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Treatment responses in Asians and Caucasians with chronic hepatitis C infection

World Journal of Gastroenterology 2008年第21期14卷 3416-3420页

作者： Kenneth K Yan Marianne Guirgis Amany Zekry Thuy Dinh Anouk Dev Jacob George Alice Lee Department of Hepatology St George HospitalKogarahSydney 2217NSWAustralia Department of Gastroenterology Monash Medical CentreMelbourne 3168VictoriaAustralia Storr Liver Unit Westmead Millennium InstituteUniversity of Sydney and Westmead HospitalSydney 2217NSWAustralia Department of Gastroenterology and Hepatology Concord Repatriation HospitalConcordSydney 2217NSWAustralia

AIM：To conduct a multicentre retrospective review of virological response rates in Asians infected with genotype 1 chronic hepatitis C（CHC） treated with combination interferon and ribavirin and then to compare their responses to that among Caucasians.METHODS：Asian patients infected with genotype 1 CHC treated at 4 Australian centres between 2001 to 2005 were identified through hospital *** demographic characteristics,biochemical,virological and histological data and details of treatment were *** virological responses（SVR） in this cohort were then compared to that in Caucasian subjects,matched by genotype,age,gender and the stage of hepatic fibrosis.RESULTS：A total of 108 Asians with genotype 1 CHC were *** end of treatment response（ETR） for the cohort was 79% while the SVR was 67%.Due to the relatively advanced age of the Asian cohort,only sixty-four subjects could be matched with *** ETR among matched Asians and Caucasians was 81% and 56% respectively（P=0.003）,while the SVR rates were 73% and 36%（P 〈0.001） *** difference remained significant after adjusting for other predictive variables. CONCLUSION： Genotype 1 CHC in Asian subjects is associated with higher rates of virological response compared to that in Caucasians.

关键词： Hepatitis C Treatment Asians retro-spective studies Comparative study Interferon Ribavirin Statistical data analysis

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