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Open Access Article

International Journal of Clinical Research. 2025; 9: (12) ; 9-33 ; DOI: 10.12208/j.ijcr.20250566.

The occurrence or recurrence of hepatocellular carcinoma after hepatitis c virus therapy with direct-acting antivirals: systematic reviews and Meta-analyses
直接抗病毒药物治疗丙型肝炎病毒后肝细胞癌的发生或复发:系统评价和Meta分析

作者: 杨豪洁1, 王钰鲲2,3 *

1 河南科技大学临床医学院,河南科技大学第一附属医院急诊科 河南洛阳

2 河南科技大学临床医学院,河南科技大学第一附属医院,河南科技大学肿瘤研究所,河南省肿瘤表观遗传重点实验室 河南洛阳
3 武汉大学人民医院感染科 湖北武汉

*通讯作者: 王钰鲲,单位: 河南科技大学临床医学院,河南科技大学第一附属医院,河南科技大学肿瘤研究所,河南省肿瘤表观遗传重点实验室 河南洛阳 武汉大学人民医院感染科 湖北武汉;

发布时间: 2025-12-16 总浏览量: 151

摘要

背景与目的 直接抗病毒药物(direct-acting antivirals, DAAs)治疗丙型肝炎病毒(hepatitis C virus, HCV)后,肝细胞癌(hepatocellular carcinoma, HCC)的发生或复发风险存在争议。本研究通过Meta分析评估接受直接抗病毒药物治疗患者的肝细胞癌发生或复发特征。方法 检索截至2024年12月31日发表在PubMed、Embase和Web of Science数据库中的相关文献,采用随机效应模型Meta分析计算肝细胞癌的发生或复发率的综合估计值。结果 共纳入78项研究(140614例患者),其中50项研究涉及肝细胞癌发生(136689例患者,前瞻性19项、回顾性29项、回顾-前瞻性1项、观察性1项),42项研究涉及肝细胞癌复发(3925例患者,前瞻性14项、回顾性25项、回顾-前瞻性2项、观察性1项)。在肝细胞癌发生的研究中,合并肝细胞癌发生率为3%(95%置信区间3%-4%);在肝细胞癌复发的研究中,合并肝细胞癌复发率为32%(95%置信区间26%-38%)。多变量方差分析显示,接受直接抗病毒药物治疗的患者与接受干扰素治疗或未治疗的患者相比,肝细胞癌的发生或复发率相近甚至更低。结论 现有数据表明,直接抗病毒药物治疗后肝细胞癌的发生或复发率处于可接受范围。与接受干扰素治疗或未治疗的患者相比,直接抗病毒药物治疗与肝细胞癌发生或复发的风险相近。我们建议对晚期肝病和肝细胞癌高风险患者加强病毒清除后的监测。

关键词: 直接抗病毒药物;肝细胞癌;丙型肝炎病毒;发生;复发

Abstract

Background and Aims The risk of hepatocellular carcinoma (HCC) occurrence or recurrence after treatment of hepatitis C virus (HCV) with direct-acting antivirals (DAAs) remains controversial. We performed a meta-analysis to evaluate the occurrence or recurrence characteristics of HCC in DAAs-treated patients.
Methods A search was conducted for reports published in PubMed, Embase and Web of Science up to December 31, 2024. Random-effects meta-analyses were performed to determine composite estimates of HCC incidence or recurrence rate.
Results A total of 78 studies (n = 140614 patients), including 50 studies on HCC occurrence (n = 136689 patients, prospective = 19, retrospective = 29, retrospective-prospective = 1, observational = 1), and 42 studies on HCC recurrence (n=3925 patients prospective=14, retrospective=25 and retrospective-prospective=2, observational=1). In the studies with HCC occurrence, the combined HCC incidence was 3% (95%CI 3-4%), and in the studies with HCC recurrence, the combined HCC recurrence rate was 32% (95%CI 26-38%). In multivariate analysis of variance, HCC incidence or recurrence rates were similar or even lower in patients treated with DAAs than in patients treated with IFN or untreated.
Conclusion   Current data suggest an acceptable rate of HCC incidence or recurrence after DAAs therapy. DAAs treatment was associated with a similar risk of HCC occurrence or recurrence compared with interferon-treated or untreated patients. We recommend enhanced implementation of post-eradication surveillance of viral infection in patients with advanced liver disease and higher risk of HCC.

