metricas
covid
Buscar en
Annals of Hepatology
Toda la web
Inicio Annals of Hepatology Hepatocellular carcinoma in Colombia 2017 – 2021
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the editor
Hepatocellular carcinoma in Colombia 2017 – 2021
Andres Gomez-Aldanaa,
Corresponding author
andresgomezmd@hotmail.com

Corresponding author.
, Diego Rossellib
a Transplant Hepatologist U. Toronto, Clinical Nutrition, McMaster University, Hamilton Canada
b Clinical Epidemiology and Biostatistics Department, Pontificia Universidad Javeriana, Medical School, Bogotá, Colombia
Read
453
Times
was read the article
106
Total PDF
347
Total HTML
Share statistics
 array:23 [
  "pii" => "S1665268123000066"
  "issn" => "16652681"
  "doi" => "10.1016/j.aohep.2023.100902"
  "estado" => "S300"
  "fechaPublicacion" => "2023-03-01"
  "aid" => "100902"
  "copyright" => "Elsevier Ltd. All rights reserved"
  "copyrightAnyo" => "2023"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Ann Hepatol. 2023;28:"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemAnterior" => array:17 [
    "pii" => "S1665268123000078"
    "issn" => "16652681"
    "doi" => "10.1016/j.aohep.2023.100903"
    "estado" => "S300"
    "fechaPublicacion" => "2023-03-01"
    "aid" => "100903"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Ann Hepatol. 2023;28:"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:8 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the editor</span>"
      "titulo" => "Response to &#8220;On the risk of further excluding outcast patient populations in South America&#8221;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jose D&#46; Debes, Chimaobi Anugwom, Marina Farah, Javier Diaz-Ferrer"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Jose D&#46;"
              "apellidos" => "Debes"
            ]
            1 => array:2 [
              "nombre" => "Chimaobi"
              "apellidos" => "Anugwom"
            ]
            2 => array:2 [
              "nombre" => "Marina"
              "apellidos" => "Farah"
            ]
            3 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Diaz-Ferrer"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268123000078?idApp=UINPBA00004N"
    "url" => "/16652681/0000002800000002/v2_202305072346/S1665268123000078/v2_202305072346/en/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:18 [
      "pii" => "S1665268122002186"
      "issn" => "16652681"
      "doi" => "10.1016/j.aohep.2022.100876"
      "estado" => "S300"
      "fechaPublicacion" => "2023-03-01"
      "aid" => "100876"
      "copyright" => "Fundaci&#243;n Cl&#237;nica M&#233;dica Sur&#44; A&#46;C&#46;"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Ann Hepatol. 2023;28:"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
        "titulo" => "Changing epidemiology of hepatocellular carcinoma in South America&#58; A report from the South American liver research network"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => "en"
        "contieneResumen" => array:1 [
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig0002"
            "etiqueta" => "Fig&#46; 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 851
                "Ancho" => 2250
                "Tamanyo" => 65894
              ]
            ]
            "detalles" => array:1 [
              0 => array:3 [
                "identificador" => "alt0002"
                "detalle" => "Fig "
                "rol" => "short"
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall">Graph describing the underlying liver disease for hepatocellular carcinoma per country in South America 2019-2021&#46; Y axis&#58; percentage of cases&#44; X axis underlying disease&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Marina Farah, Chimaobi Anugwom, Javier Diaz Ferrer, Estefania Liza Baca, Angelo Z&#46; Mattos, Jo&#227;o Pedro P&#46; Possebon, Marco Arrese, Jhon Prieto, Domingo Balderramo, Enrique Carrera, Jose D&#46; Debes"
            "autores" => array:11 [
              0 => array:2 [
                "nombre" => "Marina"
                "apellidos" => "Farah"
              ]
              1 => array:2 [
                "nombre" => "Chimaobi"
                "apellidos" => "Anugwom"
              ]
              2 => array:2 [
                "nombre" => "Javier Diaz"
                "apellidos" => "Ferrer"
              ]
              3 => array:2 [
                "nombre" => "Estefania Liza"
                "apellidos" => "Baca"
              ]
              4 => array:2 [
                "nombre" => "Angelo Z&#46;"
                "apellidos" => "Mattos"
              ]
              5 => array:2 [
                "nombre" => "Jo&#227;o Pedro P&#46;"
                "apellidos" => "Possebon"
              ]
              6 => array:2 [
                "nombre" => "Marco"
                "apellidos" => "Arrese"
              ]
              7 => array:2 [
                "nombre" => "Jhon"
                "apellidos" => "Prieto"
              ]
              8 => array:2 [
                "nombre" => "Domingo"
                "apellidos" => "Balderramo"
              ]
              9 => array:2 [
                "nombre" => "Enrique"
                "apellidos" => "Carrera"
              ]
              10 => array:2 [
                "nombre" => "Jose D&#46;"
                "apellidos" => "Debes"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268122002186?idApp=UINPBA00004N"
      "url" => "/16652681/0000002800000002/v2_202305072346/S1665268122002186/v2_202305072346/en/main.assets"
    ]
  ]
  "en" => array:9 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the editor</span>"
