Evidence map›Paper›PMID 39811503›Full record

ArticleWorld journal of gastroenterology2025

Trends of alkaline phosphatase to prealbumin ratio in patients with hepatitis B linked to hepatocellular carcinoma development.

Wen-Chong Zhen, Jing Sun, Xue-Ting Bai, Qian Zhang, Zi-Han Li, Yi-Xin Zhang, Rong-Xuan Xu, Wei Wu, Zhi-Han Yao, Chun-Wen Pu and 1 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Exploration of the Mechanism of Action ofJournal of hepatocellular carcinoma · 2025
    Article
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

11 authors.

Wen-Chong ZhenSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Jing SunGraduate School, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Xue-Ting BaiSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Qian ZhangSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Zi-Han LiSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Yi-Xin ZhangSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Rong-Xuan XuSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Wei WuSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Zhi-Han YaoSchool of Public Health, Dalian Medical University, Dalian 116044, Liaoning Province, China.
Chun-Wen PuDalian Public Health Clinical Center, Dalian Municipal Research Institute for Public Health, Dalian 116001, Liaoning Province, China.
Xiao-Feng LiDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian 116044, Liaoning Province, China. lxf_chen@dmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis B often progresses silently toward hepatocellular carcinoma (HCC), a leading cause of mortality worldwide. Early detection of HCC is crucial, yet challenging.

aimTo investigate the role of dynamic changes in alkaline phosphatase to prealbumin ratio (APR) in hepatitis B progression to HCC.

methodsData from 4843 patients with hepatitis B (January 2015 to January 2024) were analyzed. HCC incidence rates in males and females were compared using the log-rank test. Data were evaluated using Kaplan-Meier analysis. The Linear Mixed-Effects Model was applied to track the fluctuation of APR levels over time. Furthermore, Joint Modeling of Longitudinal and Survival data was employed to investigate the temporal relationship between APR and HCC risk.

resultsThe incidence of HCC was higher in males. To ensure the model's normality assumption, this study applied a logarithmic transformation to APR, yielding ratio. Ratio levels were higher in females (

conclusionMales are more prone to HCC, while females have higher APR levels. Despite no baseline APR link, rising APR indicates a higher HCC risk.

Indexed as

Alkaline PhosphataseCarcinoma, HepatocellularHepatitis B, ChronicLiver NeoplasmsPrealbuminAdultAgedBiomarkers, TumorDisease ProgressionEarly Detection of CancerFemaleHumansIncidenceKaplan-Meier EstimateMaleMiddle AgedAlkaline PhosphataseBiomarkers, TumorPrealbuminAlkaline phosphatase to prealbumin ratioChronic hepatitis B patientsHepatocellular carcinomaJoint Modelling of Longitudinal and Survival dataLinear Mixed-Effect ModeRetrospective cohort study

Identifiers

PMID39811503
PMCPMC11684201

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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.