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Rethinking Methodology and Data Integrity in Mendelian Randomization: Insights from Air Pollution and MASLD Research 反思孟德尔随机化的方法和数据完整性:空气污染和 MASLD 研究的启示
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.040
Junhao Chen, Haifeng Wang, Shi Fu

Section snippets

Authors’ contributions

Junhao Chen: conceptualization and manuscript draft. Haifeng Wang: supporting role in revision for important intellectual content. Shi Fu: critical revision for important intellectual content, final approval.

Financial support

None

Declaration of Competing Interest

The authors of this study declare that they do not have any conflict of interest.
章节片段作者贡献陈俊豪:构思和手稿起草。王海峰:对重要知识内容的修改起支持作用。财务支持无竞争利益声明本研究的作者声明他们没有任何利益冲突。
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引用次数: 0
Reply to: “Prediction of HBsAg loss after cessation of entecavir therapy” 答复"恩替卡韦治疗停止后 HBsAg 消失的预测"
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.041
Rex Wan-Hin Hui, Lung-Yi Mak, Man-Fung Yuen

Section snippets

AUTHOR CONTRIBUTIONS

RWH Hui was involved in manuscript design and drafting of manuscript. LY Mak was involved in critical revision of manuscript. MF Yuen was involved in critical revision of manuscript and overall study supervision. The authors declare that they have participated in the preparation of the manuscript and have seen and approved the final version.

DISCLOSURES/ CONFLICT OF INTEREST STATEMENT

MF Yuen is an advisory board member and/or received research funding from AbbVie, Arbutus Biopharma, Assembly Biosciences, Bristol Myer Squibb, Dicerna Pharmaceuticals, GlaxoSmithKline, Gilead Sciences, Janssen, Merck Sharp and Dohme, Clear B Therapeutics, Springbank Pharmaceuticals; and received research funding from Arrowhead Pharmaceuticals, Fujirebio Incorporation and Sysmex Corporation. The remaining authors have no conflict of interests.

DATA AVAILABILITY STATEMENT

The data from this study is available from the corresponding author upon reasonable request.

Funding

Innovative Research Fund of the State Key Laboratory of Liver Research, The University of Hong Kong (ref. no.: SKLLR/IRF/2018/07) and the S. K. Yee Medical Foundation Grant (ref. no.: 2141213). The funders had no involvement in study design, data collection/ analysis/ interpretation, writing of the manuscript or decision to submit the article for publication.
章节片段作者贡献RWH Hui参与了手稿的设计和起草。LY Mak 参与了稿件的重要修改。MF Yuen 参与了稿件的关键修改和整个研究的监督。作者声明:他们参与了手稿的准备工作,并审阅和批准了最终版本。声明/利益冲突声明MF Yuen 是艾伯维、Arbutus Biopharma、Assembly Biosciences、Bristol Myer Squibb、Dicerna Pharmaceuticals、葛兰素史克、吉利德科学、杨森、默克夏普和多美、Clear B Therapeutics、Springbank Pharmaceuticals 的顾问委员会成员和/或接受其研究资助;并接受 Arrowhead Pharmaceuticals、Fujirebio Incorporation 和 Sysmex Corporation 的研究资助。其余作者无利益冲突。数据提供声明本研究的数据可向相应作者索取。资助者没有参与研究设计、数据收集/分析/解释、手稿撰写或决定将文章提交发表。
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引用次数: 0
How to make a decision for the use of plasma exchange in patients with acute liver failure? 如何决定对急性肝衰竭患者进行血浆置换?
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.038
Xiang-Yu Han, Hui-ru Qi

Section snippets

Financial support

The author received no financial support to produce this manuscript.

