Efficacy of peg-interferon-α-2a plus ribavirin for patients aged 60 years and older with chronic hepatitis C in Korea.

作者: Dong Hyun Sinn , Su Rin Shin , Jae Sook Kil , Jeong Kim , Geum-Youn Gwak

DOI: 10.1111/J.1440-1746.2010.06478.X

关键词:

摘要: Background and Aim:  In the present study, we evaluated safety efficacy of combination therapy with pegylated interferon ribavirin for treating chronic hepatitis C (CHC) patients aged 60 years older. Methods:  A total 314 CHC patients, who were treated therapy, classified into three groups according to age: (i) younger than 50 years (n = 137); (ii) 50–59 years (n = 109); (iii) or older (n = 68). The sustained virological response (SVR) discontinuation rates compared between groups. Results:  Discontinuation due adverse event was more frequent in patient groups: 1%, 5%, 10% < 50-year, 50–59-year, ≥ 60-year groups, respectively (P = 0.018). However, showed a SVR rate that comparable other age 80%, 73%, 75% ≥ 60-year- (P = 0.420). multivariate analysis aspartate aminotransferase : platelet ratio index (APRI) an independent predictor SVR. An achieved 95% (19/20) elderly APRI < 0.80. Conclusions:  Although physicians must pay attention events can be considered especially low APRI.

参考文章(23)
Su Rin Shin, Dong Hyun Sinn, Geum-Youn Gwak, Moon Seok Cho, Joon Hyoek Lee, Kwang Cheol Koh, Byung Chul Yoo, Seung Woon Paik, Risk factors for relapse in chronic hepatitis C patients who have achieved end of treatment response Journal of Gastroenterology and Hepatology. ,vol. 25, pp. 957- 963 ,(2010) , 10.1111/J.1440-1746.2009.06176.X
Ziad Hassoun, Bernard Willems, Julie Deslauriers, Bich Ngoc Nguyen, Pierre-Michel Huet, Assessment of fatigue in patients with chronic hepatitis C using the Fatigue Impact Scale. Digestive Diseases and Sciences. ,vol. 47, pp. 2674- 2681 ,(2002) , 10.1023/A:1021040702370
Dong Hyun Sinn, Seung Woon Paik, Pung Kang, Jae Sook Kil, Sang Un Park, So-Young Lee, Soon Mi Song, Geum-Youn Gwak, Moon Seok Choi, Joon Hyoek Lee, Kwang Cheol Koh, Byung Chul Yoo, Disease progression and the risk factor analysis for chronic hepatitis C. Liver International. ,vol. 28, pp. 1363- 1369 ,(2008) , 10.1111/J.1478-3231.2008.01860.X
Doris B. Strader, Understudied populations with hepatitis C Hepatology. ,vol. 36, pp. S226- S236 ,(2002) , 10.1002/HEP.1840360729
HIDEYUKI NOMURA, HIRONORI TANIMOTO, EIJI KAJIWARA, JUNYA SHIMONO, TOSHIHIRO MARUYAMA, NOBUYUKI YAMASHITA, MASANORI NAGANO, MASASHI HIGASHI, TAMOTSU MUKAI, YUTAKA MATSUI, JUN HAYASHI, SEIZABURO KASHIWAGI, HIROMI ISHIBASHI, Factors contributing to ribavirin‐induced anemia Journal of Gastroenterology and Hepatology. ,vol. 19, pp. 1312- 1317 ,(2004) , 10.1111/J.1440-1746.2004.03459.X
John G McHutchison, Michael Manns, Keyur Patel, Thierry Poynard, Karen L Lindsay, Christian Trepo, Jules Dienstag, William M Lee, Carmen Mak, Jean–Jacques Garaud, Janice K Albrecht, International Hepatitis Interventional Therapy Group, Adherence to combination therapy enhances sustained response in genotype-1-infected patients with chronic hepatitis C Gastroenterology. ,vol. 123, pp. 1061- 1069 ,(2002) , 10.1053/GAST.2002.35950
Yasuji Arase, Kenji Ikeda, Fumitaka Suzuki, Yoshiyuki Suzuki, Satoshi Saitoh, Masahiro Kobayashi, Norio Akuta, Takashi Someya, Rikako Koyama, Tetsuya Hosaka, Hitomi Sezaki, Mariko Kobayashi, Hiromitsu Kumada, Long-term outcome after interferon therapy in elderly patients with chronic hepatitis C. Intervirology. ,vol. 50, pp. 16- 23 ,(2007) , 10.1159/000096308
Chun-Tao Wai, Joel K Greenson, Robert J Fontana, John D Kalbfleisch, Jorge A Marrero, Hari S Conjeevaram, Anna S-F Lok, None, A simple noninvasive index can predict both significant fibrosis and cirrhosis in patients with chronic hepatitis C Hepatology. ,vol. 38, pp. 518- 526 ,(2003) , 10.1053/JHEP.2003.50346
Kris V Kowdley, Hematologic side effects of interferon and ribavirin therapy. Journal of Clinical Gastroenterology. ,vol. 39, ,(2005) , 10.1097/01.MCG.0000145494.76305.11