Hepatitis C virus infection and risk of cancer: a population-based cohort study

Lars Haukali Omland1, Dora Körmendiné Farkas2, Peter Jepsen2,3, Niels Obel1, Lars Pedersen21Department of Infectious Diseases, Rigshospitalet, Denmark; 2Department of Clinical Epidemiology, 3Department of Medicine V (Hepatology and Gastroenterology), Aarhus University Hos...

Full description

Bibliographic Details
Main Authors: Lars Haukali Omland, Dora Körmendiné Farkas, Peter Jepsen, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-06-01
Series:Clinical Epidemiology
Online Access:http://www.dovepress.com/hepatitis-c-virus-infection-and-risk-of-cancer-a-population-based-coho-a4664
_version_ 1818139114453598208
author Lars Haukali Omland
Dora Körmendiné Farkas
Peter Jepsen
et al
author_facet Lars Haukali Omland
Dora Körmendiné Farkas
Peter Jepsen
et al
author_sort Lars Haukali Omland
collection DOAJ
description Lars Haukali Omland1, Dora Körmendiné Farkas2, Peter Jepsen2,3, Niels Obel1, Lars Pedersen21Department of Infectious Diseases, Rigshospitalet, Denmark; 2Department of Clinical Epidemiology, 3Department of Medicine V (Hepatology and Gastroenterology), Aarhus University Hospital, DenmarkBackground: Hepatitis C virus (HCV) infection is associated with an increased risk of primary liver cancer; however, 5- and 10-year risk estimates are needed. The association of HCV with non-Hodgkin lymphoma (NHL) is uncertain and the association with other cancers is unknown.Method: We conducted a nationwide, population-based cohort study of 4,349 HCV-infected patients in Denmark, computing standardized incidence ratios (SIR) of cancer incidence in HCV infected patients compared with cancer incidence of the general population. We calculated 5-and 10-year risks of developing cancer, stratifying our analyses based on the presence of HIV coinfection and cirrhosis.Results: We recorded an increased risk of primary liver cancer (SIR: 76.63 [95% CI: 51.69–109.40]), NHL (SIR: 1.89 [95% CI: 0.39–5.52]), and several smoking- and alcohol-related cancers in HCV infected patients without HIV coinfection. HCV-infected patients without HIV coinfection had a 6.3% (95% CI: 4.6%–8.7%) risk of developing cancer and 2.0% (95% CI: 1.1%–3.8%) risk of developing primary liver cancer within 10 years.Conclusion: We confirmed the association of HCV infection with primary liver cancer and NHL. We also observed an association between HCV infection and alcohol- and smoking-related cancers.Keywords: hepatitis C virus, non-Hodgkin lymphoma, standardized incidence ratio, cancer
first_indexed 2024-12-11T10:22:57Z
format Article
id doaj.art-2b9bd290a6bc4f779154d5795e952b81
institution Directory Open Access Journal
issn 1179-1349
language English
last_indexed 2024-12-11T10:22:57Z
publishDate 2010-06-01
publisher Dove Medical Press
record_format Article
series Clinical Epidemiology
spelling doaj.art-2b9bd290a6bc4f779154d5795e952b812022-12-22T01:11:17ZengDove Medical PressClinical Epidemiology1179-13492010-06-012010default179186Hepatitis C virus infection and risk of cancer: a population-based cohort studyLars Haukali OmlandDora Körmendiné FarkasPeter Jepsenet alLars Haukali Omland1, Dora Körmendiné Farkas2, Peter Jepsen2,3, Niels Obel1, Lars Pedersen21Department of Infectious Diseases, Rigshospitalet, Denmark; 2Department of Clinical Epidemiology, 3Department of Medicine V (Hepatology and Gastroenterology), Aarhus University Hospital, DenmarkBackground: Hepatitis C virus (HCV) infection is associated with an increased risk of primary liver cancer; however, 5- and 10-year risk estimates are needed. The association of HCV with non-Hodgkin lymphoma (NHL) is uncertain and the association with other cancers is unknown.Method: We conducted a nationwide, population-based cohort study of 4,349 HCV-infected patients in Denmark, computing standardized incidence ratios (SIR) of cancer incidence in HCV infected patients compared with cancer incidence of the general population. We calculated 5-and 10-year risks of developing cancer, stratifying our analyses based on the presence of HIV coinfection and cirrhosis.Results: We recorded an increased risk of primary liver cancer (SIR: 76.63 [95% CI: 51.69–109.40]), NHL (SIR: 1.89 [95% CI: 0.39–5.52]), and several smoking- and alcohol-related cancers in HCV infected patients without HIV coinfection. HCV-infected patients without HIV coinfection had a 6.3% (95% CI: 4.6%–8.7%) risk of developing cancer and 2.0% (95% CI: 1.1%–3.8%) risk of developing primary liver cancer within 10 years.Conclusion: We confirmed the association of HCV infection with primary liver cancer and NHL. We also observed an association between HCV infection and alcohol- and smoking-related cancers.Keywords: hepatitis C virus, non-Hodgkin lymphoma, standardized incidence ratio, cancerhttp://www.dovepress.com/hepatitis-c-virus-infection-and-risk-of-cancer-a-population-based-coho-a4664
spellingShingle Lars Haukali Omland
Dora Körmendiné Farkas
Peter Jepsen
et al
Hepatitis C virus infection and risk of cancer: a population-based cohort study
Clinical Epidemiology
title Hepatitis C virus infection and risk of cancer: a population-based cohort study
title_full Hepatitis C virus infection and risk of cancer: a population-based cohort study
title_fullStr Hepatitis C virus infection and risk of cancer: a population-based cohort study
title_full_unstemmed Hepatitis C virus infection and risk of cancer: a population-based cohort study
title_short Hepatitis C virus infection and risk of cancer: a population-based cohort study
title_sort hepatitis c virus infection and risk of cancer a population based cohort study
url http://www.dovepress.com/hepatitis-c-virus-infection-and-risk-of-cancer-a-population-based-coho-a4664
work_keys_str_mv AT larshaukaliomland hepatitiscvirusinfectionandriskofcancerapopulationbasedcohortstudy
AT dorakampoumlrmendinampeacutefarkas hepatitiscvirusinfectionandriskofcancerapopulationbasedcohortstudy
AT peterjepsen hepatitiscvirusinfectionandriskofcancerapopulationbasedcohortstudy
AT etal hepatitiscvirusinfectionandriskofcancerapopulationbasedcohortstudy