Key words: Direct-acting antivirals; Hepatocellular carcinoma; Hepatitis C virus; Occurrence; Recurrence

参考文献 References

[1] SUNG H, FERLAY J, SIEGEL R L, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries [J]. CA: A Cancer Journal for Clinicians, 2021, 71(3): 209-49.

[2] LIVER E A F T S O T. EASL Clinical Practice Guidelines: Management of hepatocellular carcinoma [J]. J Hepatol, 2018, 69(1): 182-236.

[3] REDDY S K, STEEL J L, CHEN H W, et al. Outcomes of curative treatment for hepatocellular cancer in nonalcoholic steatohepatitis versus hepatitis C and alcoholic liver disease [J]. Hepatology, 2012, 55(6): 1809-19.

[4] RUMGAY H, ARNOLD M, FERLAY J, et al. Global burden of primary liver cancer in 2020 and predictions to 2040 [J]. J Hepatol, 2022, 77(6): 1598-606.

[5] HOLMES J A, RUTLEDGE S M, CHUNG R T. Direct-acting antiviral treatment for hepatitis C [J]. Lancet (London, England), 2019, 393(10179): 1392-4.

[6] FOSTER G R, IRVING W L, CHEUNG M C, et al. Impact of direct acting antiviral therapy in patients with chronic hepatitis C and decompensated cirrhosis [J]. J Hepatol, 2016, 64(6): 1224-31.

[7] CONTI F, BUONFIGLIOLI F, SCUTERI A, et al. Early occurrence and recurrence of hepatocellular carcinoma in HCV-related cirrhosis treated with direct-acting antivirals [J]. Journal of Hepatology, 2016, 65(4): 727-33.

[8] SARAIYA N, YOPP A C, RICH N E, et al. Systematic review with meta-analysis: recurrence of hepatocellular carcinoma following direct-acting antiviral therapy [J]. Alimentary pharmacology & therapeutics, 2018, 48(2): 127-37.

[9] FRAZZONI L, SIKANDAR U, METELLI F, et al. Hepatocellular Carcinoma Recurrence after Hepatitis C Virus Therapy with Direct-Acting Antivirals. A Systematic Review and Meta-Analysis [J]. Journal of clinical medicine, 2021, 10(8).

[10] GA WELLS B S, D O'CONNELL, J PETERSON, V WELCH, M LOSOS, P TUGWELL,. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Z]. 2023

[11] FRIEDRICH J O, ADHIKARI N K, BEYENE J. Inclusion of zero total event trials in meta-analyses maintains analytic consistency and incorporates all available data [J]. BMC medical research methodology, 2007, 7: 5.

[12] LIN L, CHU H. Quantifying publication bias in meta-analysis [J]. Biometrics, 2018, 74(3): 785-94.

[13] Lack of evidence of an effect of direct-acting antivirals on the recurrence of hepatocellular carcinoma: Data from three ANRS cohorts [J]. J Hepatol, 2016, 65(4): 734-40.

[14] REIG M, MARIñO Z, PERELLó C, et al. Unexpected high rate of early tumor recurrence in patients with HCV-related HCC undergoing interferon-free therapy [J]. J Hepatol, 2016, 65(4): 719-26.

[15] BIELEN R, MORENO C, VAN VLIERBERGHE H, et al. The risk of early occurrence and recurrence of hepatocellular carcinoma in hepatitis C-infected patients treated with direct-acting antivirals with and without pegylated interferon: A Belgian experience [J]. J Viral Hepat, 2017, 24(11): 976-81.

[16] CABIBBO G, PETTA S, CALVARUSO V, et al. Is early recurrence of hepatocellular carcinoma in HCV cirrhotic patients affected by treatment with direct-acting antivirals? A prospective multicentre study [J]. Alimentary pharmacology & therapeutics, 2017, 46(7): 688-95.

[17] IDA H, HAGIWARA S, KONO M, et al. Hepatocellular Carcinoma after Achievement of Sustained Viral Response with Daclatasvir and Asunaprevir in Patients with Chronic Hepatitis C Virus Infection [J]. Digestive Diseases, 2017, 35(6): 565-73.

