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In Asian Americans, the\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      sAg carrier rate ranges from 2% to 16% which approximates the rates from their countries of origin. Similarly,\n                      <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\n                      is the most important cause of cirrhosis, hepatocellular carcinoma (\n                      <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>\n                      ) and liver related deaths in\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      sAg positive Asians worldwide.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To generate recommendations for the management of Asian Americans infected with\n                      <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      These guidelines are based on relevant data derived from medical reports on\n                      <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\n                      from Asian countries as well as from studies in the\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      sAg positive Asian Americans. The guidelines herein differ from other recommendations in the treatment of both\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      eAg positive and negative chronic hepatitis B (\n                      <jats:styled-content style=\"fixed-case\">CHB<\/jats:styled-content>\n                      ), in the approach to\n                      <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>\n                      surveillance, and in the management of\n                      <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\n                      in pregnant women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Asian American patients,\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      eAg positive or negative, with\n                      <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content>\n                      levels &gt;2000 IU\/mL (&gt;10\n                      <jats:sup>4<\/jats:sup>\n                      copies\/mL) and\n                      <jats:styled-content style=\"fixed-case\">ALT<\/jats:styled-content>\n                      values above normal are candidates for anti\u2010viral therapy.\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      eAg negative patients with\n                      <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content>\n                      &gt;2000 IU\/mL and normal\n                      <jats:styled-content style=\"fixed-case\">ALT<\/jats:styled-content>\n                      levels but who have either serum albumin &lt;3.5 g\/dL or platelet count &lt;130 000 mm\n                      <jats:sup>3<\/jats:sup>\n                      , basal core promoter (\n                      <jats:styled-content style=\"fixed-case\">BCP<\/jats:styled-content>\n                      ) mutations, or who have first\u2010degree relatives with\n                      <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>\n                      should be offered treatment. Patients with cirrhosis and detectable\n                      <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content>\n                      must receive life\u2010long anti\u2010viral therapy. Indications for treatment include pregnant women with high viraemia, coinfected patients, and those requiring immunosuppressive therapy. In\n                      <jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>\n                      sAg positive patients with risk factors, life\u2010long surveillance for\n                      <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>\n                      with alpha\u2010fetoprotein (\n                      <jats:styled-content style=\"fixed-case\">AFP<\/jats:styled-content>\n                      ) testing and abdominal ultrasound examination at 6\u2010month intervals is required. In\n                      <jats:styled-content style=\"fixed-case\">CHB<\/jats:styled-content>\n                      patients receiving\n                      <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>\n                      treatments, repeat imaging with contrast\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      scan or\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      at 3\u2010month intervals is strongly recommended. These guidelines have been assigned to a Class (reflecting benefit vs. risk) and a Level (assessing strength or certainty) of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Application of the recommendations made based on a review of the relevant literature and the opinion of a panel of Asian American physicians with expertise in\n                      <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\n                      treatment will inform physicians and improve patient outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apt.14577","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T01:46:36Z","timestamp":1519609596000},"page":"1181-1200","source":"Crossref","is-referenced-by-count":48,"title":["An expert consensus for the management of chronic hepatitis B in Asian Americans"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8035-5105","authenticated-orcid":false,"given":"M. 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