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Postoperative Use of the Chemopreventive Vitamin K2 Analog in Patients with Hepatocellular Carcinoma

Author

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  • Jian-Hong Zhong
  • Xin-Shao Mo
  • Bang-De Xiang
  • Wei-Ping Yuan
  • Jin-Fang Jiang
  • Gui-Sheng Xie
  • Le-Qun Li

Abstract

Aim: To evaluate the chemopreventive efficacy of vitamin K2 (VK2) analog in patients with hepatocellular carcinoma (HCC) after curative hepatic resection or local ablation, since a recent randomized control trial (RCT) and systematic review have given contradictory results. Methods: MEDLINE, EMBASE and Cochrane library databases were systematically searched through the end of May 2012. Meta-analysis of RCTs and cohort studies was performed to estimate the effects of the VK2 analog on tumor recurrence rate and overall survival (OS). Risk ratios (RRs) and 95% confidence intervals (95% CIs) were calculated. Results: Six RCTs and one cohort study involving a total of 930 patients were included. VK2 analog therapy did not reduce the 1-year recurrence rate, with a pooled RR of 0.67 (95% CI 0.39–1.13, p = 0.13). However, VK2 analog therapy was associated with a significant reduction in the 2- and 3-year tumor recurrence rates, with respective pooled RRs of 0.65 (95% CI 0.51–0.83, p

Suggested Citation

  • Jian-Hong Zhong & Xin-Shao Mo & Bang-De Xiang & Wei-Ping Yuan & Jin-Fang Jiang & Gui-Sheng Xie & Le-Qun Li, 2013. "Postoperative Use of the Chemopreventive Vitamin K2 Analog in Patients with Hepatocellular Carcinoma," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0058082
    DOI: 10.1371/journal.pone.0058082
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    Cited by:

    1. Han-Yue Mo & Ying-Yang Liao & Xue-Mei You & Alessandro Cucchetti & Bao-Hong Yuan & Ru-Hong Li & Jian-Hong Zhong & Le-Qun Li, 2017. "Timely meta-analysis on the efficacy of adoptive immunotherapy for hepatocellular carcinoma patients after curative therapy," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-13, March.

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