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Cited by 291

The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

Hepatocellular carcinoma and hepatitis C in the United States

Open access
El-Serag, Hashem B.·2002·Hepatology

Abstract

Chronic infection with hepatitis C virus (HCV) is a major risk factor for development of hepatocellular carcinoma (HCC). In general, HCC develops only after 2 or more decades of HCV infection and the increased risk is restricted largely to patients with cirrhosis or advanced fibrosis. Factors that predispose to HCC among HCV-infected persons include male sex, older age, hepatitis B virus (HBV) coinfection, heavy alcohol intake, and possibly diabetes and a transfusion-related source of HCV infection. Viral factors play a minor role. The likelihood of development of HCC among HCV-infected persons is difficult to determine because of the paucity of adequate long-term cohort studies; the best estimate is 1% to 3% after 30 years. Once cirrhosis is established, however, HCC develops at an annual rate of 1% to 4%. Successful antiviral therapy of patients with HCV-related cirrhosis may reduce the future risk for HCC. The incidence of and mortality caused by all HCC has doubled in the United States over the past 25 years, an increase that has affected all ethnic groups, both sexes, and younger age groups. Given the current prevalence of HCV infection among persons 30 to 50 years of age, the incidence and mortality rates of HCC are likely to double in the United States over the next 10 to 20 years. Future research should focus on improving understanding of the incidence and risk factors for HCC, causes of HCV-related carcinogenesis, means of early detection, and better treatment for HCC. (Hepatology 2002;36:S74-S83).

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Metadata

Authors
El-Serag, H. B.
Venue
Hepatology
Published
2002-11
Volume
36
Issue
Supplement 1
Pages
S74-S83
ISSN
0270-9139 (ISSN-L)
OpenAlex
W4239073631
Cited by
291
References
59
FWCI
12.34
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Hepatocellular carcinoma and hepatitis C in the United States. https://app.cochat.ai/papers/10.1002/hep.1840360710
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El-Serag, H. B. (2002). Hepatocellular carcinoma and hepatitis C in the United States. Hepatology. https://doi.org/10.1002/hep.1840360710

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