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Cited by 49Liver Disease and TransplantationLiver physiology and pathologyAlcohol Consumption and Health Effects

The Prognosis of Liver Cirrhosis in Recent Years in Korea

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Kim, Young Sun, Um, Soon Ho, Ryu, Ho Sang, Lee, Jung Bok, Lee, Jae Won, Park, Dong Kyu, Kim, Yong Sik, Jin, Yoon Tae, Chun, Hoon Jai, Lee, Hong Sik, Lee, Sang Woo, Choi, Jai Hyun, Kim, Chang Duck, Hyun, Jin Hai·2003·Journal of Korean Medical Science
DOI 10.3346/jkms.2003.18.6.833PMC PMC3055146
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Abstract

The survival of a recent series of 823 cirrhosis patients who were followed up for a mean of 48 months was analyzed. Cirrhosis was ascribed to alcohol (26%), hepatitis virus B (58%), hepatitis virus C (11%) or both (2%), or was cryptogenic (3%). Features of decompensation were observed in 51% of the patients at entry, and newly developed in 44% of compensated patients within 5 yr. The 5-yr survival after decompensation was 25%. The leading causes of death were liver failure (53%), hepatocellular carcinoma (HCC, 23%), and variceal bleeding (10%). Early detection of HCC significantly improved the survival of cirrhosis patients. Biannual ultrasonography increased the detection rate of small HCC. Mortality of variceal hemorrhage was much lower in patients with Child-Pugh scores from 5 to 8 than in those with scores above 8 (5% vs. 52%). Endoscopic prophylaxis significantly decreased the incidence of first variceal hemorrhage, but the effect was insufficient to improve the rate of survival. Mortality of first spontaneous bacterial peritonitis was 18%. These data suggest that the mortality of major complications of liver cirrhosis has considerably decreased during the last two decades, while there was no remarkable improvement in long-term survival. More efficient management of etiologic factors would be required.

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  • With the exception of liver transplantation, treatment for cirrhosis has been shown to, at most, minimally improve long-term survival in patients with decompensated liver cirrhosis.

    “In addition, with the exception of liver transplantation, treatment for cirrhosis has been shown to, at most, minimally improve long-term survival in patients with decompensated liver cirrhosis [21,91,92].”

    From Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis (2014) · cites this paper as [92]

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Authors
Kim, Y. S., Um, S. H., Ryu, H. S., Lee, J. B., Lee, J. W., Park, D. K., Kim, Y. S., Jin, Y. T., Chun, H. J., Lee, H. S., Lee, S. W., Choi, J. H., Kim, C. D., & Hyun, J. H.
Affiliations
Institution of Digestive Disease and Nutrition, Department of Internal Medicine, College of Medicine Seoul, Korea.
ORCID
Venue
Journal of Korean Medical Science
Publisher
Korean Academy of Medical Sciences
Published
2003
Volume
18
Issue
6
Pages
833
ISSN
  • 1011-8934 (ISSN-L)
  • 1598-6357
DOI
10.3346/jkms.2003.18.6.833
PMC
PMC3055146
OpenAlex
W2115530809
Cited by
49
References
31
Citations by year
2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 3 · 2014: 2 · 2013: 9 · 2012: 6
FWCI
1.09
Type
journal article
Language
en
Open access
Licence
creativecommons.org/licenses/by-nc/3.0 (tdm)
Locations
  • Journal of Korean Medical Science (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
liver cirrhosis, prognosis, survival, decompensation, liver failure, hepatocellular carcinoma, variceal bleeding, Child-Pugh score, spontaneous bacterial peritonitis, hepatitis B, hepatitis C, alcoholic cirrhosis, ultrasonography, mortality
MeSH terms
Adult, Aged, Female, Gastrointestinal Hemorrhage, Carcinoma, Hepatocellular, Humans, Korea, Liver Cirrhosis, Liver Neoplasms, Male, Middle Aged, Peritonitis, Prognosis, Retrospective Studies, Survival Rate, Survival Analysis

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