Evidence map›Paper›PMID 41921448›Full record

ArticleInternational dental journal2026

Aspartate Aminotransferase/Alanine Aminotransferase Ratio Predicts the Post-surgical Prognosis of Patients with Oral Squamous Cell Carcinoma.

Baochang He, Liling Shen, Yulan Lin, Fa Chen, Fengqiong Liu, Yu Qiu, Bin Shi, Lisong Lin, Jing Wang, Xiaodan Bao

Abstract read
In one paragraph

Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Baochang HeStomatological Center, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China; Department of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.
Liling ShenDepartment of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.
Yulan LinDepartment of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.
Fa ChenDepartment of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.
Fengqiong LiuDepartment of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.
Yu QiuStomatological Center, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Bin ShiStomatological Center, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Lisong LinStomatological Center, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Jing WangLaboratory Center, The Major Subject of Environment and Health of Fujian Key Universities, School of Public Health, Fujian Medical University, Fuzhou, China.
Xiaodan BaoSchool of Health Management, Fujian Medical University, Fuzhou, China. Electronic address: bxd0326@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSurvival rates in patients with oral squamous cell carcinoma (OSCC) have failed to improve greatly over time, and novel biomarkers are urgently needed. Therefore, the aim was to evaluate the predictive ability of the pre-treatment serum aspartate aminotransferase/alanine aminotransferase (AST/ALT) ratio (SLR) for the prognosis of patients with OSCC. MATERIALS AND

methodsThis cohort study based on a prospectively maintained database included 552 patients who were diagnosed with primary OSCC and underwent surgery between August 2011 and January 2022. The pre-treatment SLR was determined in each patient by dividing the AST levels by the ALT concentrations. Propensity score matching (PSM) analysis was performed to adjust for potential confounders. COX proportional hazards models, as well as generalized boosted regression model (GBM) and random survival forest (RSF) algorithms were used to investigate the predictive value of the SLR in determining the prognosis of patients with OSCC.

resultsX-tile software was used to determine the SLR to stratify patients into low-SLR (SLR < 1.50, n = 445) and high-SLR (SLR ≥ 1.50, n = 107). After PSM, all covariates were determined to be well-balanced between the two groups in the matched cohort (all standardized mean differences (SMDs) < 0.1). The high-SLR group exhibited significantly poorer overall survival (OS) compared with that of the low-SLR group based on the multivariate Cox regression modeling in both the original (hazard ratio (HR) = 1.55; 95% confidence interval (CI): 1.02-2.36) and matched (HR = 1.81; 95% CI: 1.13-2.91) cohorts. Furthermore, comparative model analysis demonstrated a moderate improvement in predictive performance when SLR was included in the models (P = .017 in the original cohort; P = .008 in the matched cohort).

conclusionsIn conclusion, the pre-treatment SLR serves as an independent prognostic factor for OS in surgical OSCC patients and enhances the performance of prognostic models, indicating its potential as a clinical tool for outcome prediction.

Indexed as

Alanine TransaminaseAspartate AminotransferasesCarcinoma, Squamous CellMouth NeoplasmsAgedBiomarkers, TumorCohort StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisProportional Hazards ModelsAlanine TransaminaseAspartate AminotransferasesBiomarkers, TumorAlanine aminotransferaseAspartate aminotransferaseOral squamous cell carcinomaPrognosisSLR

Identifiers

PMID41921448
PMCPMC13068816

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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.