Severe hepatitis B flares with hepatic decompensation after withdrawal of nucleos(t)ide analogues: A population-based cohort study.
Yao-Chun HsuYi-Hsian LinTeng-Yu LeeMindie H NguyenCheng-Hao TsengHsiu J HoFeng-Yu KaoJaw-Town LinChen-Yi WuChun-Ying WuPublished in: Alimentary pharmacology & therapeutics (2023)
Severe flares with hepatic decompensation were observed in 1%-2% of patients with CHB after stopping NUC therapy in daily practice. Risk factors included older age, cirrhosis, portal hypertension and male sex. Our findings argue against NUC cessation as part of routine clinical care.