Abstract | OBJECTIVE: Little is known about metabolic factors in cirrhotic patients in China. Therefore, we aimed to quantify the prevalence of both metabolic factors and non- alcoholic steatohepatitis-related liver cirrhosis in China. METHODS: The medical records of 1,582 patients diagnosed with liver cirrhosis from June 2003 to July 2013 at Daping Hospital (Chongqing, China) were retrospectively reviewed through a computer-generated search. RESULTS: Serum hepatitis B virus surface antigen was present in 1,083 (68.5%) patients, and hepatitis B was found to be the only etiological factor in 938 (59.3%) of all patients. Obesity, diabetes mellitus, and arterial hypertension were observed in 229 (14.5%), 159 (10.1%), and 129 (8.2%) patients, respectively. From 2012-2013, the proportion of non- alcoholic steatohepatitis-related liver cirrhosis increased to 3.2%, whereas the average proportion of non- alcoholic steatohepatitis-related liver cirrhosis in the previous ten years was 1.9%. The incidence of hepatocellular carcinoma was much higher in males than in females (6.3% vs. 3.7%, respectively, p=0.036). Obesity and diabetes mellitus did not significantly increase the incidence of hepatocellular carcinoma in the whole cirrhotic group. The presence of hepatitis B virus was the only risk factor for hepatocellular carcinoma in cirrhotic patients (p<0.001). CONCLUSIONS:
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Authors | Ji Xiong, Jun Wang, Juan Huang, Wenjing Sun, Jun Wang, Dongfeng Chen |
Journal | Clinics (Sao Paulo, Brazil)
(Clinics (Sao Paulo))
Vol. 70
Issue 8
Pg. 563-8
(Aug 2015)
ISSN: 1980-5322 [Electronic] United States |
PMID | 26247669
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Age Factors
- Aged
- Body Mass Index
- Carcinoma, Hepatocellular
(etiology, metabolism)
- China
(epidemiology)
- Diabetes Complications
(metabolism)
- Epidemiologic Methods
- Female
- Hepatitis B
(complications)
- Hepatitis B virus
(pathogenicity)
- Humans
- Liver Cirrhosis
(epidemiology, etiology, metabolism)
- Liver Neoplasms
(etiology, metabolism)
- Male
- Middle Aged
- Non-alcoholic Fatty Liver Disease
(complications, epidemiology, metabolism)
- Obesity
(complications, metabolism)
- Sex Factors
- Time Factors
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