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Rivista di Medicina Interna
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,6
Panminerva Medica 1998 Marzo;40(1):75-81
Treatment with colchicine and survival of patients with ascitic cirrhosis: a double-blind randomized trial
Adhami J. E., Basho J.
From the University Medical Center of Tirana, Albania
Background. In order to assess the role of colchicine in the survival of cirrhotic patients, 52 patients were studied.
Methods. The patients were divided into two groups, randomized according to age. There were no significant differences in age, sex, etiologic factors, or biological data. In addition to conventional therapy with diuretics, the first group was treated with colchicine of 1 milligram daily for 5 days a week, and the second group with a placebo.
Results. Under the action of colchicine, the diuretics were discontinued because the ascites disappeared in 37.93% of the colchicine group, vs 4.35% of the placebo group (p<0.01). At time of discharge from the clinic, ascitic fluid disappeared respectively in 72.41% and 26.09% of cases (p<0.001), whereas the recurrence in the follow-up period was 47.62% vs 83.33% (p< 0.1).
Conclusions. Using Kaplan Meier survival curves, and comparing both groups with the Logrank test during a period of 11 years, it was found that survival of the colchicine group was 3 times greater than that of the placebo group (p<0.001).