Prediction of Liver-Related Events Using Fibroscan in Chronic Hepatitis B Patients Showing Advanced Liver Fibrosis
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{"title"=>"Prediction of liver-related events using fibroscan in chronic hepatitis B patients showing advanced liver fibrosis", "type"=>"journal", "authors"=>[{"first_name"=>"Seung Up", "last_name"=>"Kim", "scopus_author_id"=>"54933821200"}, {"first_name"=>"Ji Hoon", "last_name"=>"Lee", "scopus_author_id"=>"55205203200"}, {"first_name"=>"Do Young", "last_name"=>"Kim", "scopus_author_id"=>"56119929100"}, {"first_name"=>"Sang Hoon", "last_name"=>"Ahn", "scopus_author_id"=>"7401989551"}, {"first_name"=>"Kyu Sik", "last_name"=>"Jung", "scopus_author_id"=>"36537399600"}, {"first_name"=>"Eun Hee", "last_name"=>"Choi", "scopus_author_id"=>"26434567100"}, {"first_name"=>"Young Nyun", "last_name"=>"Park", "scopus_author_id"=>"55551647600"}, {"first_name"=>"Kwang Hyub", "last_name"=>"Han", "scopus_author_id"=>"7402963689"}, {"first_name"=>"Chae Yoon", "last_name"=>"Chon", "scopus_author_id"=>"7005777833"}, {"first_name"=>"Jun Yong", "last_name"=>"Park", "scopus_author_id"=>"47861376300"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84860523129", "sgr"=>"84860523129", "pui"=>"364730745", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pmid"=>"22574212", "doi"=>"10.1371/journal.pone.0036676"}, "id"=>"8d5b68b4-4f8e-31a9-87d3-48a08b6f1449", "abstract"=>"BACKGROUND: Liver stiffness measurement (LSM) using transient elastography (FibroScan®) can assess liver fibrosis noninvasively. This study investigated whether LSM can predict the development of liver-related events (LREs) in chronic hepatitis B (CHB) patients showing histologically advanced liver fibrosis.\\n\\nMETHODS: Between March 2006 and April 2010, 128 CHB patients with who underwent LSM and liver biopsy (LB) before starting nucleot(s)ide analogues and showed histologically advanced fibrosis (≥F3) with a high viral loads [HBV DNA ≥2,000 IU/mL] were enrolled. All patients were followed regularly to detect LRE development, including hepatic decompensation (variceal bleeding, ascites, hepatic encephalopathy, spontaneous bacterial peritonitis, hepatorenal syndrome) and hepatocellular carcinoma (HCC).\\n\\nRESULTS: The mean age of the patient (72 men, 56 women) was 52.2 years. During the median follow-up period [median 27.8 (12.6-61.6) months], LREs developed in 19 (14.8%) patients (five with hepatic decompensation, 13 with HCC, one with both). Together with age, multivariate analysis identified LSM as an independent predictor of LRE development [P<0.044; hazard ratio (HR), 1.038; 95% confidence interval (CI), 1.002-1.081]. When the study population was stratified into two groups using the optimal cutoff value (19 kPa), which maximized the sum of sensitivity (61.1%) and specificity (86.2%) from a time-dependent receiver operating characteristic curve, patients with LSM>19 kPa were at significantly greater risk than those with LSM≤19 kPa for LRE development (HR, 7.176; 95% CI, 2.257-22.812; P = 0.001).\\n\\nCONCLUSION: LSM can be a useful predictor of LRE development in CHB patients showing histologically advanced liver fibrosis.", "link"=>"http://www.mendeley.com/research/prediction-liverrelated-events-using-fibroscan-chronic-hepatitis-b-patients-showing-advanced-liver-f", "reader_count"=>33, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Other"=>4, "Student > Master"=>3, "Student > Bachelor"=>2, "Professor"=>3}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Other"=>4, "Student > Master"=>3, "Student > Bachelor"=>2, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Medicine and Dentistry"=>26, "Agricultural and Biological Sciences"=>2, "Arts and Humanities"=>1, "Business, Management and Accounting"=>1, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>26}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Spain"=>1}, "group_count"=>3}