Authors’ contributions

Xiang-Yu Han: manuscript writing; Hui-ru Qi: critical revision

Declaration of Competing Interest

The author declare no conflicts of interest.
作者的贡献韩湘玉:手稿撰写;齐慧茹:重要修改竞争利益声明作者声明无利益冲突。
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引用次数: 0
Plasma exchange in Acute liver failure: The jury is still out! 急性肝衰竭的血浆置换:尚无定论!
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.037
Sagnik Biswas, Shekhar Swaroop

Section snippets

Financial disclosures funding

None

Conflicts of interest COI

The authors declare no conflicts of interest

Authors contributions author-disclosure

SB and SS wrote the initial draft. S revised the paper. All authors approved the final manuscript.
章节片段财务披露资金无利益冲突作者声明无利益冲突作者供稿作者披露SB和SS撰写了初稿。S 修改了论文。所有作者都批准了最终稿。
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引用次数: 0
Reply to: “Community health strategies for chronic hepatitis B: Advancing care with the ALT/qHBsAg ratio” 答复"慢性乙型肝炎的社区健康策略:利用谷丙转氨酶/qHBsAg 比值促进护理"
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.042
Rex Wan-Hin Hui, Lung-Yi Mak, Man-Fung Yuen

Section snippets

Author Contributions

RWH Hui was involved in manuscript design and drafting of manuscript. LY Mak was involved in critical revision of manuscript. MF Yuen was involved in critical revision of manuscript and overall study supervision. The authors declare that they have participated in the preparation of the manuscript and have seen and approved the final version.

Disclosures/ Conflict Of Interest Statement

MF Yuen is an advisory board member and/or received research funding from AbbVie, Arbutus Biopharma, Assembly Biosciences, Bristol Myer Squibb, Dicerna Pharmaceuticals, GlaxoSmithKline, Gilead Sciences, Janssen, Merck Sharp and Dohme, Clear B Therapeutics, Springbank Pharmaceuticals; and received research funding from Arrowhead Pharmaceuticals, Fujirebio Incorporation and Sysmex Corporation. The remaining authors have no conflict of interests.

Data Availability Statement

The data from this study is available from the corresponding author upon reasonable request.

Funding

Innovative Research Fund of the State Key Laboratory of Liver Research, The University of Hong Kong (ref. no.: SKLLR/IRF/2018/07) and the S. K. Yee Medical Foundation Grant (ref. no.: 2141213). The funders had no involvement in study design, data collection/ analysis/ interpretation, writing of the manuscript or decision to submit the article for publication.
部分片段作者贡献RWH Hui参与了手稿的设计和起草。LY Mak 参与了稿件的重要修改。MF Yuen 参与了稿件的重要修改和整个研究的监督。作者声明:他们参与了稿件的撰写,并审阅和批准了最终版本。披露/利益冲突声明袁中锋是艾伯维、Arbutus Biopharma、Assembly Biosciences、Bristol Myer Squibb、Dicerna Pharmaceuticals、葛兰素史克、吉利德科学、杨森、默沙东、Clear B Therapeutics、Springbank Pharmaceuticals 的顾问委员会成员和/或接受其研究资助;并接受 Arrowhead Pharmaceuticals、Fujirebio Incorporation 和 Sysmex Corporation 的研究资助。其余作者无利益冲突。数据提供声明本研究的数据可向通讯作者索取。基金资助香港大学肝脏研究国家重点实验室创新研究基金(编号:SKLLR/IRF/2018/07)和余兆麒医学基金会资助(编号:2141213)。资助者没有参与研究设计、数据收集/分析/解释、手稿撰写或决定将文章提交发表。
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引用次数: 0
In Memoriam: Prof. Francesco Salerno 悼念弗朗切斯科-萨勒诺教授
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.09.036
Vincenzo La Mura, Mauro Bernardi, Paolo Angeli
Professor Francesco Salerno was a brilliant man who dedicated his life to helping patients with advanced chronic liver diseases and who was internationally renowned for his studies on the pathophysiology of cirrhosis and its complications, as well as the management of patients with ascites, renal dysfunction and bacterial infections. He contributed to the foundation of key international groups such as the International Club of Ascites, the CLIF consortium, and the Baveno group.
弗朗切斯科-萨勒诺教授是一位杰出的人,他毕生致力于帮助晚期慢性肝病患者,在肝硬化病理生理学及其并发症的研究,以及腹水、肾功能障碍和细菌感染患者的治疗方面享誉国际。他为国际腹水俱乐部(International Club of Ascites)、CLIF 联合会和巴韦诺小组等重要国际组织的成立做出了贡献。
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引用次数: 0
Late use of Plasma Exchange in Acute Liver Failure: The Battle is Lost? 急性肝衰竭患者晚期使用血浆置换术:战斗已经失败?
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.jhep.2024.10.039
Valentin Coirier, Florent Artru, Christophe Camus

