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FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients
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| Zeitschriftentitel: | Cancer Epidemiology, Biomarkers & Prevention |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , , , , |
| In: | Cancer Epidemiology, Biomarkers & Prevention, 20, 2011, 12, S. 2512-2517 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Association for Cancer Research (AACR)
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| Schlagwörter: |
| author_facet |
Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert |
|---|---|
| author |
Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert |
| spellingShingle |
Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert Cancer Epidemiology, Biomarkers & Prevention FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients Oncology Epidemiology |
| author_sort |
park, lesley s. |
| spelling |
Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert 1055-9965 1538-7755 American Association for Cancer Research (AACR) Oncology Epidemiology http://dx.doi.org/10.1158/1055-9965.epi-11-0582 <jats:title>Abstract</jats:title> <jats:p>Background: Chronic inflammation caused by hepatitis B virus infection, hepatitis C virus infection, and/or heavy alcohol use can lead to fibrosis, cirrhosis, and eventually hepatocellular carcinoma (HCC). FIB-4 is an index score calculated from platelet count, alanine transaminase, aspartate transaminase, and age that predicts fibrosis and cirrhosis. We hypothesized that high FIB-4 would be associated with development of HCC in HIV-infected persons, who are at high risk due to high prevalence of viral hepatitis and alcohol consumption, and possibly due to HIV infection itself.</jats:p> <jats:p>Methods: Using proportional hazards models, we tested this hypothesis among 22,980 HIV-infected men from the Veterans Aging Cohort Study. We identified incident HCC cases from the Veterans Affairs Central Cancer Registry.</jats:p> <jats:p>Results: During follow-up, there were 112 incident HCC diagnoses. The age- and race/ethnic group-adjusted HR was 4.2 [95% confidence interval (CI), 2.4–7.4] for intermediate FIB-4 and 13.0 (95% CI, 7.2–23.4) for high FIB-4, compared with low FIB-4. After further adjustment for enrollment year, CD4 count, HIV-1 RNA level, antiretroviral therapy use, hepatitis B and C virus infection, alcohol abuse/dependency, and diabetes, FIB-4 remained a strong, significant, independent risk factor for HCC. The multivariate-adjusted HR was 3.6 (95% CI, 2.1–6.4) for intermediate FIB-4 and 9.6 (95% CI, 5.2–17.4) for high FIB-4.</jats:p> <jats:p>Conclusions: Calculated from routine, noninvasive laboratory tests, FIB-4 is a strong, independent HCC risk factor in HIV-infected patients.</jats:p> <jats:p>Impact: FIB-4 might prove valuable as an easily measured index to identify those at highest risk for HCC, even prior to development of clinical cirrhosis. Cancer Epidemiol Biomarkers Prev; 20(12); 2512–7. ©2011 AACR.</jats:p> FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients Cancer Epidemiology, Biomarkers & Prevention |
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American Association for Cancer Research (AACR), 2011 |
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American Association for Cancer Research (AACR), 2011 |
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| title |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_unstemmed |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_full |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_fullStr |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_full_unstemmed |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_short |
FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_sort |
fib-4 index is associated with hepatocellular carcinoma risk in hiv-infected patients |
| topic |
Oncology Epidemiology |
| url |
http://dx.doi.org/10.1158/1055-9965.epi-11-0582 |
| publishDate |
2011 |
| physical |
2512-2517 |
| description |
<jats:title>Abstract</jats:title>
