Evidence map›Paper›PMID 40052685›Full record

ArticleJournal of viral hepatitis2025

Validation Study of Scores Predicting Hepatocellular Carcinoma Risk in Chronic Hepatitis B Patients Treated With Nucleos(t)ide Analogues.

Jun Inoue, Shinichiro Minami, Kazumichi Abe, Mami Kida, Hiroaki Haga, Chikara Iino, Hiroshi Numao, Hidekatsu Kuroda, Masashi Ninomiya, Mio Tsuruoka and 10 more

Abstract readValidation Study
In one paragraph

Article in Journal of viral hepatitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

20 authors.

Jun InoueDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID https://orcid.org/0000-0003-1171-7835
Shinichiro MinamiDepartment of Gastroenterology, Akita University Graduate School of Medicine, Akita, Japan.
Kazumichi AbeDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Mami KidaDepartment of Internal Medicine, Kurihara Central Hospital, Kurihara, Japan.
Hiroaki HagaDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.ORCID https://orcid.org/0000-0001-9355-1837
Chikara IinoDepartment of Gastroenterology, Hematology and Clinical Immunology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hiroshi NumaoDepartment of Gastroenterology, Aomori Prefectural Central Hospital, Aomori, Japan.
Hidekatsu KurodaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Iwate Medical University School of Medicine, Yahaba, Japan.
Masashi NinomiyaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Mio TsuruokaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kosuke SatoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masazumi OnukiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Satoko SawahashiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Keishi OuchiDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kengo WatanabeDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Takehiro AkahaneDepartment of Gastroenterology, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Japan.
Tomoo KobayashiDepartment of Gastroenterology, Tohoku Rosai Hospital, Sendai, Japan.
Hiromasa OhiraDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yoshiyuki UenoDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.ORCID https://orcid.org/0000-0001-5623-4250
Atsushi MasamuneDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Funding

Japan Society for the Promotion of Science
6 · The paper itself

Abstract

Chronic hepatitis B virus (HBV) infection is a leading cause of hepatocellular carcinoma (HCC) worldwide. Nucleos(t)ide analogues (NAs) are widely used in chronically HBV-infected patients, but the risk of HCC still remains in NA-treated patients. In this study, we aimed to validate the HCC risk scores for HBV-infected patients treated with nucleos(t)ide analogues (NAs). Among a total of 360 chronically HBV-infected patients who were treated with NAs, 253 patients without a history of HCC were used to validate the PAGE-B, mPAGE-B, PAGED-B, APA-B, and aMAP scores, as well as a recently developed score, the FAL-1 score, which consists of the FIB-4 index and ALT at 1 year of NA. In this cohort, the cumulative incidence of HCC at 5, 10, and 15 years was 2.9%, 7.8% and 11.0%, respectively. Most scores significantly stratified the HCC incidence and, for the FAL-1 score, the cumulative incidence of HCC at 10 years was 0%, 11.3% and 17.2% for the score-0 (n = 91), score-1 (n = 129) and score-2 (n = 30) groups, respectively. Compared with the other scores, the FAL-1 score was shown to efficiently identify patients at very low risk of HCC. An analysis using both this validation and the previously reported derivation cohorts demonstrated the utility in patients with either HBV genotype B or C. In conclusion, the utility of the FAL-1 score was reproduced in this validation study as well as other scores. In particular, the FAL-1 score may be useful to efficiently identify patients with a low risk of HCC.

Indexed as

Antiviral AgentsCarcinoma, HepatocellularHepatitis B, ChronicLiver NeoplasmsNucleosidesNucleotidesAdultAgedFemaleHumansIncidenceMaleMiddle AgedRisk AssessmentAntiviral AgentsNucleosidesNucleotidesFAL‐1HBVHCC risk scoreNA

Identifiers

PMID40052685
PMCPMC11887419

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.