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Impact of diabetes mellitus on prognosis of patients infected with hepatitis C virus.

Abstract

Diabetes is a risk factor for the progression of liver fibrosis and development of hepatocellular carcinoma in chronic hepatitis C. However, the impact of diabetes on the long-term prognosis and the synergistic interactions of various host factors for diabetes to the progression of liver fibrosis are unknown. In the present study, we examined the host factors associated with the progression of hepatitis C in 68 patients with a posttransfusion hepatitis (PTH) and analyzed the relationships. Multivariate analysis showed that age of PTH, being male, and type 2 diabetes mellitus were risk factors for the progression of liver fibrosis. By the Kaplan-Meier method, the cirrhosis-free survival rates after the onset of PTH were significantly lower in the diabetic group than in the nondiabetic group (P < .01). Diabetes also had a great impact on the long-term prognosis of chronic hepatitis C by reducing the time from PTH to the occurrence of hepatocellular carcinoma (P < .01) and to liver-related death (P < .05). Coexistence of obesity (body mass index > or =25 kg/m(2)) or hypertriglyceridemia (> or =150 mg/dL) with diabetes had a synergistic effect on liver fibrosis progression in patients with chronic hepatitis C. Thus, the treatment of diabetes, obesity, and hypertriglyceridemia may hold the key to improving the prognosis of chronic hepatitis.

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  • Authors+Show Affiliations

    ,

    Department of Disease Control and Homeostasis, Kanazawa University Graduate School of Medical Science, Kanazawa, Ishikawa, Japan.

    , , , , , , ,

    Source

    Metabolism: clinical and experimental 56:12 2007 Dec pg 1682-8

    MeSH

    Adult
    Carcinoma, Hepatocellular
    Diabetes Complications
    Diabetes Mellitus
    Disease Progression
    Female
    Hepacivirus
    Hepatitis C, Chronic
    Humans
    Hypertriglyceridemia
    Kaplan-Meier Estimate
    Liver Cirrhosis
    Liver Neoplasms
    Male
    Obesity
    Retrospective Studies

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17998021

    Citation

    Kita, Yuki, et al. "Impact of Diabetes Mellitus On Prognosis of Patients Infected With Hepatitis C Virus." Metabolism: Clinical and Experimental, vol. 56, no. 12, 2007, pp. 1682-8.
    Kita Y, Mizukoshi E, Takamura T, et al. Impact of diabetes mellitus on prognosis of patients infected with hepatitis C virus. Metab Clin Exp. 2007;56(12):1682-8.
    Kita, Y., Mizukoshi, E., Takamura, T., Sakurai, M., Takata, Y., Arai, K., ... Kaneko, S. (2007). Impact of diabetes mellitus on prognosis of patients infected with hepatitis C virus. Metabolism: Clinical and Experimental, 56(12), pp. 1682-8.
    Kita Y, et al. Impact of Diabetes Mellitus On Prognosis of Patients Infected With Hepatitis C Virus. Metab Clin Exp. 2007;56(12):1682-8. PubMed PMID: 17998021.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Impact of diabetes mellitus on prognosis of patients infected with hepatitis C virus. AU - Kita,Yuki, AU - Mizukoshi,Eishiro, AU - Takamura,Toshinari, AU - Sakurai,Masaru, AU - Takata,Yoshiko, AU - Arai,Kuniaki, AU - Yamashita,Tatsuya, AU - Nakamoto,Yasunari, AU - Kaneko,Shuichi, PY - 2006/10/16/received PY - 2007/07/10/accepted PY - 2007/11/14/pubmed PY - 2008/1/9/medline PY - 2007/11/14/entrez SP - 1682 EP - 8 JF - Metabolism: clinical and experimental JO - Metab. Clin. Exp. VL - 56 IS - 12 N2 - Diabetes is a risk factor for the progression of liver fibrosis and development of hepatocellular carcinoma in chronic hepatitis C. However, the impact of diabetes on the long-term prognosis and the synergistic interactions of various host factors for diabetes to the progression of liver fibrosis are unknown. In the present study, we examined the host factors associated with the progression of hepatitis C in 68 patients with a posttransfusion hepatitis (PTH) and analyzed the relationships. Multivariate analysis showed that age of PTH, being male, and type 2 diabetes mellitus were risk factors for the progression of liver fibrosis. By the Kaplan-Meier method, the cirrhosis-free survival rates after the onset of PTH were significantly lower in the diabetic group than in the nondiabetic group (P < .01). Diabetes also had a great impact on the long-term prognosis of chronic hepatitis C by reducing the time from PTH to the occurrence of hepatocellular carcinoma (P < .01) and to liver-related death (P < .05). Coexistence of obesity (body mass index > or =25 kg/m(2)) or hypertriglyceridemia (> or =150 mg/dL) with diabetes had a synergistic effect on liver fibrosis progression in patients with chronic hepatitis C. Thus, the treatment of diabetes, obesity, and hypertriglyceridemia may hold the key to improving the prognosis of chronic hepatitis. SN - 0026-0495 UR - https://www.unboundmedicine.com/medline/citation/17998021/Impact_of_diabetes_mellitus_on_prognosis_of_patients_infected_with_hepatitis_C_virus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0026-0495(07)00273-9 DB - PRIME DP - Unbound Medicine ER -