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2016 ; 7
(51
): 85603-85612
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Is chronic hepatitis B infection a protective factor for the progression of
advanced pancreatic ductal adenocarcinoma? An analysis from a large multicenter
cohort study
#MMPMID27811354
Chen Q
; Ning Z
; Wang L
; Ying H
; Dong S
; Zhang C
; Shen X
; Guo Y
; Chen H
; Zhu X
; Shen Y
; Shi W
; Hua Y
; Wang K
; Lin J
; Xu L
; Chen L
; Feng L
; Zhang X
; Xie J
; Sun B
; Sun Y
; Gu W
; Kang M
; Tang Z
; Chen Z
; Chen Z
; Liu L
; Yu J
; Li Z
; Meng Z
Oncotarget
2016[Dec]; 7
(51
): 85603-85612
PMID27811354
show ga
PURPOSE: Whether the progression of advanced pancreatic ductal adenocarcinoma
(PDAC) patients could be affected by HBV exposure remains to be determined.
Therefore, we conducted this study to assess the effect of HBV infection on PDAC
progression among a large cohort in China. METHODS: A multicenter cohort study
was conducted to explore whether liver metastasis and overall survival in locally
advanced and metastatic PDAC could be affected by HBV infection. In this study,
we collected 1,526 advanced PDAC patients at three participating hospitals -
Shanghai Cancer Center, Changhai Hospital and Ruijin Hospital from 2004 to 2013.
The association between HBV status and advanced PDAC progression was then
examined. RESULTS: In multivariable Logistic regression model, chronic hepatitis
B(CHB) infection was inversely associated with synchronous liver metastasis
compared to non HBV infection (OR 0.41, 95% CI 0.19-0.85) for stage IV patients.
In a multivariable Cox model, CHB infection (HR=0.11, 95% CI 0.02-0.82) is
considered as a protective factor of metachronous liver metastasis compared to
Non HBV infection for stage III patients. For stage IV patients, CHB infection
was inversely associated with overall survival compared to non HBV infection (HR
0.70, 95% CI 0.51-0.95). Inactive carrier(IC) and resolved HBV infection showed
no significant association with survival compared to non HBV infection.
CONCLUSION: This study indicated that CHB infection may serve as an independent
factor which decrease synchronous or metachronous liver metastasis, and increase
overall survival among advanced PDAC patients.