[18] IKEDA K, KAWAMURA Y, KOBAYASHI M, et al. Direct-Acting Antivirals Decreased Tumor Recurrence After Initial Treatment of Hepatitis C Virus-Related Hepatocellular Carcinoma [J]. Digestive Diseases and Sciences, 2017, 62(10): 2932-42.

[19] KANWAL F, KRAMER J, ASCH S M, et al. Risk of Hepatocellular Cancer in HCV Patients Treated With Direct-Acting Antiviral Agents [J]. Gastroenterology, 2017, 153(4): 996-1005.e1.

[20] KOBAYASHI M, SUZUKI F, FUJIYAMA S, et al. Sustained virologic response by direct antiviral agents reduces the incidence of hepatocellular carcinoma in patients with HCV infection [J]. J Med Virol, 2017, 89(3): 476-83.

[21] NAGAOKI Y, IMAMURA M, AIKATA H, et al. The risks of hepatocellular carcinoma development after HCV eradication are similar between patients treated with peg-interferon plus ribavirin and direct-acting antiviral therapy [J]. PLoS ONE, 2017, 12(8).

[22] OGATA F, KOBAYASHI M, AKUTA N, et al. Outcome of All-Oral Direct-Acting Antiviral Regimens on the Rate of Development of Hepatocellular Carcinoma in Patients with Hepatitis C Virus Genotype 1-Related Chronic Liver Disease [J]. Oncology (Switzerland), 2017, 93(2): 92-8.

[23] RAVI S, AXLEY P, JONES D, et al. Unusually High Rates of Hepatocellular Carcinoma After Treatment With Direct-Acting Antiviral Therapy for Hepatitis C Related Cirrhosis [J]. Gastroenterology, 2017, 152(4): 911-2.

[24] VIRLOGEUX V, PRADAT P, HARTIG-LAVIE K, et al. Direct-acting antiviral therapy decreases hepatocellular carcinoma recurrence rate in cirrhotic patients with chronic hepatitis C [J]. Liver International, 2017, 37(8): 1122-7.

[25] CALVARUSO V, CABIBBO G, CACCIOLA I, et al. Incidence of Hepatocellular Carcinoma in Patients With HCV-Associated Cirrhosis Treated With Direct-Acting Antiviral Agents [J]. Gastroenterology, 2018, 155(2): 411-21.e4.

[26] EL KASSAS M, FUNK A L, SALAHELDIN M, et al. Increased recurrence rates of hepatocellular carcinoma after DAA therapy in a hepatitis C-infected Egyptian cohort: A comparative analysis [J]. Journal of Viral Hepatitis, 2018, 25(6): 623-30.

[27] FLISIAK R, JANCZEWSKA E, ŁUCEJKO M, et al. Durability of virologic response, risk of de novo hepatocellular carcinoma, liver function and stiffness 2 years after treatment with ombitasvir/paritaprevir/ritonavir ±dasabuvir±ribavirin in the AMBER, real-world experience study [J]. J Viral Hepat, 2018, 25(11): 1298-305.

[28] HASSANY M, ELSHARKAWY A, MAGED A, et al. Hepatitis C virus treatment by direct-acting antivirals in successfully treated hepatocellular carcinoma and possible mutual impact [J]. European Journal of Gastroenterology and Hepatology, 2018, 30(8): 876-81.

[29] KUFTINEC G, LOEHFELM T, CORWIN M, et al. De novo hepatocellular carcinoma occurrence in hepatitis C cirrhotics treated with direct-acting antiviral agents [J]. Hepatic Oncology, 2018, 5(1).

[30] MASETTI C, LIONETTI R, LUPO M, et al. Lack of reduction in serum alpha-fetoprotein during treatment with direct antiviral agents predicts hepatocellular carcinoma development in a large cohort of patients with hepatitis C virus-related cirrhosis [J]. J Viral Hepat, 2018, 25(12): 1493-500.

[31] OGAWA E, FURUSYO N, NOMURA H, et al. Short-term risk of hepatocellular carcinoma after hepatitis C virus eradication following direct-acting anti-viral treatment [J]. Alimentary pharmacology & therapeutics, 2018, 47(1): 104-13.

[32] OOKA Y, MIHO K, SHUNTARO O, et al. Prediction of the very early occurrence of HCC right after DAA therapy for HCV infection [J]. Hepatology International, 2018, 12(6): 523-30.

