慢性乙型肝炎核化物治疗治疗反应中的性别差异:一项多中心纵向研究
Angela Chau1, Ming-Lun Yeh2, Pei-Chien Tsai2
1Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California.
概括
性差异影响B型肝炎治疗结果. 虽然男性的生物化学和临床缓解率较高,但病毒学反应和肝细胞癌发病率在核胺模拟疗法中性别相似.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 临床医学 临床医学
背景情况:
- 对乙型肝炎病毒 (HBV) 感染的核胺类型的治疗反应的基于性别的差异还没有得到很好的定义.
- 关键结局包括病毒学反应 (VR),生化反应 (BR),完整反应 (CR) 和肝细胞癌 (HCC) 发生率.
研究的目的:
- 调查和比较B型肝炎患者接受核胺模拟疗法的性别特异性结果.
- 分析男性和女性患者之间VR,BR,CR和HCC发病率的差异.
主要方法:
- 一项回顾性队列研究,涉及3388名以前未接受过治疗的成人乙型肝炎患者.
- 利用倾向-得分匹配来平衡男性和女性队伍之间的基线特征.
- 使用竞争风险分析来评估结果,包括VR,BR,CR和HCC发生率.
主要成果:
- 在匹配后,与男性相比,女性的5年VR和HCC发病率与男性相似.
- 女性的生化反应率 (BR) 和完整反应率 (CR) 比男性低.
- 男人表现出更高的可能实现BR (SHR 1.31) 和CR (SHR 1.16).
结论:
- 在B型肝炎的核类比治疗结果中存在显著的性别差异.
- 男性患者更有可能实现生化和临床缓解.
- 病毒反应和HCC发病率在性别之间是可比的,这表明长期有效性和风险相似.
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