Research Article

Is Combination Antiviral Therapy Mandatory for Maintenance Therapy in Fully Suppressed Multidrug-Resistant Hepatitis B Patients?

Table 2

Univariable Cox proportional hazard analysis for virologic breakthrough (HBV DNA ).

ParameterVirologic breakthrough
HR (95% CI) value

Treatment
 Combination group1 (reference)
 Single group2.16 (0.22–21.31)0.51
Age (per year)0.97 (0.89–1.05)0.45
Male2.04 (0.24–17.29)0.52
HBeAg
 Negative1 (reference)
 Positive3.93 (0.46–33.67)0.21
Previous history of HCC
 Absent1 (reference)
 Present0.75 (0.09–6.43)0.79
Underlying LC
 Absent1 (reference)
 Present1.11 (0.22–5.48)0.90
AST (per 1 IU/L)1.02 (0.97–1.07)0.50
ALT (per 1 IU/L)1.004 (0.96–1.05)0.87
Total bilirubin (per 1 mg/dL)0.38 (0.04–3.99)0.42
Albumin (per 1 g/dL)0.93 (0.11–8.20)0.95
rtA181 mutation
 Absent1 (reference)
 Present0.38 (0.04–3.29)0.38
rtN236 mutation
 Absent1 (reference)
 Present0.51 (0.004–4.34)0.61
Minor virologic breakthrough
 Absent1 (reference)
 Present0.51 (0.02–12.22)0.68

Time-varying Cox was applied for analysis. Virologic breakthrough was defined as HBV DNA . Minor virologic breakthrough was defined as HBV DNA . Univariable factors were analyzed with Firth method. ALT: alanine aminotransferase; AST: aspartate aminotransferase; CI: confidence interval; HBV: hepatitis B virus; HCC: hepatocellular carcinoma; HR: hazard ratio; LC: liver cirrhosis.