Hepatitis C virus enhances incidence of idiopathic pulmonary fibrosis

AIM: To investigate the cumulative development incidence and predictive factors for idiopathic pulmonary fibrosis in hepatitis C virus (HCV) positive patients. METHODS: We studied 6150 HCV infected patients who were between 40-70 years old (HCV-group). Another 2050 patients with hepatitis B virus (H...

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Veröffentlicht in:World journal of gastroenterology : WJG 2008-10, Vol.14 (38), p.5880-5886
Hauptverfasser: Arase, Yasuji, Suzuki, Fumitaka, Suzuki, Yoshiyuki, Akuta, Norio, Kobayashi, Masahiro, Kawamura, Yusuke, Yatsuji, Hiromi, Sezaki, Hitomi, Hosaka, Tetsuya, Hirakawa, Miharu, Saito, Satoshi, Ikeda, Kenji, Kumada, Hiromitsu
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container_end_page 5886
container_issue 38
container_start_page 5880
container_title World journal of gastroenterology : WJG
container_volume 14
creator Arase, Yasuji
Suzuki, Fumitaka
Suzuki, Yoshiyuki
Akuta, Norio
Kobayashi, Masahiro
Kawamura, Yusuke
Yatsuji, Hiromi
Sezaki, Hitomi
Hosaka, Tetsuya
Hirakawa, Miharu
Saito, Satoshi
Ikeda, Kenji
Kumada, Hiromitsu
description AIM: To investigate the cumulative development incidence and predictive factors for idiopathic pulmonary fibrosis in hepatitis C virus (HCV) positive patients. METHODS: We studied 6150 HCV infected patients who were between 40-70 years old (HCV-group). Another 2050 patients with hepatitis B virus (HBV) were selected as control (HBV-group). The mean observation period was 8.0 ± 5.9 years in HCV-group and 6.3 ± 5.5 years in HBV-group. The primary goal is the development of idiopathic pulmonary fibrosis (IPF) in both groups. The cumulative appearance rate of IPF and independent factors associated with the incidence rate of IPF were calculated using the Kaplan- Meier method and the Cox proportional hazard model. All of the studies were performed retrospectively by collecting and analyzing data from the patient records in our hospital. RESULTS: Fifteen patients in HCV-group developed IPF. On the other hand, none of the patients developed IPF in HBV-group. In HCV-group, the cumulative rates of IPF development were 0.3% at 10th year and 0.9% at 20th year. The IPF development rate in HCV-group was higher than that in HBV-group (P = 0.021). The IPF development rate in patients with HCV or HBV was high with statistical significance in the following cases: (1) patients ≥ 55 years (P 〈 0.001); (2) patients who had smoking index (package per day x year) of ≥20 (P = 0.002); (3) patients with liver cirrhosis (P = 0.042). CONCLUSION: Our results indicate that age, smoking and liver cirrhosis enhance the development of IPF in HCV positive patients.
doi_str_mv 10.3748/wjg.14.5880
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METHODS: We studied 6150 HCV infected patients who were between 40-70 years old (HCV-group). Another 2050 patients with hepatitis B virus (HBV) were selected as control (HBV-group). The mean observation period was 8.0 ± 5.9 years in HCV-group and 6.3 ± 5.5 years in HBV-group. The primary goal is the development of idiopathic pulmonary fibrosis (IPF) in both groups. The cumulative appearance rate of IPF and independent factors associated with the incidence rate of IPF were calculated using the Kaplan- Meier method and the Cox proportional hazard model. All of the studies were performed retrospectively by collecting and analyzing data from the patient records in our hospital. RESULTS: Fifteen patients in HCV-group developed IPF. On the other hand, none of the patients developed IPF in HBV-group. In HCV-group, the cumulative rates of IPF development were 0.3% at 10th year and 0.9% at 20th year. The IPF development rate in HCV-group was higher than that in HBV-group (P = 0.021). The IPF development rate in patients with HCV or HBV was high with statistical significance in the following cases: (1) patients ≥ 55 years (P 〈 0.001); (2) patients who had smoking index (package per day x year) of ≥20 (P = 0.002); (3) patients with liver cirrhosis (P = 0.042). CONCLUSION: Our results indicate that age, smoking and liver cirrhosis enhance the development of IPF in HCV positive patients.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.14.5880</identifier><identifier>PMID: 18855988</identifier><language>eng</language><publisher>United States: ChinaDepartment of Hepatology, Toranomon Hospital, Tokyo 105-8470, Japan</publisher><subject>Adult ; Age Factors ; Aged ; Cause of Death ; Female ; Hepatitis C, Chronic - complications ; Hepatitis C, Chronic - mortality ; Humans ; Idiopathic Pulmonary Fibrosis - mortality ; Idiopathic Pulmonary Fibrosis - virology ; Incidence ; Kaplan-Meier Estimate ; Liver Cirrhosis - virology ; Male ; Middle Aged ; Proportional Hazards Models ; Rapid Communication ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Smoking - adverse effects ; Time Factors ; 丙肝病毒 ; 乙肝病毒 ; 先天性肺纤维化</subject><ispartof>World journal of gastroenterology : WJG, 2008-10, Vol.14 (38), p.5880-5886</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>2008 The WJG Press and Baishideng. All rights reserved. 