Table 3.
Ref. | Location | n | Follow-up period | Study design | Incidence |
UNI/MULTI | |||||
Li et al[55] | US MULTI | 17836 | Median 2719.2 d in patients treated with IFN, and 396.4 d for the ones treated with DAAs | Retrospective | Annual incidence in cirrhotic patients 2.28% treated with DAA and 2.12% in patients treated with IFN. Annual incidence in patients with no treatment of 4.531% |
Piñero et al[57] | Latin America MULTI | 1400 | Median 16 mo | Prospective | Accumulated incidence in cirrhotic patients of 3% at 1 year and 6% at 2 yr |
Waziry et al[59] | Europe, Asia, North America, South America MULTI | 11523 | Median 5.5 yr in patients treated with IFN and 1 yr in patients treated with DAA | Meta-analysis | Annual incidence 1.14% in patients with SVR treated with IFN and 2.96% in patients SVR treated with DAA. After adjusting for age and follow-up period, no greater risk is observed in those treated with DAA |
Nahon et al[63] | France Multi | 1270 | Median 67.5 mo | Prospective | 2.6% in cirrhotic patients in SVR with DAA. In patients with SVR the annual incidence is 12% |
UNI: Uni-center; MULTI: Multicenter; IFN: Interferon; DAA: Direct-acting antiviral; SVR: Sustained viral response.