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자료유형
학술저널
저자정보
조영윤 (중앙대학교) Young Hwan Choi (Department of Internal Medicine Chung-Ang University Hospital Seoul Korea) Su Jong Yu (Seoul National University College of Medicine) Eun Ju Cho (Seoul National University College of Medicine Seoul Korea) Jeong-Hoon Lee (Seoul National University College of Medicine Seoul Korea) Yoon Jun Kim (Seoul National University College of Medicine) Jung-Hwan Yoon (Seoul National University College of Medicine)
저널정보
대한간암학회 Journal of Liver Cancer Journal of Liver Cancer Vol.19 No.2
발행연도
2019.1
수록면
128 - 135 (8page)

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Background/Aims: Tenofovir disoproxil fumarate (TDF) is potentially nephrotoxic in chronic hepatitis B patients. Hepatocellular carcinoma (HCC) patients treated using transarterial chemoembolization (TACE) are at an increased risk of renal injury. The aim of this study was to determine whether TDF is associated with more renal adverse events than entecavir (ETV) in HCC patients treated with TACE. Methods: In this retrospective single-center study, we selected 53 HCC patients who were treated with TDF from January 2012 to July 2013 and had their first TACE procedure in the same period. These patients were matched by age and sex to patients treated with ETV. Results: There were no significant differences in baseline characteristics, including HCC factors, and nephrotoxic drug use, between the two groups. The median follow-up period was 17.0 and 20.0 months for the TDF and ETV groups, respectively. There was no difference during the follow-up period between the TDF and ETV groups in the increase in creatinine over 0.5 mg/dL (17.0% and 17.0%, P=1.00, respectively) and the decrease in eGFR over 25% (43.4% and 41.5%, P=0.84, respectively). Multivariate analysis revealed that Child-Pugh class over B (hazard ratio [HR], 7.30; 95% confidence interval [CI] 2.79-19.10; P<0.01) was associated with increase in creatinine, and Child-Pugh class over B (HR, 82.74; 95% CI 12.31-555.83; P<0.01) and Barcelona-Clinic Liver Cancer stage over B (HR, 14.93; 95% CI 1.60-139.51; P=0.02) were associated with decrease in eGFR. Conclusions: TDF has comparable safety to that of ETV for HCC patients undergoing TACE.

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