Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis

Objective: Hepatocellular carcinoma (HCC) is one of the most prevalent cancers worldwide. In this review we aimed at investigating the severe and challenging risk factors for HCC in Eastern Mediterranean region. Materials and Methods: A systematic search was conducted from 2000 to December 2022 usi...

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Main Authors: M. Abedinpour, F. Aghaie, A. Bakhshi, M. Aghaee, S. Hassanipour
Format: Article
Language:English
Published: Verduci Editore 2023-12-01
Series:World Cancer Research Journal
Subjects:
Online Access:https://www.wcrj.net/wp-content/uploads/sites/5/2023/12/e2710.pdf
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author M. Abedinpour
F. Aghaie
A. Bakhshi
M. Aghaee
S. Hassanipour
author_facet M. Abedinpour
F. Aghaie
A. Bakhshi
M. Aghaee
S. Hassanipour
author_sort M. Abedinpour
collection DOAJ
description Objective: Hepatocellular carcinoma (HCC) is one of the most prevalent cancers worldwide. In this review we aimed at investigating the severe and challenging risk factors for HCC in Eastern Mediterranean region. Materials and Methods: A systematic search was conducted from 2000 to December 2022 using the Scopus, PubMed, and Web of Science databases. Joanna Briggs Institute Critical appraisal checklist served as the basis for assessing quality. For the analysis, CMA software version 3 was used. Results: Finally, the meta-analysis included 16 articles. Based on the development, the incidence of HCC significantly decreased from 2000 to 2022 in EMRO countries. There was a significant association between HCC and viral hepatitis (OR=7.8, 95% CI: 4.7-12.9, p<0.001). Also, no meaningful correlation was observed between alcohol users and the development of HCC based on the results. Cigarettes play a non-significant protective role in HCC development (OR: 0.90, 95% CI: 0.55-1.48, p=0.7). Conclusions: Alcohol consumption and smoking, unlike the virus, have no significant relationship with HCC. There is a possibility that the effect of factors affecting HCC may vary in different geographical areas.
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spelling doaj.art-05498ff5c70c48f9aa07bb19b00fedb52023-12-27T15:36:29ZengVerduci EditoreWorld Cancer Research Journal2372-34162023-12-011010.32113/wcrj_202312_27102710Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysisM. Abedinpour0F. Aghaie1A. Bakhshi2M. Aghaee3S. Hassanipour4Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, IranStudent Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, IranGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, IranObjective: Hepatocellular carcinoma (HCC) is one of the most prevalent cancers worldwide. In this review we aimed at investigating the severe and challenging risk factors for HCC in Eastern Mediterranean region. Materials and Methods: A systematic search was conducted from 2000 to December 2022 using the Scopus, PubMed, and Web of Science databases. Joanna Briggs Institute Critical appraisal checklist served as the basis for assessing quality. For the analysis, CMA software version 3 was used. Results: Finally, the meta-analysis included 16 articles. Based on the development, the incidence of HCC significantly decreased from 2000 to 2022 in EMRO countries. There was a significant association between HCC and viral hepatitis (OR=7.8, 95% CI: 4.7-12.9, p<0.001). Also, no meaningful correlation was observed between alcohol users and the development of HCC based on the results. Cigarettes play a non-significant protective role in HCC development (OR: 0.90, 95% CI: 0.55-1.48, p=0.7). Conclusions: Alcohol consumption and smoking, unlike the virus, have no significant relationship with HCC. There is a possibility that the effect of factors affecting HCC may vary in different geographical areas.https://www.wcrj.net/wp-content/uploads/sites/5/2023/12/e2710.pdfhepatocellular carcinomaeastern mediterranean regionalcoholhepatitissmoking
spellingShingle M. Abedinpour
F. Aghaie
A. Bakhshi
M. Aghaee
S. Hassanipour
Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
World Cancer Research Journal
hepatocellular carcinoma
eastern mediterranean region
alcohol
hepatitis
smoking
title Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
title_full Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
title_fullStr Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
title_full_unstemmed Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
title_short Viral hepatitis, tobacco and alcohol use and risk of liver cancer in the Eastern Mediterranean region (EMRO) countries: a systematic review and meta-analysis
title_sort viral hepatitis tobacco and alcohol use and risk of liver cancer in the eastern mediterranean region emro countries a systematic review and meta analysis
topic hepatocellular carcinoma
eastern mediterranean region
alcohol
hepatitis
smoking
url https://www.wcrj.net/wp-content/uploads/sites/5/2023/12/e2710.pdf
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AT maghaee viralhepatitistobaccoandalcoholuseandriskoflivercancerintheeasternmediterraneanregionemrocountriesasystematicreviewandmetaanalysis
AT shassanipour viralhepatitistobaccoandalcoholuseandriskoflivercancerintheeasternmediterraneanregionemrocountriesasystematicreviewandmetaanalysis