Evidence map›Paper›PMID 29872158›Full record

ArticleScientific reports2018

A novel risk score for hepatocellular carcinoma in Asian cirrhotic patients: a multicentre prospective cohort study.

Kung-Hao Liang, Sang Hoon Ahn, Hye Wong Lee, Ya-Hui Huang, Rong-Nan Chien, Tsung-Hui Hu, Kwang-Huei Lin, Christopher Sung-Huan Yeh, Chao-Wei Hsu, Chih-Lang Lin and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 3 countries.

Kung-Hao LiangLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Sang Hoon AhnDepartment of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
Hye Wong LeeDepartment of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
Ya-Hui HuangLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Rong-Nan ChienLiver Research Unit, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.ORCID 0000-0001-7656-4695
Tsung-Hui HuDivision of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.ORCID 0000-0002-9172-1967
Kwang-Huei LinLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Christopher Sung-Huan YehDepartment of Cognitive Science, College of Letters and Science, University of California, Los Angeles, USA.
Chao-Wei HsuLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chih-Lang LinLiver Research Unit, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Tai-Long PanLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Po-Yuan KeLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ming-Ling ChangLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Chau-Ting YehLiver Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan. chautingy@gmail.com.
Chang Gung Memorial Hospital · TWKeelung Chang Gung Memorial Hospital · TWUniversity of California, Los Angeles · USYonsei University · KRKaohsiung Chang Gung Memorial Hospital · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver cirrhotic patients suffer from a seemingly unpredictable risk of hepatocellular carcinoma (HCC). Here, an HCC risk score R (0 ≦ R ≦ 1) was derived from commonly tested haematological and biochemical parameters. In the score-derivation Taiwanese cohort (144 cirrhosis versus 48 HCC-remission patients), the score had an area-under-the-curve (AUC) of 0.70 (95% confidence interval [CI], 0.61-0.78, P < 0.001). When validated in a Korean cohort (78 cirrhosis versus 23 HCC-remission patients), the AUC was 0.68 (CI, 0.56-0.80, P = 0.009). In a multicentre prospective cohort (478 cirrhotic patients prospectively followed for HCC occurrence), the hazard ratio with respect to R was 2.344 (CI = 1.183-4.646, P = 0.015). The cumulative incidences of HCC at two years after patient enrolment were 9.6% and 1.7% for the high-risk (R ≧ 0.5) and low-risk (R < 0.5) groups, respectively (P < 0.001). At the end of the study, the incidences were 10.9% and 5.0%, respectively (P = 0.012). The majority of HCCs (23/26) in the high-risk group emerged within the first two years of follow-up. In conclusion, an HCC risk score was developed for cirrhotic patients that effectively predicted HCC in a prospective cohort study.

Indexed as

Decision Support TechniquesAgedBiomarkersBlood Chemical AnalysisCarcinoma, HepatocellularFemaleHumansIncidenceKoreaLiver CirrhosisMaleMiddle AgedProspective StudiesRisk AssessmentTaiwanBiomarkers

Identifiers

PMID29872158
PMCPMC5988718
OpenAlexW2807133825

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.