[33] ROMANO A, ANGELI P, PIOVESAN S, et al. Newly diagnosed hepatocellular carcinoma in patients with advanced hepatitis C treated with DAAs: A prospective population study [J]. Journal of Hepatology, 2018, 69(2): 345-52.

[34] SINGER A W, REDDY K R, TELEP L E, et al. Direct-acting antiviral treatment for hepatitis C virus infection and risk of incident liver cancer: a retrospective cohort study [J]. Alimentary Pharmacology and Therapeutics, 2018, 47(9): 1278-87.

[35] AKUTA N, SUZUKI F, SEZAKI H, et al. Complex association of virus- and host-related factors with hepatocellular carcinoma rate following hepatitis C virus clearance [J]. Journal of Clinical Microbiology, 2019, 57(1).

[36] AZIZ B, NAZAR T, AKHLAQ S. The frequency of occurrence of hepatocellular carcinoma after direct antiviral therapy in hepatitis c virus patients [J]. Pakistan Journal of Medical Sciences, 2019, 35(1): 101-5.

[37] CARRAT F, FONTAINE H, DORIVAL C, et al. Clinical outcomes in patients with chronic hepatitis C after direct-acting antiviral treatment: a prospective cohort study [J]. Lancet (London, England), 2019, 393(10179): 1453-64.

[38] DEGASPERI E, D'AMBROSIO R, IAVARONE M, et al. Factors Associated With Increased Risk of De Novo or Recurrent Hepatocellular Carcinoma in Patients With Cirrhosis Treated With Direct-Acting Antivirals for HCV Infection [J]. Clinical Gastroenterology and Hepatology, 2019, 17(6): 1183-91.e7.

[39] IDE T, KOGA H, NAKANO M, et al. Direct-acting antiviral agents do not increase the incidence of hepatocellular carcinoma development: a prospective, multicenter study [J]. Hepatol Int, 2019, 13(3): 293-301.

[40] IDILMAN R, DEMIR M, ALADAG M, et al. Low recurrence rate of hepatocellular carcinoma following ledipasvir and sofosbuvir treatment in a real-world chronic hepatitis C patients cohort [J]. J Viral Hepat, 2019, 26(6): 666-74.

[41] KOGISO T, SAGAWA T, KODAMA K, et al. Hepatocellular carcinoma after direct-acting antiviral drug treatment in patients with hepatitis C virus [J]. JGH Open, 2019, 3(1): 52-60.

[42] LASHEN S A, SHAMSEYA M M, MADKOUR M A. Hepatocellular Carcinoma Occurrence/Recurrence after Direct-Acting Antivirals for Hepatitis C in Egyptian Cohort: Single-Center Experience [J]. Dig Dis, 2019, 37(6): 488-97.

[43] MUN E J, GREEN P, BERRY K, et al. No difference between direct-acting antivirals for hepatitis C in hepatocellular carcinoma risk [J]. European Journal of Gastroenterology and Hepatology, 2019, 31(1): 47-52.

[44] NAGAOKI Y, IMAMURA M, NISHIDA Y, et al. The impact of interferon-free direct-acting antivirals on clinical outcome after curative treatment for hepatitis C virus-associated hepatocellular carcinoma: Comparison with interferon-based therapy [J]. J Med Virol, 2019, 91(4): 650-8.

[45] NAKANO M, KOGA H, IDE T, et al. Predictors of hepatocellular carcinoma recurrence associated with the use of direct-acting antiviral agent therapy for hepatitis C virus after curative treatment: A prospective multicenter cohort study [J]. Cancer Med, 2019, 8(5): 2646-53.

[46] NISHIBATAKE KINOSHITA M, MINAMI T, TATEISHI R, et al. Impact of direct-acting antivirals on early recurrence of HCV-related HCC: Comparison with interferon-based therapy [J]. Journal of Hepatology, 2019, 70(1): 78-86.

[47] PIñERO F, MENDIZABAL M, RIDRUEJO E, et al. Treatment with direct-acting antivirals for HCV decreases but does not eliminate the risk of hepatocellular carcinoma [J]. Liver international : official journal of the International Association for the Study of the Liver, 2019, 39(6): 1033-43.