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Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/643144"], "description"=>"<p>Variables are expressed as mean ± SD, median (range), or n (%).</p><p>HBeAg, hepatitis B e antigen; LSM, liver stiffness measurement; kPa, kilopascal.</p>", "links"=>[], "tags"=>["characteristics"], "article_id"=>313632, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.t001", "stats"=>{"downloads"=>1, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_Characteristics_n_8202_8202_128_/313632", "title"=>"Baseline Characteristics (n = 128).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-05-04 01:00:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/643193"], "description"=>"<p>Variables are expressed as mean ± SD, median (range), or n (%).</p><p>LRE, liver-related event; HBeAg, hepatitis B e antigen; LSM, liver stiffness measurement; kPa, kilopascal.</p>", "links"=>[], "tags"=>["patients", "lre"], "article_id"=>313677, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.t002", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_Between_Patients_with_and_without_LRE_Development_/313677", "title"=>"Comparison Between Patients with and without LRE Development.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-05-04 01:01:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/642979"], "description"=>"<p>Median LSM value of patients with F3 and F4 were 9.0 (range, 5.7–19.8) kPa and 14.1 (range, 4.4–57.1) kPa, respectively and LSM values in patients with F4 fibrosis stage were significantly higher than those with F3 (10.1±3.7 <i>vs</i>. 15.8±8.8 kPa, <i>P</i><0.001). LSM, liver stiffness measurement; kPa, kilopascal.</p>", "links"=>[], "tags"=>["plots", "lsm", "patients", "f3", "f4", "fibrosis"], "article_id"=>313461, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.g003", "stats"=>{"downloads"=>1, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Box_plots_of_LSM_values_in_patients_with_F3_and_F4_fibrosis_stage_/313461", "title"=>"Box plots of LSM values in patients with F3 and F4 fibrosis stage.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-05-04 00:57:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/642902"], "description"=>"<p>Patients with LSM value >19 kPa were at a significantly greater risk of LREs development with a hazard ratio of 7.176 [95% confidence interval, 2.257–22.812; <i>P</i> = 0.001], as compared to those with LSM value ≤19 kPa. LSM, liver stiffness measurement; kPa, kilopascal. LRE, liver-related event.</p>", "links"=>[], "tags"=>["incidence", "rates", "lres", "stratified", "lsm"], "article_id"=>313382, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.g002", "stats"=>{"downloads"=>1, "page_views"=>39, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cumulative_incidence_rates_of_LREs_based_on_stratified_LSM_values_Kaplan_Meier_plot_/313382", "title"=>"Cumulative incidence rates of LREs based on stratified LSM values (Kaplan-Meier plot).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-05-04 00:56:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/643063"], "description"=>"<p>The incidence of LREs was similar between patients with F3 fibrosis stage and those with F4 (22.2% <i>vs</i>. 13.6%, <i>P</i> = 0.472) whereas it was signficanly different between patients with LSM value ≤19 kPa and those with LSM value >19 kPa (6.9% <i>vs</i>. 44.4%, <i>P</i><0.001). LRE, liver-related event; LSM, liver stiffness measurement; kPa, kilopascal.</p>", "links"=>[], "tags"=>["lres", "fibrosis", "lsm"], "article_id"=>313547, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.g004", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_of_LREs_according_to_fibrosis_stage_and_LSM_values_/313547", "title"=>"Incidence of LREs according to fibrosis stage and LSM values.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-05-04 00:59:07"}
  • {"files"=>["https://ndownloader.figshare.com/files/331424"], "description"=>"<div><h3>Background</h3><p>Liver stiffness measurement (LSM) using transient elastography (FibroScan®) can assess liver fibrosis noninvasively. This study investigated whether LSM can predict the development of liver-related events (LREs) in chronic hepatitis B (CHB) patients showing histologically advanced liver fibrosis.</p> <h3>Methods</h3><p>Between March 2006 and April 2010, 128 CHB patients with who underwent LSM and liver biopsy (LB) before starting nucleot(s)ide analogues and showed histologically advanced fibrosis (≥F3) with a high viral loads [HBV DNA ≥2,000 IU/mL] were enrolled. All patients were followed regularly to detect LRE development, including hepatic decompensation (variceal bleeding, ascites, hepatic encephalopathy, spontaneous bacterial peritonitis, hepatorenal syndrome) and hepatocellular carcinoma (HCC).</p> <h3>Results</h3><p>The mean age of the patient (72 men, 56 women) was 52.2 years. During the median follow-up period [median 27.8 (12.6–61.6) months], LREs developed in 19 (14.8%) patients (five with hepatic decompensation, 13 with HCC, one with both). Together with age, multivariate analysis identified LSM as an independent predictor of LRE development [<em>P</em><0.044; hazard ratio (HR), 1.038; 95% confidence interval (CI), 1.002–1.081]. When the study population was stratified into two groups using the optimal cutoff value (19 kPa), which maximized the sum of sensitivity (61.1%) and specificity (86.2%) from a time-dependent receiver operating characteristic curve, patients with LSM>19 kPa were at significantly greater risk than those with LSM≤19 kPa for LRE development (HR, 7.176; 95% CI, 2.257–22.812; <em>P</em> = 0.001).</p> <h3>Conclusion</h3><p>LSM can be a useful predictor of LRE development in CHB patients showing histologically advanced liver fibrosis.</p> </div>", "links"=>[], "tags"=>["liver-related", "events", "fibroscan", "hepatitis", "patients", "showing", "fibrosis"], "article_id"=>125431, "categories"=>["Cancer", "Chemistry"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Prediction_of_Liver_Related_Events_Using_Fibroscan_in_Chronic_Hepatitis_B_Patients_Showing_Advanced_Liver_Fibrosis/125431", "title"=>"Prediction of Liver-Related Events Using Fibroscan in Chronic Hepatitis B Patients Showing Advanced Liver Fibrosis", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-05-04 01:30:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/643226"], "description"=>"<p>LRE, liver-related event; CI, confidence interval; ALT, alanine aminotransferase; HBeAg, hepatitis B e antigen; kPa, kilopascal.</p>", "links"=>[], "tags"=>["factors", "lre"], "article_id"=>313715, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.t003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Independent_Risk_Factors_for_LRE_Development_/313715", "title"=>"Independent Risk Factors for LRE Development.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-05-04 01:01:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/642811"], "description"=>"<p>The cumulative incidence rates of LREs at 1, 2, and 3 years were 3.1%, 11.7%, and 16.2%, respectively. LRE, liver-related event.</p>", "links"=>[], "tags"=>["cumulative", "incidence", "rates", "lres"], "article_id"=>313298, "categories"=>["Cancer", "Chemistry", "Infectious Diseases"], "users"=>["Seung Up Kim", "Ji Hoon Lee", "Do Young Kim", "Sang Hoon Ahn", "Kyu Sik Jung", "Eun Hee Choi", "Young Nyun Park", "Kwang-Hyub Han", "Chae Yoon Chon", "Jun Yong Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0036676.g001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_cumulative_incidence_rates_of_LREs_Kaplan_Meier_plot_/313298", "title"=>"The cumulative incidence rates of LREs (Kaplan-Meier plot).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-05-04 00:54:58"}

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Relative Metric

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