Evidence map›Paper›PMID 42583160›Full record

ArticleInternational journal of general medicine2026

Association of week-12 HBsAg Decline with HBsAg Clearance in Patients with Hepatitis B-Related Cirrhosis Receiving Pegylated Interferon Combined with Nucleos(T)ide Analogue Therapy: A Retrospective Cohort Study.

Wen-Yan Yang, Yong Lin, Chun Lin, Chen Pan, Ya-Mei Ye

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Article in International journal of general medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wen-Yan YangDepartment of Metabolic Liver Disease, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Yong LinDepartment of Metabolic Liver Disease, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Chun LinDepartment of Metabolic Liver Disease, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Chen PanDepartment of Metabolic Liver Disease, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Ya-Mei YeDepartment of Metabolic Liver Disease, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate the association between the relative decline rate of HBsAg at week 12 (HBsAg R) and achieving HBsAg clearance in patients with compensated HBV-related cirrhosis. Patients and Methods: This study included 174 patients with compensated hepatitis B-related cirrhosis receiving pegylated interferon-alpha and nucleos(t)ide analogue therapy. HBsAgR was defined as (week-12 HBsAg - baseline HBsAg) / baseline HBsAg, where a more negative value indicates greater decline. To identify stable predictors, we employed the Boruta machine learning algorithm for feature selection. The association between HBsAgR and HBsAg clearance at 48 weeks was assessed using multivariable logistic regression and ROC analysis. Model stability was internally validated using Bootstrap resampling with 1,000 iterations. Results: HBsAgR was identified as a stable factor associated with HBsAg clearance. After adjustment, each one-unit increase in HBsAgR was associated with a 53% lower odds of clearance (aOR=0.47; 95% CI: 0.28-0.79), indicating that greater HBsAg decline (more negative HBsAgR) was associated with higher clearance probability. ROC analysis showed an AUC of 0.746. The optimal cutoff value of HBsAgR was -0.56585, which corresponds to a 56.6% decline in HBsAg from baseline at week 12. Patients with HBsAgR less than -0.56585 (ie, a decline greater than 56.6%) were associated with a higher probability of HBsAg clearance, yielding a sensitivity of 76.19% and specificity of 73.33%. Bootstrap validation showed minimal optimism (difference: -0.001). Conclusion: HBsAgR is strongly associated with HBsAg clearance at week 48 in patients with hepatitis B-related cirrhosis, and may serve as a useful modicification of treatment strategies for this population.

Indexed as

associated biomarkersfunctional curemachine learning

Identifiers

PMID42583160
PMCPMC13460086

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.