[48] PREDA C M, BAICUS C, SANDRA I, et al. Recurrence rate of hepatocellular carcinoma in patients with treated hepatocellular carcinoma and hepatitis C virus-associated cirrhosis after ombitasvir/paritaprevir/ritonavir +dasabuvir +ribavirin therapy [J]. United European Gastroenterol J, 2019, 7(5): 699-708.

[49] RINALDI L, PERRELLA A, GUARINO M, et al. Incidence and risk factors of early HCC occurrence in HCV patients treated with direct acting antivirals: a prospective multicentre study [J]. Journal of translational medicine, 2019, 17(1): 292.

[50] SINGAL A G, RICH N E, MEHTA N, et al. Direct-Acting Antiviral Therapy Not Associated With Recurrence of Hepatocellular Carcinoma in a Multicenter North American Cohort Study [J]. Gastroenterology, 2019, 156(6): 1683-92.e1.

[51] WATANABE T, TOKUMOTO Y, JOKO K, et al. Predictors of hepatocellular carcinoma occurrence after direct-acting antiviral therapy in patients with hepatitis C virus infection [J]. Hepatology Research, 2019, 49(2): 136-46.

[52] ZOU W Y, CHOI K, KRAMER J R, et al. Risk of Hepatocellular Cancer Recurrence in Hepatitis C Virus+ Patients Treated with Direct-Acting Antiviral Agents [J]. Digestive Diseases and Sciences, 2019, 64(11): 3328-36.

[53] ABE K, WAKABAYASHI H, NAKAYAMA H, et al. Factors associated with hepatocellular carcinoma occurrence after HCV eradication in patients without cirrhosis or with compensated cirrhosis [J]. PLoS ONE, 2020, 15(12 December).

[54] BUONOMO A R, SCOTTO R, COPPOLA C, et al. Direct acting antivirals treatment for hepatitis C virus infection does not increase the incidence of de novo hepatocellular carcinoma occurrence: Results from an Italian real-life cohort (LINA cohort) [J]. Medicine, 2020, 99(6): e18948.

[55] CHAN P P Y, LEVY M T, SHACKEL N, et al. Hepatocellular carcinoma incidence post direct-acting antivirals in hepatitis C-related advanced fibrosis/cirrhosis patients in Australia [J]. Hepatobiliary and Pancreatic Diseases International, 2020, 19(6): 541-6.

[56] GUARINO M, DI COSTANZO G G, BRUZZESE D, et al. Incidence of HCC recurrence after DAA treatment for HCV in a multicentre Italian cohort study [J]. Liver Cancer International, 2020, 1(1): 12-24.

[57] HASSANY S M, HASSAN W, ABO-ALAM H, et al. Direct-acting antiviral drugs and occurrence of hepatocellular carcinoma: Unjust or oppressed [J]. Infection and Drug Resistance, 2020, 13: 1873-80.

[58] KANWAL F, KRAMER J R, ASCH S M, et al. Long-Term Risk of Hepatocellular Carcinoma in HCV Patients Treated With Direct Acting Antiviral Agents [J]. Hepatology, 2020, 71(1): 44-55.

[59] KUO Y H, WANG J H, CHANG K C, et al. The influence of direct-acting antivirals in hepatitis C virus related hepatocellular carcinoma after curative treatment [J]. Investigational New Drugs, 2020, 38(1): 202-10.

[60] LIN W C, LIN Y S, CHANG C W, et al. Impact of direct-acting antiviral therapy for hepatitis C-related hepatocellular carcinoma [J]. PLoS One, 2020, 15(5): e0233212.

[61] MIUMA S, MIYAMOTO J, TAURA N, et al. Influence of interferon-free direct-acting antiviral therapy on primary hepatocellular carcinoma recurrence: A landmark time analysis and time-dependent extended cox proportional hazards model analysis [J]. Internal Medicine, 2020, 59(7): 901-7.

[62] SANGIOVANNI A, ALIMENTI E, GATTAI R, et al. Undefined/non-malignant hepatic nodules are associated with early occurrence of HCC in DAA-treated patients with HCV-related cirrhosis [J]. J Hepatol, 2020, 73(3): 593-602.

