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Comparison of Postoperative Prognosis Among HBV-Related, HCV-Related, and Non-HBV Non-HCV Hepatocellular Carcinomas: A Systematic Review and Meta-analysis

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收录情况: ◇ SCIE

机构: [1]Department of Gastroenterology and Hepatology, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China [2]Department of Rheumatology and Immunology, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China [3]Department of Epidemiology and Statistics, School of Public Health, Hebei Medical University, Shijiazhuang, Hebei, P.R. China [4]Animal Center, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China [5]College of Integrated Chinese andWestern Medicine, Hebei Medical University, Shijiazhuang, Hebei, P.R. China
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关键词: Alpha-Fetoprotein Hepatitis Hepatocellular Carcinoma Prognosis Survival

摘要:
Context: Hepatocellular carcinoma (HCC) is the most common form of primary liver cancer, and different hepatitis viruses might affect the prognosis of patients with HCC. Objectives: This study aimed to reveal the differences in the postoperative prognosis of patients with hepatitis B virus-related HCC (HBV-HCC), hepatitis C virus-related HCC (HCV-HCC), and non-HBV non-HCV hepatocellular carcinoma (NBNC-HCC). Methods: The databases PubMed, Embase, Cochrane, Web of Science, and Scopus were searched for articles published until April 2022. Stata software version 12 and Review Manager version 5.4 were used to conduct the meta-analysis, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was adopted in this study. Results: In the present study, 26 papers on a total of 20381 participants who met the inclusion criteria were analyzed. The 5-year overall survival in the HBV-HCC and HCV-HCC groups was lower than in the NBNC-HCC group (HBV-HCC vs. NBNC-HCC, P = 0.005; HCV-HCC vs. NBNC-HCC, P = 0.001). Patients with HBV-HCC and HCV-HCC had worse 5-year recurrence-free survival than patients with NBNC-HCC (HBV-HCC vs. NBNC-HCC, P = 0; HCV-HCC vs. NBNC-HCC, P = 0). In addition, the 5-year recurrence-free rate in the HCV-HCC group was lower than in the HBV-HCC group (P = 0). The observed association between serum alpha-fetoprotein levels and the postoperative prognosis was inconsistent in different subgroups. Conclusions: Patients with NBNC-HCC had a significantly better postoperative prognosis than those with virus-related HCC. The alpha-fetoprotein levels significantly correlated with the postoperative prognosis of patients with HCC.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
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出版当年[2022]版:
Q4 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q4 GASTROENTEROLOGY & HEPATOLOGY

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第一作者机构: [1]Department of Gastroenterology and Hepatology, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China
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通讯机构: [2]Department of Rheumatology and Immunology, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China [5]College of Integrated Chinese andWestern Medicine, Hebei Medical University, Shijiazhuang, Hebei, P.R. China [*1]College of Integrated Chinese andWestern Medicine, Hebei Medical University, Shijiazhuang, Hebei, P.R. China [*2]Department of Rheumatology and Immunology, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China
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