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However, their role in predicting mortality in patients with CHB treated with nucleotide\/nucleoside analogs (NAs) remains elusive. Altogether, 2843 patients with CHB treated with NAs were recruited from a multinational cohort. Serum GGT levels before and 6\u2009months (Month\u20106) after initiating NAs were measured to explore their association with all\u2010cause, liver\u2010related, and non\u2010liver\u2010related mortality. The annual incidence of all\u2010cause mortality was 0.9\/100 person\u2010years over a follow\u2010up period of 17,436.3 person\u2010years. Compared with patients who survived, those who died had a significantly higher pretreatment (89.3 vs. 67.4\u2009U\/L, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) and Month\u20106\u2010GGT levels (62.1 vs. 38.4\u2009U\/L, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The factors associated with all\u2010cause mortality included cirrhosis (hazard ratio [HR]\/95% confidence interval [CI]: 2.66\/1.92\u20133.70, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), pretreatment GGT levels (HR\/CI: 1.004\/1.003\u20131.006, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), alanine aminotransferase level (HR\/CI: 0.996\/0.994\u20130.998, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), and age (HR\/CI: 1.06\/1.04\u20131.07, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Regarding liver\u2010related mortality, the independent factors included cirrhosis (HR\/CI: 4.36\/2.79\u20136.89, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), pretreatment GGT levels (HR\/CI: 1.006\/1.004\u20131.008, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), alanine aminotransferase level (HR\/CI: 0.993\/0.990\u20130.997, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), age (HR\/CI: 1.03\/1.01\u20131.05, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and fatty liver disease (HR\/CI: 0.30\/0.15\u20130.59, <jats:italic>p<\/jats:italic>\u2009=\u20090.001). Pretreatment GGT levels were also independently predictive of non\u2010liver\u2010related mortality (HR\/CI: 1.003\/1.000\u20131.005, <jats:italic>p<\/jats:italic>\u2009=\u20090.03). The results remained consistent after excluding the patients with a history of alcohol use. A dose\u2010dependent manner of &lt;25, 25\u201375, and &gt;75 percentile of pretreatment GGT levels was observed with respect to the all\u2010cause mortality (trend <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Pretreatment serum GGT levels predicted all\u2010cause, liver\u2010related, and non\u2010liver\u2010related mortality in patients with CHB treated with NAs.<\/jats:p>","DOI":"10.1002\/kjm2.12771","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T07:29:05Z","timestamp":1698391745000},"page":"188-197","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pretreatment gamma\u2010glutamyl transferase predicts mortality in patients with chronic hepatitis B treated with nucleotide\/nucleoside analogs"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2961-130X","authenticated-orcid":false,"given":"Tyng\u2010Yuan","family":"Jang","sequence":"first","affiliation":[{"name":"Ph.D. Program in Environmental and Occupational Medicine, College of Medicine Kaohsiung Medical University and National Health Research Institutes  Kaohsiung 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