[63] SHIHA G, MOUSA N, SOLIMAN R, et al. Incidence of HCC in chronic hepatitis C patients with advanced hepatic fibrosis who achieved SVR following DAAs: A prospective study [J]. J Viral Hepat, 2020, 27(7): 671-9.

[64] TANAKA S, SHINKAWA H, TAMORI A, et al. Surgical outcomes for hepatocellular carcinoma detected after hepatitis C virus eradiation by direct-acting antivirals [J]. Journal of Surgical Oncology, 2020, 122(8): 1543-52.

[65] TANI J, MORISHITA A, SAKAMOTO T, et al. Simple scoring system for prediction of hepatocellular carcinoma occurrence after hepatitis C virus eradication by direct–acting antiviral treatment: All Kagawa liver disease group study [J]. Oncology Letters, 2020, 19(3): 2205-12.

[66] TAYYAB G U N, RASOOL S, NASIR B, et al. Hepatocellular carcinoma occurs frequently and early after treatment in HCV genotype 3 infected persons treated with DAA regimens [J]. BMC Gastroenterology, 2020, 20(1).

[67] AHN Y H, LEE H, KIM D Y, et al. Independent risk factors for hepatocellular carcinoma recurrence after direct-acting antiviral therapy in patients with chronic hepatitis C [J]. Gut and Liver, 2021, 15(3): 410-9.

[68] CHI C T, CHEN C Y, SU C W, et al. Direct-acting antivirals for patients with chronic hepatitis C and hepatocellular carcinoma in Taiwan [J]. Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi, 2021, 54(3): 385-95.

[69] HAMOIR C, HORSMANS Y, STäRKEL P, et al. Risk of hepatocellular carcinoma and fibrosis evolution in hepatitis c patients with severe fibrosis or cirrhosis treated with direct acting antiviral agents [J]. Acta Gastro-Enterologica Belgica, 2021, 84(1): 25-32.

[70] KARBEYAZ F, KISSLING S, JAKLIN P J, et al. Rates of hepatocellular carcinoma after start of treatment for chronic hepatitis c remain high with direct acting antivirals: Analysis from a swiss liver transplant center [J]. Journal of Hepatocellular Carcinoma, 2021, 8: 565-74.

[71] MINAMI T, TATEISHI R, FUJIWARA N, et al. Impact of Obesity and Heavy Alcohol Consumption on Hepatocellular Carcinoma Development after HCV Eradication with Antivirals [J]. Liver Cancer, 2021, 10(4): 309-19.

[72] MUZICA C M, STANCIU C, CIJEVSCHI-PRELIPCEAN C, et al. Long-term risk of hepatocellular carcinoma following direct-acting antiviral therapy in compensated liver cirrhosis induced by hepatitis c virus infection [J]. Hepatitis Monthly, 2021, 21(6).

[73] OCHI H, HIRAOKA A, HIROOKA M, et al. Direct-acting antivirals improve survival and recurrence rates after treatment of hepatocellular carcinoma within the Milan criteria [J]. J Gastroenterol, 2021, 56(1): 90-100.

[74] RIDZIAUSKAS M, ZABLOCKIENĖ B, JANČORIENĖ L, et al. Assessment of Liver Stiffness Regression and Hepatocellular Carcinoma Risk in Chronic Hepatitis C Patients after Treatment with Direct-Acting Antiviral Drugs [J]. Medicina (Kaunas, Lithuania), 2021, 57(3).

[75] SáNCHEZ-AZOFRA M, FERNáNDEZ I, GARCíA-BUEY M L, et al. Hepatocellular carcinoma risk in hepatitis C stage-3 fibrosis after sustained virological response with direct-acting antivirals [J]. Liver international: official journal of the International Association for the Study of the Liver, 2021, 41(12): 2885-91.

[76] TANI J, SENOH T, MORIYA A, et al. Long-term outcomes and evaluation of hepatocellular carcinoma recurrence after hepatitis c virus eradication by direct-acting antiviral treatment: All kagawa liver disease group (akldg) study [J]. Cancers, 2021, 13(9).

[77] CAVIGLIA G P, TROSHINA G, SANTANIELLO U, et al. Long-Term Hepatocellular Carcinoma Development and Predictive Ability of Non-Invasive Scoring Systems in Patients with HCV-Related Cirrhosis Treated with Direct-Acting Antivirals [J]. Cancers, 2022, 14(3).