    "titulo" => "Hepatocellular carcinoma in Colombia 2017 &#8211; 2021"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Andres Gomez-Aldana, Diego Rosselli"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "Andres"
            "apellidos" => "Gomez-Aldana"
            "email" => array:1 [
              0 => "andresgomezmd@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0001"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0001"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Diego"
            "apellidos" => "Rosselli"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0002"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Transplant Hepatologist U&#46; Toronto&#44; Clinical Nutrition&#44; McMaster University&#44; Hamilton Canada"
            "etiqueta" => "a"
            "identificador" => "aff0001"
          ]
          1 => array:3 [
            "entidad" => "Clinical Epidemiology and Biostatistics Department&#44; Pontificia Universidad Javeriana&#44; Medical School&#44; Bogot&#225;&#44; Colombia"
            "etiqueta" => "b"
            "identificador" => "aff0002"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0001"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0001" class="elsevierStylePara elsevierViewall">After reviewing the article by Farah <span class="elsevierStyleItalic">et al</span>&#46; on the prevalence of hepatocellular carcinoma &#40;HCC&#41; in Latin America <a class="elsevierStyleCrossRef" href="#bib0001">&#91;1&#93;</a>&#44; we believe that the Colombian experience can be complemented with individual patient care records collected by SISPRO&#44; the official Ministry of Health administrative database <a class="elsevierStyleCrossRef" href="#bib0002">&#91;2&#93;</a>&#46; During the five-year period 2017-2021&#44; 2&#44;244 cases of HCC in adult patients were reported nationwide&#59; in contrast to what was reported by Farah <span class="elsevierStyleItalic">et al</span>&#46;&#44; females accounted for 49&#37; &#40;n&#61;1&#44;099&#41;&#44; a higher figure than 39&#37;&#46; The median age was 68 years&#44; which is similar to what they describe&#46;</p><p id="para0002" class="elsevierStylePara elsevierViewall">With regards to etiology&#44; 520 patients &#40;23&#46;2&#37;&#41; had the associated diagnosis of alcoholic liver disease&#44; and 465 &#40;20&#46;7&#37;&#41; had cryptogenic cirrhosis&#46; On the other hand&#44; in Colombia&#44; there are no recent studies on the prevalence of HCC in patients with autoimmune hepatitis &#40;AIH&#41; or primary biliary cholangitis &#40;PBC&#41;&#46; However&#44; a prevalence of 1&#46;6&#37; to 6&#46;6&#37; of HCC in patients with AIH has been described in the United States &#91;<a class="elsevierStyleCrossRef" href="#bib0003">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0004">4</a>&#93;&#46; In this registry&#44; there were 62 cases of HCC associated with autoimmune diseases &#40;2&#46;7&#37; of cases&#41;&#44; 9 associated with AIH &#40;0&#46;4&#37;&#41;&#44; 23 &#40;1&#37;&#41; with PBC&#44; and 30 &#40;1&#46;3&#37;&#41; associated with sclerosing cholangitis&#46;</p><p id="para0003" class="elsevierStylePara elsevierViewall">With respect to treatment&#44; in their paper&#44; 6&#37; of the patients underwent liver transplantation&#46; The SISPRO registry reports 662 adult liver transplants during this period but does not allow us to uncover their association with HCC&#46; However&#44; we identified 340 patients &#40;15&#37;&#41; of our cohort that were cared for in one of the 7 active authorized liver transplant centers in Colombia&#44; which suggests that at some point they were within the reach of a multidisciplinary team that handles all available alternatives for the treatment of these patients <a class="elsevierStyleCrossRef" href="#bib0005">&#91;5&#93;</a>&#46;</p><p id="para0004" class="elsevierStylePara elsevierViewall">Administrative databases have the advantage of increasing sample size and&#44; arguably&#44; of having a wider geographical representation than single-center studies&#46; Limitations&#44; of course&#44; have to be highlighted&#44; with the quality of information perhaps the most important one&#46; A growing prevalence of HCC among women&#44; who suffer higher rates of obesity&#44; diabetes and nonalcoholic fatty liver disease&#44; should be a trend to follow closely&#46; We should be thinking about possible alternatives to improve the response provided to HCC <a class="elsevierStyleCrossRef" href="#bib0006">&#91;6&#93;</a>&#46; One of these could be the creation of a model focused on liver neoplasms&#44; similar to the one designed by the Colombian Ministry of Health for the diagnosis and management of Hepatitis C <a class="elsevierStyleCrossRef" href="#bib0007">&#91;7&#93;</a>&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "cebibsec1"
          "bibliografiaReferencia" => array:7 [
            0 => array:3 [
              "identificador" => "bib0001"
              "etiqueta" => "&#91;1&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing epidemiology of hepatocellular carcinoma in South America&#58; A report from the South American liver research network"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Farah"
                            1 => "C Anugwom"
                            2 => "JD Ferrer"
                            3 => "EL Baca"
                            4 => "AZ Mattos"
                            5 => "JPP Possebon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.aohep.2022.100876"
                      "Revista" => array:4 [
                        "tituloSerie" => "Ann Hepatol"
                        "fecha" => "2022"
                        "volumen" => "28"
                        "numero" => "2"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0002"
