Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B

Abstract Chronic hepatitis B (CHB) patients who have sustained virological suppression (SVS) still develop hepatocellular carcinoma(HCC), and the risk factors for developing HCC in these patients are not fully understood. This study included a total of 5234 patients who achieved SVS. After SVS, the...

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Main Authors: Jianna Zhang, Zhiqiang Lan, Kailu Zhu, Sijie Yu, Shibo Li, Yu Huang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-025-14015-0
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author Jianna Zhang
Zhiqiang Lan
Kailu Zhu
Sijie Yu
Shibo Li
Yu Huang
author_facet Jianna Zhang
Zhiqiang Lan
Kailu Zhu
Sijie Yu
Shibo Li
Yu Huang
author_sort Jianna Zhang
collection DOAJ
description Abstract Chronic hepatitis B (CHB) patients who have sustained virological suppression (SVS) still develop hepatocellular carcinoma(HCC), and the risk factors for developing HCC in these patients are not fully understood. This study included a total of 5234 patients who achieved SVS. After SVS, the incidence rate of HCC was 1.9% in 1–8 years and 1.33% in 9–16 years. There was a significant difference between the two periods (P < 0.001). After 1–8 years and 9–16 years of SVS, after multivariate analysis and IPTW adjustment, the factors related to the occurrence of HCC were men, hypertensive patients, diabetes patients and high FIB-4 scores. In summary, patients with CHB who have achieved SVS may still develop HCC. Among them, men, hypertensive patients, diabetes patients and high FIB-4 scores should be listed as the key monitoring objects of HCC. Clinical trial number: Not applicable.
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issn 1471-2407
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series BMC Cancer
spelling doaj-art-b4a337d046304f6b94fef9fcbca3cf532025-08-20T02:17:09ZengBMCBMC Cancer1471-24072025-04-0125111210.1186/s12885-025-14015-0Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis BJianna Zhang0Zhiqiang Lan1Kailu Zhu2Sijie Yu3Shibo Li4Yu Huang5Department of Nephrology, The First Affiliated Hospital of Wenzhou Medical UniversitySchool of Pharmaceutical Science, Wenzhou Medical UniversityDepartment of Infectious Diseases, Taizhou First People‘s HospitalDepartment of Infectious Diseases, Zhoushan Hospital Wenzhou Medical UniversityDepartment of Infectious Diseases, Zhoushan Hospital Wenzhou Medical UniversityDepartment of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical UniversityAbstract Chronic hepatitis B (CHB) patients who have sustained virological suppression (SVS) still develop hepatocellular carcinoma(HCC), and the risk factors for developing HCC in these patients are not fully understood. This study included a total of 5234 patients who achieved SVS. After SVS, the incidence rate of HCC was 1.9% in 1–8 years and 1.33% in 9–16 years. There was a significant difference between the two periods (P < 0.001). After 1–8 years and 9–16 years of SVS, after multivariate analysis and IPTW adjustment, the factors related to the occurrence of HCC were men, hypertensive patients, diabetes patients and high FIB-4 scores. In summary, patients with CHB who have achieved SVS may still develop HCC. Among them, men, hypertensive patients, diabetes patients and high FIB-4 scores should be listed as the key monitoring objects of HCC. Clinical trial number: Not applicable.https://doi.org/10.1186/s12885-025-14015-0Chronic hepatitis B(CHB)Sustained virological suppression (SVS)Hepatocellular carcinoma(HCC)Risk factor
spellingShingle Jianna Zhang
Zhiqiang Lan
Kailu Zhu
Sijie Yu
Shibo Li
Yu Huang
Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
BMC Cancer
Chronic hepatitis B(CHB)
Sustained virological suppression (SVS)
Hepatocellular carcinoma(HCC)
Risk factor
title Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
title_full Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
title_fullStr Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
title_full_unstemmed Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
title_short Analysis of high-risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis B
title_sort analysis of high risk factors for hepatocellular carcinoma after sustained virological suppression of chronic hepatitis b
topic Chronic hepatitis B(CHB)
Sustained virological suppression (SVS)
Hepatocellular carcinoma(HCC)
Risk factor
url https://doi.org/10.1186/s12885-025-14015-0
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