Evidence map›Paper›PMID 36291867›Full record

ArticleCancers2022

Modified Albumin-Bilirubin Model for Stratifying Survival in Patients with Hepatocellular Carcinoma Receiving Anticancer Therapy.

Wei-Fan Hsu, Shih-Chao Hsu, Te-Hong Chen, Chien-Hung Lin, Ying-Chun Lin, Yu-Wei Chang, Hung-Wei Wang, Yu-Min Liao, Hsueh-Chou Lai, Cheng-Yuan Peng

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

10 authors.

Wei-Fan HsuCenter for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan.ORCID 0000-0002-0738-417X
Shih-Chao HsuDepartment of Surgery, China Medical University Hospital, Taichung 404327, Taiwan.
Te-Hong ChenDepartment of Surgery, China Medical University Hospital, Taichung 404327, Taiwan.
Chien-Hung LinDepartment of Radiology, China Medical University Hospital, Taichung 404327, Taiwan.
Ying-Chun LinDepartment of Radiation Oncology, China Medical University Hospital, Taichung 404327, Taiwan.ORCID 0000-0001-7554-2427
Yu-Wei ChangDepartment of Pathology, China Medical University Hospital, Taichung 404327, Taiwan.
Hung-Wei WangCenter for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan.ORCID 0000-0001-6574-1561
Yu-Min LiaoDivision of Hematology and Oncology, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan.
Hsueh-Chou LaiCenter for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan.
Cheng-Yuan PengCenter for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan.ORCID 0000-0001-9030-6086

Funding

China Medical University Hospital DMR-111-030
6 · The paper itself

Abstract

Albumin−bilirubin (ALBI) grade is an objective and reproducible model for evaluating overall survival (OS) in patients with hepatocellular carcinoma (HCC). However, the original ALBI grade was established for patients with Child−Pugh classes A−C. HCC patients with Child−Pugh class C or poor performance status (Barcelona Clinic Liver Cancer (BCLC) stage D) usually receive hospice care. Thus, optimized cutoffs for the ALBI grade for stratifying OS in HCC patients receiving anticancer therapy are pertinent for accurate prognostication. This study retrospectively enrolled 2116 patients with BCLC stages A−C HCC after the exclusion of those ineligible for receiving anticancer therapy. The modified ALBI (mALBI) grades were: an ALBI score ≤−3.02 for mALBI grade 1, an ALBI score >−3.02 to ≤−2.08 for mALBI grade 2, and an ALBI score >−2.08 for mALBI grade 3. The original ALBI and mALBI grades were independent predictors of OS in all the enrolled patients and those receiving transarterial chemoembolization. In patients receiving curative therapy (radiofrequency ablation and surgical resection), the mALBI grade (grade 2 vs. 1 and grade 3 vs. 2) was an independent predictor of OS. Original ALBI grade 2 vs. 1 was an independent predictor of OS but not ALBI grade 3 vs. 2. The mALBI model can differentiate between patients with early, intermediate, or advanced HCC who received anticancer therapy into three prognostic groups. External validation of the proposed mALBI grade is warranted.

Indexed as

albumin–bilirubin (ALBI) gradecurative therapyhepatocellular carcinomamodified ALBI gradesurvival

Identifiers

PMID36291867
PMCPMC9600636

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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.