Liver disease associated mortality in HIV: 1995–2003 GERMIVIC
ESLD
assoc. death:
%
total mortality
ESLD assoc. death: %
HBsAg+
Rosenthal E et alJ Viral Hepat
2007;14:183−8
ESLD = End-stage liver
disease
These data are
consistent with a recent observation in the French GERMIVIC cohort. In this
cohort in 2003 proportion of liver related death shows a slight decrease and
there is a stabilization from 2001 to 2003 after some years of progressive
increase. In the same period the proportion of liver related death occurring
in HBsAg positive subjectsshowed a
sharp decrease. These data indirectly support the hypothesis that HBV related
mortality is decreasing with the availability of anti-retrovirals with anti
HBV activity and that this decrease is one of the causes in the stabilization
of liver related mortality observed in HIV infected patients in some very
recent reports.