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Peer reviewedOpen accessHepatitis CHepatitis EAIDS

Risk of Hepatocellular Carcinoma After Direct-Acting Antiviral Treatment for Hepatitis C Virus Infection in People With HIV

Clinical Infectious Diseases·

Daniela K van Santen, Mathieu Chalouni, Juan Berenguer, Inmaculada Jarrin, José M Miró, Marina B Klein, Jim Young, Jessie Torgersen, Christopher T Rentsch, Michael J Gill, Rachel L Epstein, David Nunes, Bernard Surial, Andri Rauch, Giota Touloumi, Antonios Papadopoulos, Linda Wittkop, Camille Gilbert, Olivier Leleux, Marc van der Valk, Anders Boyd, Antonella d'Arminio Monforte, Massimo Puoti, Robert Zangerle, Martin Gisinger, Roger W Logan, Sophia Rein, Miguel A Hernán, Sara Lodi

DOI
10.1093/cid/ciaf635
PMID
41253696
PMCID
PMC13075511
OpenAlex
Study type
Journal article
Publisher
Oxford University Press (OUP)
Article type
journal-article
Integrity
current

Why this research matters now

These quantitative projections help guide institutional planning for post-viral eradication monitoring programs, especially as therapeutic access widens across different regions.

01

Structured evidence summary

Research question

What is the incidence of hepatocellular carcinoma following successful antiviral therapy for hepatitis C among individuals coinfected with HIV and existing advanced liver disease?

Study design

A retrospective cohort investigation pooling participant data from multiple international research networks spanning Europe and North America.

Population and setting

Adults harboring both HIV and hepatitis C infections who presented with significant hepatic scarring or cirrhosis and lacked prior exposure to direct-acting antiviral medications.

Main findings

Approximately two and a half percent of treated participants received a hepatocellular carcinoma diagnosis within six years. Yearly occurrence rates steadily diminished, eventually dropping below zero point four percent after the third year of follow-up.

Public-health relevance

These quantitative projections help guide institutional planning for post-viral eradication monitoring programs, especially as therapeutic access widens across different regions.

Important limitations

The investigation utilizes observational registry data rather than controlled experimental frameworks, which may restrict broader applicability. Furthermore, this assessment depends exclusively on the provided abstract and bibliographic details, necessitating full manuscript review for rigorous methodological validation.

GIDS interpretation

This work contributes to scholarly discourse surrounding post-treatment oncology screening intervals, reflecting current academic focus on optimizing long-term care pathways for complex viral coinfections.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseabout diseaseaddresses topicaddresses topicevaluates interventionhas pathogen typestudied population settingstudies pathogenuses study design