On-treatment predictions of success in peg-interferon/ribavirin treatment using a novel formula

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:x21501027
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM:To predict treatment success using only simple clinical data from peg-interferon plus ribavirin therapy for chronic hepatitis C. METHODS:We analyzed the clinical data of 176 patients with chronic hepatitis and hepatitis C virus genotype 1 who received 48 wk standard therapy, derived a predictive formula to assess a sustained virological response of the individual patient using a logistic regression model and confirmed the validity of this formula.The formula was constructed using data from the first 100 patients enrolled and validated using data from the remaining 76 patients. RESULTS:Sustained virological response was obtained in 83(47.2%)of the patients and we derived formulae to predict sustained virological response at pretreatment and weeks 4,12 and 24.The likelihood of sustained virological response could be predicted effectively bythe formulae at weeks 4,12 and 24(the area under the curve of the receiver operating characteristic:0.821, 0.802,and 0.891,respectively),but not at baseline (0.570).The formula at week 48 was also constructed and validation by test data achieved good prediction with 0.871 of the area under the curve of the receiver operating characteristic.Prediction by this formula was always superior to that by viral kinetics. CONCLUSION:These results suggested that our formula combined with viral kinetics provides a clear direction of therapy for each patient and enables the best tailored treatment. AIM: To predict treatment success using only simple clinical data from peg-interferon plus ribavirin therapy for chronic hepatitis C. METHODS: We analyzed the clinical data of 176 patients with chronic hepatitis and hepatitis C virus genotype 1 who received 48 wk standard therapy, derived a predictive formula to assess a sustained virological response of the individual patient using a logistic regression model and confirmed the validity of this formula. The formula was constructed using data from the first 100 patients enrolled and validated using data from the remaining 76 patients. RESULTS: Sustained virological response was obtained in 83 (47.2%) of the patients and we derived formulae to predict sustained virological response at pretreatment and weeks 4,12 and 24. The likelihood of sustained virological response could be predicted effectively bythe formulae at weeks 4,12 and 24 (the area under the curve of the receiver operating characteristic: 0.821, 0.802, and 0.891, respectively), but not a The formula at week 48 was also constructed and validation by test data achieved good prediction with 0.871 of the area under the curve of the receiver operating characteristic. Prediction by this formula was always superior to that by viral kinetics. CONCLUSION These results suggest that our formula combined with viral kinetics provide a clear direction of therapy for each patient and enables the best tailored treatment.
其他文献
尊敬的贾庆林主席、王忠禹常务副主席,各位来宾、同志们:值此《纵横》杂志出版发行200期之际,我谨代表全国政协文史和学习委员会,代表王蒙同志,表示热烈的祝贺!向一直以来关
自信是最佳的老师,我们要走好人生的每一步,依靠的正是自信。一个人如果丧失了自信,就等于放弃了自己梦寐以求的人生目标,总而言之,要战胜自我,自信是永远不会离去的。我还是
新课程·七年级思想品德《新课程·七年级思想品德》为旬报,4开4版,全年36期,单价:0.50元,半年定价:9.00元/10.00元(期末前加发2套练兵题)。紧扣思品新课标,将学生的学习和生
新中国邮资信封是1956年7月开始发行的,当时寄往国外的信函按国内邮资收费的情况有三种:西藏寄印度、尼泊尔的信函,国内寄朝鲜中国人民志愿军的信函和外交部信使队传递的信函
本文在11只上海家免上进行了色觉行为学的实验研究。通过限制方位、光强等可能成为条件刺激的因素,并排除了声音、气味、背景光刺激等的干扰,确保颜色成为唯一的条件刺激,建立食
为纪念伟大的民主革命先行者孙中山先生诞辰140周年,中国文史出版社即将隆重推出由全国政协文史和学习委员会、中国国家博物馆联合编纂的大型历史图集《孙中山先生画册》。《
When accessing remote services over public networks, a user authentication mechanism is required because these activities are executed in an insecure communicat
在语文教学中,学生对于写作文不感兴趣,说道作文就犯愁。而老师不愿批改作文,我结合教学实际,从以下几个方面阐述在作文教学中,如何在写作文时间、写作次数和质量上提高效率
《神州学人》20岁了,风姿绰约,婷婷玉立。此刻,我们都看到了她的风华正茂。其实,将刊物比人是不那么确切的。人的婴幼年时期是什么也不能做的,但《神州学人》在其初创时期就
The Comfort Women: Japan’s Brutal Regime of Enforced Prostitution in the Second World War《二次世界大战期间被日本残暴政权强逼为娼的慰安妇》Author: George Hicks