Section snippets

Declaration of Competing Interest

none

Financial disclosure

none

Author contributions

all authors contributed equally to the manuscript in terms of concept, writing, editing.
章节片段竞争利益声明无财务披露无作者贡献所有作者在构思、写作和编辑方面对稿件做出了同等贡献。
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引用次数: 0
Is there a safe limit for consumption of alcohol? 饮酒有安全限度吗?
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jhep.2024.10.024
Jessica Ann Musto, Randall Brown, Michael Ronan Lucey
In order to understand and curb the harms related to alcohol, it will be necessary to think beyond patterns of use that meet criteria for a diagnosis of alcohol use disorder, or addiction. Current research suggests that regular daily alcohol use does not confer a health benefit, and for many persons, even relatively low consumption is associated with a health risk. Determining a safe limit for alcohol consumption is challenging both for the individual person and for society. We conclude that excessive drinking is always risky. We provide a list of circumstances, such as chronic illness, driving a vehicle, or pregnancy where persons should be advised to abstain from alcohol. We recognize the need to encourage less consumption of alcohol, particularly in young adults, and in older adults with co-morbid conditions particularly when taking multiple medications. Finally, we offer the modest proposal that, for persons without the contributing negative influences described above, consumption which adheres to one drink per session, with interspersed abstinent days, does not constitute a meaningful risk to health.
为了了解和遏制与酒精有关的危害,有必要超越符合酒精使用障碍或成瘾诊断标准的使用模式。目前的研究表明,每天定期饮酒并不会给健康带来好处,对许多人来说,即使相对较少的饮酒量也会带来健康风险。对个人和社会而言,确定一个安全的饮酒限度都具有挑战性。我们的结论是,过度饮酒总是有风险的。我们列举了一些应建议人们戒酒的情况,如慢性疾病、驾驶车辆或怀孕。我们认识到有必要鼓励减少饮酒,尤其是年轻人和患有并发症的老年人,特别是在服用多种药物的情况下。最后,我们提出一个适度的建议,即对于没有上述不良影响的人来说,每次只饮一杯酒,中间有几天不饮酒,并不会对健康构成严重威胁。
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引用次数: 0
EASL Clinical Practice Guidelines on liver transplantation EASL 肝移植临床实践指南
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-10-31 DOI: 10.1016/j.jhep.2024.07.032
Didier Samuel
Liver transplantation (LT) is an established life-saving procedure. The field of LT has changed in the past 10 years from several perspectives, with the expansion of indications, transplantation of patients with acute-on-chronic liver failure, evolution of transplant oncology, the use of donations after cardiac death, new surgical techniques, and prioritisation of recipients on the waiting list. In addition, the advent of organ perfusion machines, the recognition of new forms of rejection, and the attention paid to the transition from paediatric to adult patients, have all improved the management of LT recipients. The purpose of the EASL guidelines presented here is not to cover all aspects of LT but to focus on developments since the previous EASL guidelines published in 2016.
肝移植(LT)是一项成熟的救生手术。过去 10 年,肝移植领域从多个角度发生了变化:适应症的扩大、急性慢性肝功能衰竭患者的移植、移植肿瘤学的发展、心脏死亡后捐献的使用、新的外科技术以及等待名单中受者的优先排序。此外,器官灌注机的出现、对新型排斥反应的认识以及对儿童患者向成人患者过渡的关注,都改善了对LT受者的管理。这里介绍的EASL指南的目的并不是涵盖LT的所有方面,而是关注自2016年发布上一份EASL指南以来的发展。
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引用次数: 0
Liver Cancer in 2021: Global Burden of Disease Study 2021 年的肝癌:全球疾病负担研究
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-10-30 DOI: 10.1016/j.jhep.2024.10.031
En Ying Tan, Pojsakorn Danpanichkul, Jie Ning Yong, Zhenning Yu, Darren Jun Hao Tan, Wen Hui Lim, Benjamin Koh, Ryan Yan Zhe Lim, Ethan Kai Jun Tham, Kartik Mitra, Asahiro Morishita, Yao-Chun Hsu, Ju Dong Yang, Hirokazu Takahashi, Ming-Hua Zheng, Atsushi Nakajima, Cheng Han Ng, Karn Wijarnpreecha, Mark D. Muthiah, Amit G. Singal, Daniel Q. Huang