<jats:p>Background: Chronic inflammation caused by hepatitis B virus infection, hepatitis C virus infection, and/or heavy alcohol use can lead to fibrosis, cirrhosis, and eventually hepatocellular carcinoma (HCC). FIB-4 is an index score calculated from platelet count, alanine transaminase, aspartate transaminase, and age that predicts fibrosis and cirrhosis. We hypothesized that high FIB-4 would be associated with development of HCC in HIV-infected persons, who are at high risk due to high prevalence of viral hepatitis and alcohol consumption, and possibly due to HIV infection itself.</jats:p>
<jats:p>Methods: Using proportional hazards models, we tested this hypothesis among 22,980 HIV-infected men from the Veterans Aging Cohort Study. We identified incident HCC cases from the Veterans Affairs Central Cancer Registry.</jats:p>
<jats:p>Results: During follow-up, there were 112 incident HCC diagnoses. The age- and race/ethnic group-adjusted HR was 4.2 [95% confidence interval (CI), 2.4–7.4] for intermediate FIB-4 and 13.0 (95% CI, 7.2–23.4) for high FIB-4, compared with low FIB-4. After further adjustment for enrollment year, CD4 count, HIV-1 RNA level, antiretroviral therapy use, hepatitis B and C virus infection, alcohol abuse/dependency, and diabetes, FIB-4 remained a strong, significant, independent risk factor for HCC. The multivariate-adjusted HR was 3.6 (95% CI, 2.1–6.4) for intermediate FIB-4 and 9.6 (95% CI, 5.2–17.4) for high FIB-4.</jats:p>
<jats:p>Conclusions: Calculated from routine, noninvasive laboratory tests, FIB-4 is a strong, independent HCC risk factor in HIV-infected patients.</jats:p>
<jats:p>Impact: FIB-4 might prove valuable as an easily measured index to identify those at highest risk for HCC, even prior to development of clinical cirrhosis. Cancer Epidemiol Biomarkers Prev; 20(12); 2512–7. ©2011 AACR.</jats:p> |
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| author | Park, Lesley S., Tate, Janet P., Justice, Amy C., Lo Re, Vincent, Lim, Joseph K., Bräu, Norbert, Brown, Sheldon T., Butt, Adeel A., Gibert, Cynthia, Goetz, Matthew Bidwell, Rimland, David, Rodriguez-Barradas, Maria C., Dubrow, Robert |
| author_facet | Park, Lesley S., Tate, Janet P., Justice, Amy C., Lo Re, Vincent, Lim, Joseph K., Bräu, Norbert, Brown, Sheldon T., Butt, Adeel A., Gibert, Cynthia, Goetz, Matthew Bidwell, Rimland, David, Rodriguez-Barradas, Maria C., Dubrow, Robert, Park, Lesley S., Tate, Janet P., Justice, Amy C., Lo Re, Vincent, Lim, Joseph K., Bräu, Norbert, Brown, Sheldon T., Butt, Adeel A., Gibert, Cynthia, Goetz, Matthew Bidwell, Rimland, David, Rodriguez-Barradas, Maria C., Dubrow, Robert |
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| description | <jats:title>Abstract</jats:title> <jats:p>Background: Chronic inflammation caused by hepatitis B virus infection, hepatitis C virus infection, and/or heavy alcohol use can lead to fibrosis, cirrhosis, and eventually hepatocellular carcinoma (HCC). FIB-4 is an index score calculated from platelet count, alanine transaminase, aspartate transaminase, and age that predicts fibrosis and cirrhosis. We hypothesized that high FIB-4 would be associated with development of HCC in HIV-infected persons, who are at high risk due to high prevalence of viral hepatitis and alcohol consumption, and possibly due to HIV infection itself.</jats:p> <jats:p>Methods: Using proportional hazards models, we tested this hypothesis among 22,980 HIV-infected men from the Veterans Aging Cohort Study. We identified incident HCC cases from the Veterans Affairs Central Cancer Registry.</jats:p> <jats:p>Results: During follow-up, there were 112 incident HCC diagnoses. The age- and race/ethnic group-adjusted HR was 4.2 [95% confidence interval (CI), 2.4–7.4] for intermediate FIB-4 and 13.0 (95% CI, 7.2–23.4) for high FIB-4, compared with low FIB-4. After further adjustment for enrollment year, CD4 count, HIV-1 RNA level, antiretroviral therapy use, hepatitis B and C virus infection, alcohol abuse/dependency, and diabetes, FIB-4 remained a strong, significant, independent risk factor for HCC. The multivariate-adjusted HR was 3.6 (95% CI, 2.1–6.4) for intermediate FIB-4 and 9.6 (95% CI, 5.2–17.4) for high FIB-4.</jats:p> <jats:p>Conclusions: Calculated from routine, noninvasive laboratory tests, FIB-4 is a strong, independent HCC risk factor in HIV-infected patients.</jats:p> <jats:p>Impact: FIB-4 might prove valuable as an easily measured index to identify those at highest risk for HCC, even prior to development of clinical cirrhosis. Cancer Epidemiol Biomarkers Prev; 20(12); 2512–7. ©2011 AACR.</jats:p> |