[78] CHEN Y S, HUANG K H, WANG P M, et al. The Impact of Direct-Acting Antiviral Therapy on the Risk of Recurrence after Curative Resection in Patients with Hepatitis-C-Virus-Related Early Stage Hepatocellular Carcinoma [J]. Medicina (Kaunas, Lithuania), 2022, 58(2).

[79] ELBAZ T, WAKED I, EL-AKEL W, et al. Impact of successful HCV treatment using direct acting antivirals on recurrence of well ablated hepatocellular carcinoma [J]. Expert Review of Anti-Infective Therapy, 2022, 20(2): 307-14.

[80] KUROMATSU R, IDE T, OKAMURA S, et al. Hepatitis C Virus Elimination Using Direct Acting Antivirals after the Radical Cure of Hepatocellular Carcinoma Suppresses the Recurrence of the Cancer [J]. Cancers, 2022, 14(9).

[81] OGAWA E, NAKAMUTA M, FURUSYO N, et al. Long-term assessment of recurrence of hepatocellular carcinoma in patients with chronic hepatitis C after viral cure by direct-acting antivirals [J]. Journal of gastroenterology and hepatology, 2022, 37(1): 190-9.

[82] OGAWA E, NOMURA H, NAKAMUTA M, et al. Development of Hepatocellular Carcinoma in Patients Aged 75-84 Years with Chronic Hepatitis C Treated with Direct-Acting Antivirals [J]. Journal of Infectious Diseases, 2022, 226(3): 431-40.

[83] SANTANA-SALGADO I, BAUTISTA-SANTOS A, MORENO-ALCáNTAR R. Risk factors for developing hepatocellular carcinoma in patients treated with direct-acting antivirals [J]. Revista de Gastroenterologia de Mexico, 2022, 87(4): 455-61.

[84] TADA T, KUMADA T, MATONO T, et al. Characteristics of hepatocellular carcinoma in patients with hepatitis C virus who received direct-acting antiviral therapy and achieved sustained virological response: The impact of a hepatologist on surveillance [J]. JGH Open, 2022, 6(7): 462-9.

[85] YOO H W, PARK J Y, KIM S G, et al. Regression of liver fibrosis and hepatocellular carcinoma development after HCV eradication with oral antiviral agents [J]. Sci Rep, 2022, 12(1): 193.

[86] HONG H, CHOI W M, LEE D, et al. Prediction of Hepatocellular Carcinoma Development in Korean Patients after Hepatitis C Cure with Direct-Acting Antivirals [J]. Gut and liver, 2023.

[87] LEAL C, STROGOFF-DE-MATOS J, THEODORO C, et al. Incidence and Risk Factors of Hepatocellular Carcinoma in Patients with Chronic Hepatitis C Treated with Direct-Acting Antivirals [J]. Viruses, 2023, 15(1).

[88] Global prevalence and genotype distribution of hepatitis C virus infection in 2015: a modelling study [J]. The lancet Gastroenterology & hepatology, 2017, 2(3): 161-76.

[89] VAN DER MEER A J, VELDT B J, FELD J J, et al. Association between sustained virological response and all-cause mortality among patients with chronic hepatitis C and advanced hepatic fibrosis [J]. Jama, 2012, 308(24): 2584-93.

[90] BOURLIèRE M, BRONOWICKI J P, DE LEDINGHEN V, et al. Ledipasvir-sofosbuvir with or without ribavirin to treat patients with HCV genotype 1 infection and cirrhosis non-responsive to previous protease-inhibitor therapy: a randomised, double-blind, phase 2 trial (SIRIUS) [J]. The Lancet Infectious diseases, 2015, 15(4): 397-404.

[91] LEROY V, ANGUS P, BRONOWICKI J P, et al. Daclatasvir, sofosbuvir, and ribavirin for hepatitis C virus genotype 3 and advanced liver disease: A randomized phase III study (ALLY-3+) [J]. Hepatology, 2016, 63(5): 1430-41.

[92] POORDAD F, HEZODE C, TRINH R, et al. ABT-450/r-ombitasvir and dasabuvir with ribavirin for hepatitis C with cirrhosis [J]. The New England journal of medicine, 2014, 370(21): 1973-82.


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