Background & Aims

The epidemiology of adult primary liver cancer continues to evolve, related to the increasing prevalence of metabolic disease, rising alcohol consumption, advancements in vaccination for hepatitis B (HBV), and antiviral therapy for hepatitis C (HCV). Disparities in care and the burden of liver cancer between populations persist. We assess trends in the burden of liver cancer and contributions by various etiologies across 204 countries and territories from 2010 to 2021.

Methods

Utilizing the methodological framework of the Global Burden of Disease Study 2021, we analyzed global and regional temporal trends in incidence and mortality, and the contributions of various etiologies of liver disease.

Results

In 2021, there were an estimated 529202 incident cases and 483875 deaths related to liver cancer. From 2010 to 2021, global liver cancer incident cases and deaths increased by 26% and 25%, respectively. Global age-standardized incidence rates (ASIRs) and death rates (ASDRs) for liver cancer declined but rose in the Americas and Southeast Asia. HBV remained the dominant cause of global incident liver cancer cases and deaths. Metabolic dysfunction-associated steatotic liver disease (MASLD) was the only etiology of liver cancer with rising ASIRs and ASDRs. By contrast, ASIRs and ASDRs remained stable for alcohol-related liver cancer, and declined for HBV- and HCV-related liver cancer.

Conclusions

While age-adjusted incidence and deaths from liver cancer have started to decline, the absolute number of incident cases and deaths continues to increase. Population growth and aging contribute to the observed disconnect in the temporal trends of absolute cases and rates. Disparities remain, and MASLD-related liver cancer continues to surge.
背景& 目的成人原发性肝癌的流行病学不断演变,这与代谢性疾病发病率的增加、饮酒量的增加、乙型肝炎(HBV)疫苗接种的进步以及丙型肝炎(HCV)抗病毒治疗有关。不同人群在肝癌治疗和负担方面的差异依然存在。我们评估了 204 个国家和地区从 2010 年到 2021 年的肝癌负担趋势以及各种病因造成的肝癌负担。方法利用《2021 年全球疾病负担研究》的方法框架,我们分析了全球和地区发病率和死亡率的时间趋势以及各种肝病病因造成的肝癌负担。从 2010 年到 2021 年,全球肝癌发病病例和死亡病例分别增加了 26% 和 25%。全球肝癌年龄标准化发病率(ASIRs)和死亡率(ASDRs)有所下降,但美洲和东南亚的发病率和死亡率有所上升。HBV仍然是全球肝癌发病和死亡的主要原因。代谢功能障碍相关性脂肪性肝病(MASLD)是肝癌病因中唯一一个ASIR和ASDR上升的病因。相比之下,酒精相关肝癌的年龄调整发病率和年龄调整死亡率保持稳定,而乙肝病毒和丙肝病毒相关肝癌的年龄调整发病率和年龄调整死亡率则有所下降。人口增长和老龄化导致了所观察到的绝对病例和发病率的时间趋势脱节。差异依然存在,与MASLD相关的肝癌继续激增。
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引用次数: 0
期刊
Journal of Hepatology
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