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China Registry of Hepatitis B (CR-HepB): Protocol and implementation of a nationwide hospital-based registry of hepatitis B.

  • Shan, Shan1
  • Wei, Wei1
  • Kong, Yuanyuan1
  • Niu, Junqi2
  • Shang, Jia3
  • Xie, Wen4
  • Zhang, Yuexin5
  • Ren, Hong6
  • Tang, Hong7
  • Ding, Huiguo8
  • Nan, Yuemin9
  • Dou, Xiaoguang10
  • Han, Tao11
  • Xu, Xiaoyuan12
  • Duan, Zhongping8
  • Wei, Lai13
  • Hou, Jinlin14
  • Zhuang, Hui15
  • You, Hong1
  • Jia, Jidong1
  • 1 Liver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing Key Laboratory of Translational Medicine on Liver Cirrhosis, National Clinical Research Center for Digestive Diseases, China. , (China)
  • 2 First Hospital of Jilin University, China. , (China)
  • 3 Henan Provincial People's Hospital, China. , (China)
  • 4 Beijing Ditan Hospital, Capital Medical University, China. , (China)
  • 5 First Affiliated Hospital of Xinjiang Medical University, China. , (China)
  • 6 The Second Affiliated Hospital of Chongqing Medical University, China. , (China)
  • 7 West China Hospital of Sichuan University, China. , (China)
  • 8 Beijing You-an Hospital, Capital Medical University, China. , (China)
  • 9 The Third Hospital of Hebei Medical University, China. , (China)
  • 10 Shengjing Hospital of China Medical University, China. , (China)
  • 11 Tianjin Third Central Hospital, Tianjin Medical University, China. , (China)
  • 12 Peking University First Hospital, China. , (China)
  • 13 Peking University People's Hospital, China. , (China)
  • 14 Nanfang Hospital, Southern Medical University, China. , (China)
  • 15 Peking University Health Science Center, China. , (China)
Published Article
Scandinavian journal of public health
Publication Date
Mar 01, 2020
DOI: 10.1177/1403494818772188
PMID: 29716439


Aims: The disease burden of chronic HBV infection in China remains high, although the rate of new infections has become extremely low. To facilitate real-world clinical study of chronic HBV infection, we established a nationwide hospital-based electronic platform, named the China Registry of Hepatitis B (CR-HepB). Methods: This internet-based registry for chronic hepatitis B recruited patients from tertiary or secondary hospitals that have particular interest and expertise in managing hepatitis B patients. The main inclusion criteria for the database were men or women with hepatitis B surface antigen positivity ≥ 6 months, hepatitis B e antigen positive or negative, with or without cirrhosis, and with or without treatment. At the first time of data entry, demographics, medical history, virology, biochemistry, hematology and radiology reports, as well as diagnosis and treatment information, are recorded. Registered patients then receive a standard of care and follow-up every three (optional) to six months (required) for changes in virology, biochemistry and radiology, as well as clinical progression. Results and Conclusions: To date, 47 hospitals have joined the CR-HepB. This platform can be used to demonstrate the clinical pattern and treatment profile of chronic HBV infection, evaluate long-term efficacy and safety of antiviral therapy and provide real-world evidence for policy-making in China. Trial registration: ID: NCT03108794.

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