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| imprint | American Association for Cancer Research (AACR), 2011 |
| imprint_str_mv | American Association for Cancer Research (AACR), 2011 |
| institution | DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161 |
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| spelling | Park, Lesley S. Tate, Janet P. Justice, Amy C. Lo Re, Vincent Lim, Joseph K. Bräu, Norbert Brown, Sheldon T. Butt, Adeel A. Gibert, Cynthia Goetz, Matthew Bidwell Rimland, David Rodriguez-Barradas, Maria C. Dubrow, Robert 1055-9965 1538-7755 American Association for Cancer Research (AACR) Oncology Epidemiology http://dx.doi.org/10.1158/1055-9965.epi-11-0582 <jats:title>Abstract</jats:title> <jats:p>Background: Chronic inflammation caused by hepatitis B virus infection, hepatitis C virus infection, and/or heavy alcohol use can lead to fibrosis, cirrhosis, and eventually hepatocellular carcinoma (HCC). FIB-4 is an index score calculated from platelet count, alanine transaminase, aspartate transaminase, and age that predicts fibrosis and cirrhosis. We hypothesized that high FIB-4 would be associated with development of HCC in HIV-infected persons, who are at high risk due to high prevalence of viral hepatitis and alcohol consumption, and possibly due to HIV infection itself.</jats:p> <jats:p>Methods: Using proportional hazards models, we tested this hypothesis among 22,980 HIV-infected men from the Veterans Aging Cohort Study. We identified incident HCC cases from the Veterans Affairs Central Cancer Registry.</jats:p> <jats:p>Results: During follow-up, there were 112 incident HCC diagnoses. The age- and race/ethnic group-adjusted HR was 4.2 [95% confidence interval (CI), 2.4–7.4] for intermediate FIB-4 and 13.0 (95% CI, 7.2–23.4) for high FIB-4, compared with low FIB-4. After further adjustment for enrollment year, CD4 count, HIV-1 RNA level, antiretroviral therapy use, hepatitis B and C virus infection, alcohol abuse/dependency, and diabetes, FIB-4 remained a strong, significant, independent risk factor for HCC. The multivariate-adjusted HR was 3.6 (95% CI, 2.1–6.4) for intermediate FIB-4 and 9.6 (95% CI, 5.2–17.4) for high FIB-4.</jats:p> <jats:p>Conclusions: Calculated from routine, noninvasive laboratory tests, FIB-4 is a strong, independent HCC risk factor in HIV-infected patients.</jats:p> <jats:p>Impact: FIB-4 might prove valuable as an easily measured index to identify those at highest risk for HCC, even prior to development of clinical cirrhosis. Cancer Epidemiol Biomarkers Prev; 20(12); 2512–7. ©2011 AACR.</jats:p> FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients Cancer Epidemiology, Biomarkers & Prevention |
| spellingShingle | Park, Lesley S., Tate, Janet P., Justice, Amy C., Lo Re, Vincent, Lim, Joseph K., Bräu, Norbert, Brown, Sheldon T., Butt, Adeel A., Gibert, Cynthia, Goetz, Matthew Bidwell, Rimland, David, Rodriguez-Barradas, Maria C., Dubrow, Robert, Cancer Epidemiology, Biomarkers & Prevention, FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients, Oncology, Epidemiology |
| title | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_full | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_fullStr | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_full_unstemmed | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_short | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| title_sort | fib-4 index is associated with hepatocellular carcinoma risk in hiv-infected patients |
| title_unstemmed | FIB-4 Index Is Associated with Hepatocellular Carcinoma Risk in HIV-Infected Patients |
| topic | Oncology, Epidemiology |
| url | http://dx.doi.org/10.1158/1055-9965.epi-11-0582 |