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Epidemiology of viral hepatitis in Somalia:Systematic review and meta-analysis study

World Journal of Gastroenterology 2018年第34期24卷 3927-3957页

作者： Mohamed Abdulkadir Hassan-Kadle Mugtaba Sulaiman Osman pavel Petrovich ogurtsov Department of Hospital Medicine Peoples’Friendship University of Russia(RUDN University)Moscow 117198Russia Abrar Research and Training Center Abrar UniversityDepartment of Internal MedicineDivision of Gastroenterology and HepatologyDufle Specialist HospitalMogadishu 25Somalia Department of Psychiatry School of MedicineRoyal College of Surgeons in Ireland RCSIBeaumont HospitalDublin 9Ireland

AIM To provide a clear understanding of viral hepatitis epidemiology and their clinical burdens in *** A systematic review and meta-analysis was conducted as Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search of published studies on viral hepatitis was performed from 1977-2016 in Pub Med, Google Scholar, Science Direct, World Health Organization African Index Medicus and the Africa Journals Online databases, as well as on the Ministry of Health website. We also captured unpublished articles that were not available on online *** Twenty-nine studies from Somalia and Somali immigrants(United Kingdom,United States,Italy,Libya)with a combined sample size for each type of viral hepatitis[hepatitis A virus(HAV):1564,hepatitis B virus(HBV):8756,hepatitis C virus(HCV):6257,hepatitis D virus(HDV):375 and hepatitis E virus(HEV):278]were *** overall pooled prevalence rate of HAV was 90.2%(95%CI:77.8%to 96%).The HAV prevalence among different age groups was as follows:40 years old,86.96%(95%CI:75.68%to 93.47%).The overall pooled prevalence of HBV was 18.9%(95%CI:14%to 29%).The overall pooled prevalence among subgroups of HBV was20.5%(95%CI:5.1%to 55.4%)in pregnant women;5.7%(95%CI:2.7%to 11.5%)in children;39.2%(95%CI:33.4%to 45.4%)in patients with chronic liver disease,including hepatocellular carcinoma(HCC);7.7%(95%CI:4.2%to 13.6%),12.4%(95%CI:6.3%to 23.0%)and 11.8%(95%CI:5.3%to 24.5%)in age groups40years old,*** HBV prevalence among risk groups was 20%(95%CI:7.19%to 44.64%)in female prostitutes,21.28%(95%CI:7.15%to48.69%)in hospitalized adults,5.56%(95%CI:0.99%to 25.62%)in hospitalized children,60%(95%CI:31.66%to 82.92%)in patients with acute hepatitis,33.55%(9

关键词： Viral hepatitis Hepatitis A virus Hepatitis B virus Hepatitis C virus Hepatitis D virus Hepatitis E virus Systematic review Meta-analysis,Somalia

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Boceprevir plus peginterferon/ribavirin for treatment ofchronic hepatitis C in Russia

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World Journal of Hepatology 2016年第6期8卷 331-339页

作者： Vasily Isakov Igor Nikitin Vladimir Chulanov pavel ogurtsov Ekaterina Lukyanova Jianmin Long JaniceWahl Frans A Helmond the P08160 Trial Investigators Department of Gastroenterology and Hepatology Institute of NutritionMoscow 115446Russia Department of Gastroenterology and Hematology Russian Academy of SciencesMoscow 117593Russia Clinical Diagnostics and Research Center Central Research Institute of EpidemiologyMoscow 111123Russia Hospital Medicine Peoples’Friendship University of RussiaMoscow 117198Russia Medical Affairs MSD Pharmaceuticals LLCMoscow 115093Russia Clinical Research Merck&Co.Inc.KenilworthNJ 07033United States 不详

AIM: to evaluate addition of boceprevir to peginterferon/ribavirin(PR) in Russian patients with chronic hepatitis C virus(HCV).METHODS: treatment-naive(t N) and treatmentexperienced(t E) patients(who had failed prior treatment with PR for ≥ 12 wk) with chronic HCV genotype 1 infection were enrolled in this placebocontrolled, double-blind study. All patients initially received PR for 4 wk. Patients randomized to control treatment then received PR for an additional 44 wk. t N patients randomized to triple therapy received boceprevir(800 mg three times daily) plus PR for 24 wk and then further therapy according to treatment week 8(t W8) HCV RNA levels. t E patients received boceprevir plus PR for 32 wk and then further therapy according to t W8 HCV RNA levels. treatment was discontinued for t N patients with detectable HCV RNA at t W24 and t E patients with detectable HCV RNA at t W12 because of futility. the primary efficacy end point was sustained virologic response(SVR) defined as undetectable HCV RNA 24 wk after completing all study ***: SVR was 74.8% in the boceprevir plus PR arm compared with 46.2% in the control arm, with a stratification-adjusted treatment difference of 29.2%(95%CI: 16.4-41.5; P < 0.0001). Rates of SVR were higher in the boceprevir arm in both t N and t E patient groups(t N 78.4% vs 56.3%; t E 69.4% vs 30.0%). Within t E patients, the rates of SVR were higher with boceprevir plus PR compared with PR, regardless of treatment failure type(null responder, partial responder, and relapser). Most patients receiving boceprevir plus PR in both t N(86%) and t E(71%) populations were eligible for reduced treatment duration. Anemia was increased in patients receiving boceprevir plus PR vs PR alone(47.2% vs 24.4%); there was a corresponding increase in ribavirin dose reduction and erythropoietin use. Among patients receiving boceprevir plus PR, SVR rates were similar in patients with anemia(< 10 g/d L) and those without anemia(71.2% vs 77.4%).C

关键词： hepatitis C virus boceprevir peginterferon ribavirin randomized clinical trial sustained virologicresponse

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