Gender differences in chronic liver diseases in two cohorts of 2001 and 2014 in Italy

Pier Luigi Almasio, Anna Licata, Giovanni Battista Gaeta, Tommaso Stroffolini, Massimo De Luca, Caterina Sagnelli, Guido Colloredo, Sergio Babudieri, Maurizio Russello, Nicola Coppola, Bruno Cacopardo, Mario Pirisi, Evangelista Sagnelli

Risultato della ricerca: Article

6 Citazioni (Scopus)

Abstract

Background: Gender differences in chronic liver disease (CLD) have been partially investigated. To extend the present knowledge, we evaluated 12,263 patients with CLD enrolled in two national surveys (9997 in 2001 and 2557 in 2014). Methods: The two surveys prospectively recruited patients aged â¥Â 18 referring to Italian liver units throughout the country using a similar clinical approach and analytical methods. Results: The overall male to female ratio (M/F) was 1.4 (7138/5124). Compared with females, males were significantly more likely to be younger (52.9 vs. 58.7 yrs.), with HBV infection alone (13.2% vs. 9.2%) and with alcoholic liver disease alone (11.4% vs. 6.9%), but less likely to show HCV infection alone (48.0% vs. 67.9%). A male preponderance was observed in HBV-related cases (1.99) and in alcoholic-related cases (2.3), a preponderance observed both in the 2001 and in 2014 cases. In HCV-related cases, however, females predominated in 2001 (M/F 0.9) and males in 2014 (M/F 1.5).The rate of cirrhosis in alcohol-related etiology was close to 36% in both genders, a finding much higher than that observed for both sexes in HBV and HCV etiologies.Both males and females enrolled in 2014 were older (p < 0.001) and with a higher rate of cirrhosis and/or HCC (p < 0.001) than those investigated in 2001. There was a remarkable increase over time in the proportion of male abstainers (36.7% in 2001 and 64.3% in 2014). Conclusion: This study highlights important inter- and intra-gender differences in the characteristics and etiological factors of patients with CLD in Italy.
Lingua originaleEnglish
pagine (da-a)93-101
Numero di pagine9
RivistaInfection
Volume46
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

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