| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000417014 |
| ISSN: | 1665-2681 |
| Authors: | Yi, Zhou1 Jie, Yuan Wei1 Nan, Zhu1 |
| Institutions: | 1Shanghai Jiaotong University, The First People’s Hospital, Shanghai. China |
| Year: | 2011 |
| Season: | Abr-Jun |
| Volumen: | 10 |
| Number: | 2 |
| Pages: | 165-173 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | To assess the efficacy of anti-viral therapy on hepatitis B virus associated glomerulonephritis (HBV-GN). Design, setting, participants, & measurements. We searched PubMed, Embase and Cochrane Library for prospective controlled trials which assessed the efficacy of anti-viral therapy on HBV-GN in adult or pediatric patients between January, 1970 and October, 2010. Results were summarized using fixedeffects model because of an absence of heterogeneity among the studies (I2 = 0%). Results. Six trials with a total of 159 patients were included; among them five trials were specified as hepatitis B virus-associated membranous glomerulonephritis (HBV-MN). In adult patients, the incidence of proteinuria remission, not only total remission (complete remission CR + partial remission PR) (2.97 to 109.93, P = 0.002) but also CR (1.18 to 16.11, P = 0.03), significantly increased in the anti-viral treatment. In pediatric patients, only the incidence of total remission (1.77 to 17.75, P = 0.003) was increased significantly; the incidence of CR was not pooled with clinical and statistical heterogeneity (I2 = 81.5%, P = 0.004).Combine the data from adult and pediatric patients with HBV-MN, the same results were found. All the results of proteinuria remission kept with virologic response (VR), including HBeAg conversion (5.68 to 40.04, P < 0.00001) and reduction of HBV-DNA (5.60 to 463.16, P = 0.0005). Conclusions. Antiviral therapy including IFN and lamivudine is effective on remission of proteinuria, HBeAg clearance, and HBV-DNA reduction |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Nefrología, Virus de la hepatitis B, Nefropatías, Glomerulonefritis, Terapia antiviral, Lamivudina |
| Keyword: | Gastroenterology, Nephrology, Hepatitis B virus, Nephropathies, Glomerulonephritis, Antiviral therapy, Lamivudine |
| Full text: | Texto completo (Ver PDF) |
