Albumin-Bilirubin (ALBI) Grade as Part of the Evidence-Based Clinical Practice Guideline for HCC of the Japan Society of Hepatology: A Comparison with the Liver Damage and Child-Pugh Classifications

Albumin-Bilirubin (ALBI) Grade as Part of the Evidence-Based Clinical Practice Guideline for HCC of the Japan Society of Hepatology: A Comparison with the Liver Damage and Child-Pugh Classifications
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DOI:
10.1159/000452846
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发表时间:
2017-01-01
期刊:
影响因子:
13.8
通讯作者:
Michitaka, Kojiro
Michitaka, Kojiro
中科院分区:
医学1区
文献类型:
--
作者:
Hiraoka, Atsushi;Kumada, Takashi;Michitaka, Kojiro

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目的/背景:本研究的目的是评价用于评估肝功能的3种分类的有效性,即肝损伤和Child-Pugh分类以及新提出的白蛋白-胆红素(ALBI)分级,以检查使用ALBI分级和日本使用的肝细胞癌(HCC)治疗算法评估肝功能的可行性。研究方法:我们分析了2000年至2015年收治的3,495名日本HCC患者的病历,其中包括1,580名在爱媛县地区住院的患者,并用作培训队列(爱媛组),以及1,915名用于验证的患者(验证组)。用于分级的ALBI评分(
Aim/Background: The purpose of this study was to evaluate the validity of 3 classifications for assessing liver function, the liver damage and Child-Pugh classifications and the newly proposed albumin-bilirubin (ALBI) grade, in order to examine the feasibility of evaluating hepatic function using ALBI grade with the hepatocellular carcinoma (HCC) treatment algorithm used in Japan. Methods: We analyzed the medical records of 3,495 Japanese HCC patients admitted from 2000 to 2015, which were comprised of 1,580 patients hospitalized in the Ehime Prefecture area and used as a training cohort (Ehime group), and 1,915 others who were used for validation (validation group). ALBI score used for grading (