              "etiqueta" => "&#91;2&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The administrative database of the Colombian healthcare system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D Rosselli"
                            1 => "C&#46;SISPRO Pantoja-Ruiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.22379/24224022426"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Neurol Colomb"
                        "fecha" => "2022"
                        "volumen" => "38"
                        "numero" => "4"
                        "paginaInicial" => "187"
                        "paginaFinal" => "190"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0003"
              "etiqueta" => "&#91;3&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of risk factors in the development of hepatocellular carcinoma in autoimmune hepatitis&#58; Implications for follow-up and screening"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "AD Yeoman"
                            1 => "T Al-Chalabi"
                            2 => "JB Karani"
                            3 => "A Quaglia"
                            4 => "J Devlin"
                            5 => "G&#46; Mieli-Vergani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/hep.22432"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hepatology"
                        "fecha" => "2008"
                        "volumen" => "48"
                        "numero" => "3"
                        "paginaInicial" => "863"
                        "paginaFinal" => "870"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0004"
              "etiqueta" => "&#91;4&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The risk of liver cancer in autoimmune liver diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A Lleo"
                            1 => "YS de Boer"
                            2 => "R Liberal"
                            3 => "M&#46; Colombo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1758835919861914"
                      "Revista" => array:3 [
                        "tituloSerie" => "Ther Adv Med Oncol"
                        "fecha" => "2019"
                        "volumen" => "11"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "&#91;5&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of provider specialty and multidisciplinary care with hepatocellular carcinoma treatment and mortality"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Serper"
                            1 => "TH Taddei"
                            2 => "R Mehta"
                            3 => "K D&#39;Addeo"
                            4 => "F Dai"
                            5 => "A Aytaman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1053/j.gastro.2017.02.040"
                      "Revista" => array:7 [
                        "tituloSerie" => "Gastroenterology"
                        "fecha" => "2017"
                        "volumen" => "152"
                        "numero" => "8"
                        "paginaInicial" => "1954"
                        "paginaFinal" => "1964"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28283421"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0006"
              "etiqueta" => "&#91;6&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hepatocellular carcinoma in Latin America&#58; Diagnosis and treatment challenges"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F Pi&#241;ero"
                            1 => "J Poniachik"
                            2 => "E Ridruejo"
                            3 => "M&#46; Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3748/wjg.v24.i37.4224"
                      "Revista" => array:7 [
                        "tituloSerie" => "World J Gastroenterol"
                        "fecha" => "2018"
                        "volumen" => "24"
                        "numero" => "37"
                        "paginaInicial" => "4224"
                        "paginaFinal" => "4229"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30310255"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0007"
              "etiqueta" => "&#91;7&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Colombian experience in the management of hepatitis C"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "AJ Gomez-Aldana"
                            1 => "M Tapias"
                            2 => "D&#46; Rosselli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/liv.14582"
                      "Revista" => array:6 [
                        "tituloSerie" => "Liver Int"
                        "fecha" => "2020"
                        "volumen" => "40"
                        "numero" => "12"
                        "paginaInicial" => "3143"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32602224"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/16652681/0000002800000002/v2_202305072346/S1665268123000066/v2_202305072346/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "82754"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/16652681/0000002800000002/v2_202305072346/S1665268123000066/v2_202305072346/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268123000066?idApp=UINPBA00004N"
]
Article information
ISSN: 16652681
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 2 1 3
2024 October 12 1 13
2024 September 17 5 22
2024 August 19 7 26
2024 July 13 6 19
2024 June 19 3 22
2024 May 14 3 17
2024 April 11 13 24
2024 March 20 7 27
2024 February 19 4 23
2024 January 14 9 23
2023 December 22 6 28
2023 November 23 3 26
2023 October 33 16 49
2023 September 17 7 24
2023 August 14 3 17
2023 July 24 3 27
2023 June 8 4 12
2023 May 10 1 11
2023 April 14 1 15
2023 March 22 3 25
Show all

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos