Review Article

Evaluation of Antiviral Therapy Performed after Curative Therapy in Patients with HBV-Related Hepatocellular Carcinoma: An Updated Meta-Analysis

Table 1

Characteristics and quality of studies comparing treatment against no treatment in HCC recurrence.

StudyNumber of PatientsSex (M/F)AgeTumor stageMultiple tumors ()Presence of portal vein tumor thrombus ()Tumor capsule completed/uncompleted ()Tumor size (cm)HBV DNA level (log copies/mL)ALT (IU/L)Cirrhosis ()Type of treatmentFollow-up duration (months)Quality score

Li et al. 2010 [16]79 (43 versus 36)34/9 versus 30/646 versus 45TNM: 9/17/17 versus 4/10/12N/A10 versus 13N/A7.1 versus 8.5N/AN/A24 versus 25Resection12 versus 126
Kubo et al. 2007 [17]24 (14 versus 10)10/4 versus 7/355 versus 55TNM: 2/7/5 versus 3/2/55 versus 54 versus 4N/A2.4 versus 2.8 N/A53 versus 56N/AResection37 versus 77
Chuma et al. 2009 [24]84 (20 versus 64)14/6 versus 50/1456 versus 56TNM: 9/10/1 versus 22/34/85 versus 16N/AN/A1.7 versus 2.0N/A43 versus 3011 versus 31Resection and RFA34 versus 538
Kuzuya et al. 2007 [22]49 (16 versus 33)14/2 versus 27/660 versus 61TNM: 12/3/1 versus 13/16/4N/AN/AN/AN/A6.2 versus 4.1 57 versus 54N/AResection and RFA38 versus 337
Koda et al. 2009 [21]36 (22 versus 14)24/6 versus 15/559 versus 60TNM: 19/20/11/0N/AN/AN/AN/AN/A78 versus 54N/ARFA, PEI, and TAE597
Hann et al. 2014 [26]25 (16 versus 9)14/2 versus 16/057 (20–73) versus 53 (46–60)N/A0/0N/AN/A2.65 (1–7) versus 3 (1–6.9)5.4 (2.7–8.4) versus 6.9 (2.9–7.2)N/AN/ALocal ablation53 (48–66) versus 57 (20–73)9
Ke et al. 2013 [27]478 (141 versus 337)129/12 versus 284/5349 versus 50BCLC: 107/23/11 versus 256/60/21 39 versus 97N/A84/57 versus 163/174 N/AN/A39 (2–504) versus 35 (2–341)82 versus 79Resection24 (2–65) versus 24 (0–73)6
Huang et al. 2013 [8]1040 (86 versus 175)758/107 versus 156/1951 versus 52N/AN/AN/AN/A5.2 versus 5.3N/A58 versus 48N/AResection42 (4–72)7
Yin et al. 2013 [20]617 (215 versus 402)194/21 versus 336/6650 versus 50BCLC: 6/159/50 versus 6/296/98 31 versus 5130 versus 6287/128 versus 158/244N/A4.51 versus 3.82N/A101 versus 144Resection24 (median)8
Yin et al. 2013 [20]163 (81 versus 82)74/7 versus 70/1248 versus 49BCLC: 4/67/10 versus 2/58/2210 versus 183 versus 638/43 versus 22/50N/A4.88 versus 4.57N/A20 versus 23Resection40 (median)3
Urata et al. 2012 [28]59 (46 versus 13)34/12 versus 8/557 versus 58N/A8 versus 13N/AN/A2.8 versus 3.44.7 versus 6.1 47 versus 5821 versus 4Resection37 (2–132)7
Chan et al. 2011 [33]136 (42 versus 94)31/11 versus 74/2057 (36–83) versus 55 (22–81)AJCC: 11/14/16 versus 28/18/48N/AN/AN/A9.3 (1–28) versus 9.0 (2–21)N/A58 (12–182) versus 43 (13–393)31 versus 53ResectionN/A7
Chong et al. 2015 [4]404 (254 versus 150)222/32 versus 125/2556 (32–80) versus 55 (27–81)AJCC: 16/50/34/2 versus 97/27/26/056 versus 32N/AN/AN/AN/A43 (10–2452) versus 44 (14–262)168 versus 79Resection39 (0–164) versus 43 (0–151)8
Huang et al. 2015 [19]200 (100 versus 100)90/10 versus 89/1150 versus 51 BLCL (0/A): 8/60 versus 8/59N/AN/A70/30 versus 69/31 4.9 vs/5.1N/A53 versus 51N/AResection60 (4–70)4
Wu et al. 2012 [25]4569 (518 versus 4051)435/83 versus 3335/71654 versus 55N/AN/AN/AN/AN/AN/AN/A252 versus 1568Resection32 versus 268
Nishikawa et al. 2014 [34]97 (65 versus 32)47/18 versus 20/1256 versus 61TNM: 16/33/16 versus 7/16/925 versus 9N/AN/A2.8 versus 3.2N/A53 versus 4038 versus 15RFA and PEI59 versus 487

M: male; F: female; ALT: alanine aminotransferase; N/A: not available; randomized controlled trials were overstriking; RFA: radiofrequency ablation; PEI: percutaneous ethanol injection; TAE: transcatheter arterial embolization.
Patient with treatment versus no treatment.
Tumor stage containing TNM, AJCC with form (I/II/III or I/II/III/IV), and BCLC with form (0/A/B).
Average or median (range).
JADAD scale (0–5).
Newcastle-Ottawa scale (stars).