000 | nab a22 7a 4500 | ||
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999 |
_c17227 _d17227 |
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003 | PC17227 | ||
005 | 20230213135042.0 | ||
008 | 230213b xxu||||| |||| 00| 0 eng d | ||
040 | _cH12O | ||
041 | _aeng | ||
100 |
_9560 _aAbradelo de Usera, Manuel _eCirugía General y Aparato Digestivo |
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245 | 0 | 0 |
_aPegylated interferon plus ribavirin in HIV-infected patients with recurrent hepatitis C after liver transplantation: a prospective cohort study. _h[artículo] |
260 |
_bJournal of hepatology, _c2015 |
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300 | _a62(1):92-100. | ||
500 | _aFormato Vancouver: Castells L, Rimola A, Manzardo C, Valdivieso A, Montero JL, Barcena R et al; FIPSE LT-HIV Investigators. Pegylated interferon plus ribavirin in HIV-infected patients with recurrent hepatitis C after liver transplantation: a prospective cohort study. J Hepatol. 2015 Jan;62(1):92-100. | ||
501 | _aPMID: 25127748 | ||
504 | _aContiene 38 referencias | ||
505 | _aErratum in: J Hepatol. 2016 Mar;64(3):757 | ||
520 | _aBackground & aims: The aim of this study was to evaluate the results of treatment with pegylated interferon and ribavirin for the recurrence of hepatitis C after liver transplantation in HCV/HIV-coinfected patients. Methods: This was a prospective, multicentre cohort study, including 78 HCV/HIV-coinfected liver transplant patients who received treatment for recurrent hepatitis C. For comparison, we included 176 matched HCV-monoinfected patients who underwent liver transplantation during the same period of time at the same centres and were treated for recurrent hepatitis C. Results: Antiviral therapy was discontinued prematurely in 56% and 39% (p = 0.016), mainly because of toxicity (22% and 11%, respectively; p=0.034). Sustained virological response (SVR) was achieved in 21% of the coinfected patients and in 36% of monoinfected patients (p = 0.013). For genotype 1, SVR rates were 10% and 33% (p = 0.002), respectively; no significant differences were observed for the other genotypes. A multivariate analysis based on the whole series identified HIV-coinfection as an independent predictor of lack of SVR (OR, 0.17; 95% CI, 0.06-0.42). Other predictors of SVR were donor age, pretreatment HCV viral load, HCV genotype, and early virological response. SVR was associated with a significant improvement in survival: 5-year survival after antiviral treatment was 79% for HCV/HIV-coinfected patients with SVR vs. 43% for those without (p = 0.02) and 92% vs. 60% in HCV-monoinfected patients (p < 0.001), respectively. Conclusions: The response to pegylated interferon and ribavirin was poorer in HCV/HIV-coinfected liver recipients, particularly those with genotype 1. However, when SVR was achieved, survival of coinfected patients increased significantly. | ||
710 |
_9271 _aServicio de Cirugía General y del Aparato Digestivo |
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856 |
_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17227.pdf _ySolicitar documento |
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942 |
_2ddc _cART _n0 |