Prevalence and Determinants of Significant Liver Fibrosis by Vibration-Controlled Transient Elastography in Thai Chronic Hepatitis B Patients
Joint Authors
Sirinawasatien, Apichet
Techasirioangkun, Thanaya
Thongsri, Siriporn
Source
International Journal of Hepatology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aims.
To describe the prevalence of significant liver fibrosis by ultrasound-based vibration-controlled transient elastography (VCTE; FibroScan®) and to identify the determinants of significant liver fibrosis in Thai chronic hepatitis B patients.
Methods.
A cross-sectional study of consecutive chronic hepatitis B patients performed VCTE and followed up at Rajavithi Hospital, Bangkok, Thailand, was conducted between 1 January, 2013, and 31 December, 2016.
Liver fibrosis was defined as minimal (METAVIR F0-1) by VCTE < 7.2 kPa and significant (METAVIR F2-4) by VCTE ≥ 7.2 kPa.
VCTE assessments and medical records were retrospectively reviewed.
The prevalence and determinants of significant liver fibrosis were analyzed.
Results.
A total of 206 eligible patients were included; 120 patients (58.3%) were female.
The mean age was 50 years (SD 12.4 years), and 32.5% had a body mass index ≥ 25.
The prevalences of minimal (F 0-1) and significant fibrosis (F2-4) were 74.3% and 25.7%, respectively.
The prevalence of hepatitis B e antigen negative (HBeAg -ve) was 83%.
The median serum hepatitis B virus viral load was 4,340 IU/mL (range 20-271,883,036).
Significant determinants of significant fibrosis (F2-4) were male gender (aOR 3.24 [95%CI: 1.36-7.72]) and high aspartate transaminase (AST) level (aOR 5.71 [95%CI: 2.03-16.04]).
Conclusion.
Around one-quarter of the Thai patients with chronic viral hepatitis B had significant liver disease defined by VCTE, requiring further evaluation for specific treatment for hepatitis B virus.
Determinants of significant liver fibrosis were male gender and high AST level.
American Psychological Association (APA)
Sirinawasatien, Apichet& Techasirioangkun, Thanaya& Thongsri, Siriporn. 2018. Prevalence and Determinants of Significant Liver Fibrosis by Vibration-Controlled Transient Elastography in Thai Chronic Hepatitis B Patients. International Journal of Hepatology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1173057
Modern Language Association (MLA)
Sirinawasatien, Apichet…[et al.]. Prevalence and Determinants of Significant Liver Fibrosis by Vibration-Controlled Transient Elastography in Thai Chronic Hepatitis B Patients. International Journal of Hepatology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1173057
American Medical Association (AMA)
Sirinawasatien, Apichet& Techasirioangkun, Thanaya& Thongsri, Siriporn. Prevalence and Determinants of Significant Liver Fibrosis by Vibration-Controlled Transient Elastography in Thai Chronic Hepatitis B Patients. International Journal of Hepatology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1173057
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173057