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An aging population of chronic hepatitis B with increasing co-morbidities – A territory-wide study from 2000 to 2017
Hepatology — Wong GLH, et al. | June 28, 2019
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In this investigation involving 135,395 chronic hepatitis B (CHB) patients, researchers determined the prevalence of key co-morbidities and concomitant medications in a territory-wide CHB cohort in Hong Kong in 2000-2017. The demographics and prevalence of key co-morbidities, including diabetes mellitus, hypertension, chronic kidney disease, osteopenia/osteoporosis based on diagnosis codes, relevant medications and/or laboratory parameters were determined in 4 time periods according to the first appearance of CHB patients: 2000-2004, 2005-2009, 2010-2013 and 2014-2017. Data reported that there has been a trend of increasing prevalence of several common co-morbidities over the 4 periods: hypertension 25.5%, 23.8%, 27.2% and 28.6%; diabetes mellitus 10.6%, 12.5%, 16.1% and 20.1%; cardiovascular disease 12.5%, 16.9%, 20.9% and 22.2%, and malignancy 7.0%, 13.2%, 17.3% and 23.6%, respectively. With the increasing prevalence of common co-morbidities, CHB patients are getting older. When selecting antiviral therapy, these co-morbidities should be taken into consideration.
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