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Impact of non-alcoholic fatty liver disease on overall survival in hepatitis B virus-related hepatocellular carcinoma
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Shan Zhang1, 2, Song-Hai Chen2, Yan Liu3, Chun-Yan Wang2, Yi-Ming Fu2, Yin-Ying Lu1, 2, Dong Ji1, 2, *, Guo-Feng Chen1, 2, *
Medical Journal of Chinese People’s Liberation Army | 2023, 48(2) : 157 - 162
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Medical Journal of Chinese People’s Liberation Army | 2023, 48(2): 157-162
The diagnosis, treatment and prognosis of chronic hepatitis B
Impact of non-alcoholic fatty liver disease on overall survival in hepatitis B virus-related hepatocellular carcinoma
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Shan Zhang1, 2, Song-Hai Chen2, Yan Liu3, Chun-Yan Wang2, Yi-Ming Fu2, Yin-Ying Lu1, 2, Dong Ji1, 2, *, Guo-Feng Chen1, 2, *
Affiliations
  • 1Peking University 302 Clinical Medical School, Beijing 100039, China
  • 2Senior Department of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
  • 3Senior Department of Infectious Diseases, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
Published: 2023-02-28 doi: 10.11855/j.issn.0577-7402.2023.02.0157
Outline
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Objective To investigate the effect of non-alcoholic fatty liver disease (NAFLD) on the overall survival of patients with hepatitis B virus-related hepatocellular carcinoma (HCC). Methods The hospitalized patients from June 2008 to December 2020 were screened according to inclusive and exclusive criteria, the clinical characteristics at the time of the initial diagnosis of HCC and time-to-event information of the enrolled patients were retrospectively collected. After stratified by the Barcelona Clinic Liver Cancer (BCLC) staging and then balanced with the stabilized inverse probability of treatment weighting(IPTW) between NAFLD and non-NAFLD group, the Kaplan-Meier survival curve, log-rank test and Cox regression were used to compare the prognosis of patients with HBV-related HCC between NAFLD group and non-NAFLD group. The endpoint of this study was HCC-related death. Results A total of 833 patients were enrolled in the study. Among them, 465 patients in resectable group and 368 in non-resectable group. There were 161 (34.6%) patients with NAFLD in resectable group, and 76 (20.7%) patients with NAFLD in non-resectable group. After stabilized IPTW weighting, all indicators showed no statistical difference between two groups. Survival analyses showed that median survival time of NAFLD patients with HBV-related HCC was significantly longer than that of non-NAFLD patients. The 3-, 5-, and 8-year cumulative survival rates of NAFLD patients in resectable group were 96.9%, 82.1% and 41.2%, which were significantly higher than 91.1%, 60.4% and 13.7% of non-NAFLD patients (P<0.01). Cox analysis showed that NAFLD was the protective factor of survive (HR=0.473, 95%CI 0.356-0.627, P<0.01). Similarly, those of NAFLD patients in non-resectable group were 76.8%, 53.7% and 18.4%, which were significantly higher than those of non-NAFLD patients (53.0%, 25.7% and 2.5%, respectively, P<0.01). Cox analysis also showed that NAFLD was the protective factor of survive(HR=0.358, 95%CI 0.247-0.518, P<0.01). Conclusion The cumulative survival rate of HBV-related HCC patients with NAFLD is higher than that of patients without NAFLD.

non-alcoholic fatty liver disease  /  chronic hepatitis B  /  hepatitis B virus  /  hepatocellular carcinoma  /  survival analysis
Shan Zhang, Song-Hai Chen, Yan Liu, Chun-Yan Wang, Yi-Ming Fu, Yin-Ying Lu, Dong Ji, Guo-Feng Chen. Impact of non-alcoholic fatty liver disease on overall survival in hepatitis B virus-related hepatocellular carcinoma[J]. Medical Journal of Chinese People’s Liberation Army, 2023 , 48 (2) : 157 -162 . DOI: 10.11855/j.issn.0577-7402.2023.02.0157
  • Medical Big Data and Artificial Intelligence Development Fund of Chinese PLA General Hospital(2019MBD-024)
  • Beijing Municipal Natural Science Foundation(7222173)
  • Science Technology and Innovation Committee of Shenzhen Municipality(KCXFZ202002011006448)
  • National Natural Science Foundation of China(81721002)
Year 2023 volume 48 Issue 2
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Article Info
doi: 10.11855/j.issn.0577-7402.2023.02.0157
  • Receive Date:2021-07-30
  • Online Date:2025-12-03
  • Published:2023-02-28
Article Data
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History
  • Received:2021-07-30
  • Accepted:2022-02-17
Funding
Medical Big Data and Artificial Intelligence Development Fund of Chinese PLA General Hospital(2019MBD-024)
Beijing Municipal Natural Science Foundation(7222173)
Science Technology and Innovation Committee of Shenzhen Municipality(KCXFZ202002011006448)
National Natural Science Foundation of China(81721002)
Affiliations
    1Peking University 302 Clinical Medical School, Beijing 100039, China
    2Senior Department of Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
    3Senior Department of Infectious Diseases, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China

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* Ji Dong, E-mail:
Chen Guo-Feng, E-mail:
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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