2008</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-dded7ff0f63f4c17c6286bdac665a1570d21b8ecb7a96fc539a6f68596d04b043</citedby><cites>FETCH-LOGICAL-c435t-dded7ff0f63f4c17c6286bdac665a1570d21b8ecb7a96fc539a6f68596d04b043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2751899/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2751899/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18855988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arase, Yasuji</creatorcontrib><creatorcontrib>Suzuki, Fumitaka</creatorcontrib><creatorcontrib>Suzuki, Yoshiyuki</creatorcontrib><creatorcontrib>Akuta, Norio</creatorcontrib><creatorcontrib>Kobayashi, Masahiro</creatorcontrib><creatorcontrib>Kawamura, Yusuke</creatorcontrib><creatorcontrib>Yatsuji, Hiromi</creatorcontrib><creatorcontrib>Sezaki, Hitomi</creatorcontrib><creatorcontrib>Hosaka, Tetsuya</creatorcontrib><creatorcontrib>Hirakawa, Miharu</creatorcontrib><creatorcontrib>Saito, Satoshi</creatorcontrib><creatorcontrib>Ikeda, Kenji</creatorcontrib><creatorcontrib>Kumada, Hiromitsu</creatorcontrib><title>Hepatitis C virus enhances incidence of idiopathic pulmonary fibrosis</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM: To investigate the cumulative development incidence and predictive factors for idiopathic pulmonary fibrosis in hepatitis C virus (HCV) positive patients. METHODS: We studied 6150 HCV infected patients who were between 40-70 years old (HCV-group). Another 2050 patients with hepatitis B virus (HBV) were selected as control (HBV-group). The mean observation period was 8.0 ± 5.9 years in HCV-group and 6.3 ± 5.5 years in HBV-group. The primary goal is the development of idiopathic pulmonary fibrosis (IPF) in both groups. The cumulative appearance rate of IPF and independent factors associated with the incidence rate of IPF were calculated using the Kaplan- Meier method and the Cox proportional hazard model. All of the studies were performed retrospectively by collecting and analyzing data from the patient records in our hospital. RESULTS: Fifteen patients in HCV-group developed IPF. On the other hand, none of the patients developed IPF in HBV-group. In HCV-group, the cumulative rates of IPF development were 0.3% at 10th year and 0.9% at 20th year. The IPF development rate in HCV-group was higher than that in HBV-group (P = 0.021). 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METHODS: We studied 6150 HCV infected patients who were between 40-70 years old (HCV-group). Another 2050 patients with hepatitis B virus (HBV) were selected as control (HBV-group). The mean observation period was 8.0 ± 5.9 years in HCV-group and 6.3 ± 5.5 years in HBV-group. The primary goal is the development of idiopathic pulmonary fibrosis (IPF) in both groups. The cumulative appearance rate of IPF and independent factors associated with the incidence rate of IPF were calculated using the Kaplan- Meier method and the Cox proportional hazard model. All of the studies were performed retrospectively by collecting and analyzing data from the patient records in our hospital. RESULTS: Fifteen patients in HCV-group developed IPF. On the other hand, none of the patients developed IPF in HBV-group. In HCV-group, the cumulative rates of IPF development were 0.3% at 10th year and 0.9% at 20th year. The IPF development rate in HCV-group was higher than that in HBV-group (P = 0.021). The IPF development rate in patients with HCV or HBV was high with statistical significance in the following cases: (1) patients ≥ 55 years (P 〈 0.001); (2) patients who had smoking index (package per day x year) of ≥20 (P = 0.002); (3) patients with liver cirrhosis (P = 0.042). CONCLUSION: Our results indicate that age, smoking and liver cirrhosis enhance the development of IPF in HCV positive patients.</abstract><cop>United States</cop><pub>ChinaDepartment of Hepatology, Toranomon Hospital, Tokyo 105-8470, Japan</pub><pmid>18855988</pmid><doi>10.3748/wjg.14.5880</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects Adult
Age Factors
Aged
Cause of Death
Female
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - mortality
Humans
Idiopathic Pulmonary Fibrosis - mortality
Idiopathic Pulmonary Fibrosis - virology
Incidence
Kaplan-Meier Estimate
Liver Cirrhosis - virology
Male
Middle Aged
Proportional Hazards Models
Rapid Communication
Retrospective Studies
Risk Assessment
Risk Factors
Smoking - adverse effects
Time Factors
丙肝病毒
乙肝病毒
先天性肺纤维化
title Hepatitis C virus enhances incidence of idiopathic pulmonary fibrosis
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