A Meta-analysis  Anita Sainsbury, David S. Sanders, Alexander C.
A Sustained Viral Response Is Associated With Reduced Liver-Related Morbidity and Mortality in Patients With Hepatitis C Virus  Amit G. Singal, Michael.
Supersonic Shear Imaging and Transient Elastography With the XL Probe Accurately Detect Fibrosis in Overweight or Obese Patients With Chronic Liver Disease 
Liver Cirrhosis Is Associated With Venous Thromboembolism Among Hospitalized Patients in a Nationwide US Study  Harry Wu, Geoffrey C. Nguyen  Clinical.
Prevalence and Mechanisms of Malnutrition in Patients With Advanced Liver Disease, and Nutrition Management Strategies  Kally Cheung, Samuel S. Lee, Maitreyi.
Miriam L. Cuarterolo, Mirta E. Ciocca, Susana I. López, María T. G
Yasuhiko Sugawara, Masatoshi Makuuchi 
Volume 155, Issue 5, Pages e2 (November 2018)
Antiviral Therapy Reduces Risk of Hepatocellular Carcinoma in Patients With Hepatitis C Virus–Related Cirrhosis  Ashwani K. Singal, Amanpal Singh, Sathya.
No Differences in Achieving Hepatitis C Virus Care Milestones Between Patients Identified by Birth Cohort or Risk-Based Screening  Brianna L. Norton,
Nghia H. Nguyen, Vincent Nguyen, Huy N. Trinh, Brian Lin, Mindie H
Magnetic Resonance vs Transient Elastography Analysis of Patients With Nonalcoholic Fatty Liver Disease: A Systematic Review and Pooled Analysis of Individual.
Jessica L. Mellinger, Michael L. Volk 
Incidence of Statin Hepatotoxicity in Patients With Hepatitis C
Bisphosphonates Are Associated With Reduced Risk of Colorectal Cancer: A Systematic Review and Meta-analysis  Siddharth Singh, Abha Goyal Singh, Mohammad.
Alan J. Wigg, Rosemary McCormick, Rachel Wundke, Richard J. Woodman 
Efficacy and Durability of Radiofrequency Ablation for Barrett's Esophagus: Systematic Review and Meta-analysis  Eric S. Orman, Nan Li, Nicholas J. Shaheen 
Issue Highlights Clinical Gastroenterology and Hepatology
Abnormal Liver Tests and Fatty Liver on Ultrasound
New Models of Gastroenterology Practice
Hepatitis B Immunoglobulin and Lamivudine Improve Hepatitis B–Related Outcomes After Liver Transplantation: Meta-Analysis  Rohit Loomba, Ayana K. Rowley,
High Prevalence of Hepatic Fibrosis, Measured by Elastography, in a Population-Based Study of Mexican Americans  Gordon P. Watt, Miryoung Lee, Jen-Jung.
Dushyant Singh, Reetu Singh, Wendell K. Clarkston 
Effect of Human Immunodeficiency Virus and Antiretrovirals on Outcomes of Hepatitis C: A Systematic Review From an Epidemiologic Perspective  Jennifer.
George N. Ioannou, Meaghan F. Splan, Noel S. Weiss, George B
Rafael Esteban, Maria Buti  Gastroenterology 
Histologic Changes in Liver Tissue From Patients With Chronic Hepatitis B and Minimal Increases in Levels of Alanine Aminotransferase: A Meta-analysis.
Levels of Alanine Aminotransferase Confound Use of Transient Elastography to Diagnose Fibrosis in Patients With Chronic Hepatitis C Virus Infection  Elliot.
Lisa I. Backus, Derek B. Boothroyd, Barbara R
Rebecca M. Lovell, Alexander C. Ford 
Patient-Reported Outcomes of Cirrhosis
Rapid Resolution of Hepatitis C Virus–Associated Cryoglobulin Rash With Use of Direct- Acting Antivirals  Eric Chak, Carl Schulze, Bruce A. Runyon  Clinical.
Statin Use and Risk of Cirrhosis and Related Complications in Patients With Chronic Liver Diseases: A Systematic Review and Meta-analysis  Rebecca G.
Mucosal Healing Is Associated With Improved Long-term Outcomes of Patients With Ulcerative Colitis: A Systematic Review and Meta-analysis  Shailja C.
Incidence and Determinants of Hepatocellular Carcinoma in Autoimmune Hepatitis: A Systematic Review and Meta-analysis  Aylin Tansel, Lior H. Katz, Hashem.
Risk of Cerebrovascular Accidents and Ischemic Heart Disease in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis  Siddharth.
Accuracy of Spleen Stiffness Measurement in Detection of Esophageal Varices in Patients With Chronic Liver Disease: Systematic Review and Meta-analysis 
Alan Bonder, MD, Nezam H. Afdhal, MD 
Suna Yapali, MD, Anna S. Lok, MD, FRCP 
Statin Therapy Improves Sustained Virologic Response Among Diabetic Patients With Chronic Hepatitis C  Gowtham A. Rao, Prashant K. Pandya  Gastroenterology 
Probiotics Prevent Hepatic Encephalopathy in Patients With Cirrhosis: A Randomized Controlled Trial  Manish Kumar Lunia, Barjesh Chander Sharma, Praveen.
Hepatic Cyst? Clinical Gastroenterology and Hepatology
Thrombocytopenia With Abnormal Liver Function Tests
Christos Konstantakis, Maria Karamesini, Christos Triantos 
Volume 142, Issue 6, Pages e4 (May 2012)
Hepatitis C Virus Infection, Age, and Hispanic Ethnicity Increase Mortality From Liver Cancer in the United States  Zobair M. Younossi, Maria Stepanova 
A 27-Year-Old Woman With Constipation: Diagnosis and Treatment
Abdominal Aortitis Associated With Autoimmune Pancreatitis
Coagulation in Liver Disease: A Guide for the Clinician
Issue Highlights Clinical Gastroenterology and Hepatology
Black and White Liver Clinical Gastroenterology and Hepatology
Rintaro Hashimoto, Akimichi Chonan 
Adverse Outcomes: Why Bad Things Happen to Good People
M. Babitha Reddy, David M. Poppers, Cora Uram–Tuculescu 
Rintaro Hashimoto, Akimichi Chonan 
Fasiha Kanwal, Tuyen Hoang, Timothy Chrusciel, Jennifer R
Subcapsular Hepatic Fluid Collection Caused by Cardiac Dysfunction
Presentation transcript:

Magnitude and Kinetics of Decrease in Liver Stiffness After Antiviral Therapy in Patients With Chronic Hepatitis C: A Systematic Review and Meta-analysis  Siddharth Singh, Antonio Facciorusso, Rohit Loomba, Yngve T. Falck-Ytter  Clinical Gastroenterology and Hepatology  Volume 16, Issue 1, Pages 27-38.e4 (January 2018) DOI: 10.1016/j.cgh.2017.04.038 Copyright © 2018 AGA Institute Terms and Conditions

Figure 1 Study selection flowsheet. VCTE, vibration-controlled transient elastography. Clinical Gastroenterology and Hepatology 2018 16, 27-38.e4DOI: (10.1016/j.cgh.2017.04.038) Copyright © 2018 AGA Institute Terms and Conditions

Figure 2 Forest plot with individual studies showing magnitude and kinetics of decline in liver stiffness in patients with HCV who achieve sustained virologic response, as compared with baseline, before antiviral therapy. Clinical Gastroenterology and Hepatology 2018 16, 27-38.e4DOI: (10.1016/j.cgh.2017.04.038) Copyright © 2018 AGA Institute Terms and Conditions

Figure 3 Comparison of change in liver stiffness over time, in patients with HCV who achieve SVR versus patients who do not achieve SVR. Clinical Gastroenterology and Hepatology 2018 16, 27-38.e4DOI: (10.1016/j.cgh.2017.04.038) Copyright © 2018 AGA Institute Terms and Conditions

Supplementary Figure 1 Metaregression showing magnitude of change in liver stiffness by (A) baseline ALT, (B) proportion of patients with cirrhosis, and (C) baseline body mass index. Clinical Gastroenterology and Hepatology 2018 16, 27-38.e4DOI: (10.1016/j.cgh.2017.04.038) Copyright © 2018 AGA Institute Terms and Conditions

Supplementary Figure 2 Difference in liver stiffness at different time points in patients who achieve SVR versus those who do not achieve SVR, demonstrating net decline in liver stiffness. Clinical Gastroenterology and Hepatology 2018 16, 27-38.e4DOI: (10.1016/j.cgh.2017.04.038) Copyright © 2018 AGA Institute Terms and Conditions