Abstract:
BACKGROUNDS:Serum hepatitis B surface antigen (HBsAg) levels are associated with fibrosis in patients with chronic hepatitis B (CHB) infection. OBJECTIVES:The aim of our study was to evaluate serum HBsAg level as a biomarker for compensated cirrhosis in hepatitis B e antigen (HBeAg) positive CHB patients. PATIENTS AND METHODS:Two-hundred and one HBeAg-positive Chinese CHB patients with or without cirrhosis were enrolled in this retrospective study. Cirrhosis was diagnosed based on liver biopsy. Furthermore, patients with decompensated cirrhosis were excluded. A statistical analysis was performed regarding the association between serum HBsAg level and compensated cirrhosis. RESULTS:Patients with compensated cirrhosis had a significantly lower mean serum HBsAg level compared to those without cirrhosis (3.27 Log10 IU/mL VS 4.17 Log10 IU/mL, P < 0.001). Furthermore, examining the correlation with compensated cirrhosis revealed that lower level of serum HBsAg was a significant factor in multivariate analysis. The area under the receiver operating characteristics curve of serum HBsAg was 0.856 for compensated cirrhosis. A positive predictive value of 66.2% and negative predictive value of 90.7% were obtained with a cut-off value of < 3.60 Log10 IU/mL (4000 IU/mL) of serum HBsAg. Moreover, the rate of compensated cirrhosis increased to 75.0% after combining with APRI > 2. CONCLUSIONS:In HBeAg positive CHB patients, low serum HBsAg level is a useful predictor of compensated cirrhosis.
journal_name
Hepat Monjournal_title
Hepatitis monthlyauthors
Jia W,Qi X,Ji YY,Xun YH,Wang H,Zhang WH,Yang JH,Wang JY,Zhu HX,Mao RC,Zhang JMdoi
10.5812/hepatmon.29183subject
Has Abstractpub_date
2015-08-30 00:00:00pages
e29183issue
8eissn
1735-143Xissn
1735-3408journal_volume
15pub_type
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journal_title:Hepatitis monthly
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journal_title:Hepatitis monthly
pub_type: 杂志文章
doi:
更新日期:2011-04-01 00:00:00
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journal_title:Hepatitis monthly
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doi:
更新日期:2011-02-01 00:00:00
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更新日期:2011-01-01 00:00:00
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更新日期:2015-05-23 00:00:00
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更新日期:2014-06-08 00:00:00
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更新日期:2012-01-01 00:00:00
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更新日期:2013-08-13 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-08-14 00:00:00
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journal_title:Hepatitis monthly
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
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journal_title:Hepatitis monthly
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
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更新日期:2013-05-11 00:00:00