Your browser doesn't support javascript.
loading
Dynamic Change of Albumin-Bilirubin Score Is Good Predictive Parameter for Prognosis in Chronic Hepatitis C-hepatocellular Carcinoma Patients Receiving Transarterial Chemoembolization.
Lin, Po-Ting; Teng, Wei; Jeng, Wen-Juei; Chen, Wei-Ting; Hsieh, Yi-Chung; Huang, Chien-Hao; Lui, Kar-Wai; Hung, Chen-Fu; Wang, Ching-Ting; Chai, Pei-Mei; Lin, Chen-Chun; Lin, Chun-Yen; Lin, Shi-Ming; Sheen, I-Shyan.
Affiliation
  • Lin PT; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
  • Teng W; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Jeng WJ; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
  • Chen WT; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Hsieh YC; Institute of Clinical Medicine, National Yang-Ming University, Taipei City 11265, Taiwan.
  • Huang CH; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
  • Lui KW; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Hung CF; Institute of Clinical Medicine, National Yang-Ming University, Taipei City 11265, Taiwan.
  • Wang CT; School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Chai PM; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
  • Lin CC; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Lin CY; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
  • Lin SM; College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
  • Sheen IS; Department of Gastroenterology and Hepatology, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Diagnostics (Basel) ; 12(3)2022 Mar 09.
Article in En | MEDLINE | ID: mdl-35328217
ABSTRACT
Background and

Aims:

The Albumin-Bilirubin (ALBI) grade is a good index for liver function evaluation and is also associated with the outcomes of hepatocellular carcinoma patients receiving TACE. However, the correlation between the dynamic change to the ALBI score and clinical outcome is seldom discussed. Therefore, this study aimed to investigate the application of ALBI grade and dynamic change of ALBI grade (delta ALBI grade) after first TACE for prognosis prediction in HCC patients with chronic hepatitis C infection.

Method:

From January 2005 to December 2015, newly diagnosed naive chronic hepatitis C-hepatocellular carcinoma (CHC-HCC) patients who were treated with TACE as the initial treatment at the Chang Gung Memorial Hospital, Linkou Medical Center, were retrospectively recruited. The pre-treatment host factors, tumor status and noninvasive markers were collected. The Cox regression model was used to identify independent predictors of overall survival and tumor recurrence.

Results:

Among 613 treatment-naive CHC-HCC patients, 430 patients died after repeated TACE during a median follow-up of 26.9 months. Complete remission after repeated TACE occurred in 46.2% patients, and 208 patients (33.9%) had tumor recurrence, with a median recurrence-free interval of 8.5 months. In Cox regression analysis, ALBI grade II/III (aHR 1.088, p = 0.035) and increased delta ALBI grade (aHR 1.456, p = 0.029) were independent predictive factors for tumor recurrence. Furthermore, ALBI grade II/III (aHR 1.451, p = 0.005) and increased delta ALBI grade during treatment (aHR 1.436, p = 0.006) were predictive factors for mortality, while achieving complete response after repeated TACE (aHR 0.373, p < 0.001) and anti-viral therapy (aHR 0.580, p = 0.002) were protective factors for mortality.

Conclusion:

Both ALBI and delta ALBI grade are independent parameters to predict survival and tumor recurrence of CHC-HCC patients receiving TACE treatment.
Key words
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies / Risk_factors_studies Language: En Journal: Diagnostics (Basel) Year: 2022 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies / Risk_factors_studies Language: En Journal: Diagnostics (Basel) Year: 2022 Document type: Article Affiliation country: