The role of antiplatelet therapies on incidence and mortality of hepatocellular carcinoma

Quirino Lai, Nicoletta De Matthaeis, Michele Finotti, Giovanni Galati, Giuseppe Marrone, Fabio Melandro, Filomena Morisco, Daniele Nicolini, Riccardo Pravisani, Edoardo G. Giannini, A. Aglitti, C. Aliberti, U. Baccarani, S. Bhoori, M. Borzio, G. Brancaccio, P. Burra, G. Cabibbo, A. Casadei Gardini, P. CarraiU. Cillo, F. Conti, A. Cucchetti, R. D’Ambrosio, C. Dell’Unto, G. G. Di Costanzo, S. Di Sandro, F. G. Foschi, F. Fucilli, M. Gambato, Antonio Gasbarrini, Felice Giuliante, D. Ghinolfi, Antonio Grieco, S. Gruttaduria, M. Guarino, A. Kostandini, M. Iavarone, I. Lenci, G. B. Levi Sandri, F. Losito, L. G. Lupo, T. M. Manzia, S. Mazzocato, C. Mescoli, Luca Miele, M. Muley, M. Persico, M. C. Plaz Torres, Maurizio Pompili, Francesca Romana Ponziani, Gian Ludovico Rapaccini, M. Rendina, M. Renzulli, Marco Rossi, E. Rreka, F. P. Russo, R. Sacco, A. Sangiovanni, A. Sessa, N. Simonetti, C. Sposito, R. Tortora, F. Trevisani, L. Viganò, M. Viganò, E. Villa, V. Vincenzi, P. Violi, A. Vitale

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Aim To evaluate the impact of antiplatelet therapy (APT)on the incidence of hepatocellular carcinoma (HCC) and mortality following its treatment. Methods A systematic literature search was performed using PubMed and Cochrane Central Register of Controlled Trials Databases. Two HCC clinical settings were explored: (i) incidence, and (ii) death after any HCC treatment. Odds ratios (OR) and 95% confidence intervals (95%CI) were calculated to compare the pooled data between patients who received or did not receive APT. Results A total of 20 studies were identified, of whom 15 focused on HCC incidence, including 2,685,009 patients, and five on post-treatment death, including 3281 patients. APT was associated with an overall reduced risk of HCC incidence (OR: 0.63; 95%CI = 0.51-0.79; p < 0.001) as well as of post-treatment mortality (OR: 0.54; 95%CI = 0.35-0.83; p = 0.006). Conclusions Current data suggest that APT correlated with higher HCC incidence and poor overall survival following tumour treatment.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaEuropean Journal of Clinical Investigation
Volume53
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • aspirin
  • clopidogrel
  • incidence
  • occurrence
  • survival

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