Performance of HCC risk scores in patients with chronic hepatitis B after hepatitis B surface antigen seroclearance in Yang et al. study [50, 57–60]
Parameters | Novel score | CU-HCC score | REACH-B score | PAGE-B score | mPAGE-B score |
---|---|---|---|---|---|
Age (years) | < 40 = 040–49 = + 150–59 = + 2≥ 60 = + 3 | ≤ 50 = 0> 50 = + 3 | + 1 for every 5 years from 35 to 65 years old | 16–29 = 030–39 = + 240–49 = + 450–59 = + 660–69 = + 8≥ 70 = + 10 | < 30 = 030–39 = + 340–49 = + 550–59 = + 760–69 = + 9≥ 70 = + 11 |
Gender | Male = + 2Female = 0 | Male = + 6Female = 0 | Male = + 2Female = 0 | ||
Cirrhosis | Yes = + 2No = 0 | Yes = + 15No = 0 | |||
Family history of HCC | Yes = + 1No = 0 | ||||
More-than-moderate drinking | Yes = + 2No = 0 | ||||
Albumin (g/L) | ≤ 35 = + 20> 35 = 0 | < 30 = + 330–34 = + 235–39 = + 1≥ 40 = 0 | |||
Total bilirubin (µmol/L) | > 18 = + 1.5≤ 18 = 0 | ||||
ALT (IU/L) | ≥ 45 = + 215–44 = + 1< 15 = 0 | ||||
HBV DNA (log copies/mL) | ≤ 4 = 04–6 = + 1> 6 = + 4 | ≥ 6 = + 45–6 = + 54–5 = + 3< 4 = 0 | |||
HBeAg status | Positive = + 2Negative = 0 | ||||
Platelet (× 109/L) | < 100 = + 9100–200 = + 6≥ 200 = 0 | < 100 = + 5100–149 = + 4150–199 = + 3200–249 = + 2≥ 250 = 0 | |||
Discriminatory performance by time-dependent AUROC (95% CI) | |||||
Prediction for HCC in 5 years | 0.799(0.722–0.877) | 0.739(0.656–0.822) | 0.704(0.627–0.781) | 0.657(0.564–0.745) | 0.732(0.642–0.823) |
Prediction for HCC in 10 years | 0.835(0.751–0.919) | 0.763(0.682–0.844) | 0.734(0.653–0.814) | 0.705(0.608–0.802) | 0.790(0.714–0.867) |
ALT: alanine aminotransferase; AUROC: area under the receiver operating characteristic curve; CI: confidence interval; HBeAg: hepatitis B e antigen; HBV: hepatitis B virus; HCC: hepatocellular carcinoma
JCTL and VWKH: Writing—original draft, Writing—review & editing. GLHW, VWSW, and TCFY: Conceptualization, Writing—original draft, Writing—review & editing. All authors read and approved the submitted version.
JCTL and VWKH declare that they have no conflicts of interest. GLHW has served as an advisory committee member for AstraZeneca, Gilead Sciences, and Janssen, and as a speaker for Abbott, AbbVie, Ascletis, Bristol-Myers Squibb, Echosens, Gilead Sciences, Janssen, and Roche. She has also received a research grant from Gilead Sciences. VWSW has served as a consultant or advisory committee member for AbbVie, Boehringer Ingelheim, Echosens, Intercept, Inventiva, Novo Nordisk, Pfizer, and TARGET PharmaSolutions; and a speaker for Abbott, AbbVie, Gilead Sciences, and Novo Nordisk. He has received a research grant from Gilead Sciences, and is a cofounder of Illuminatio Medical Technology Limited. TCFY has served as an advisory committee member and a speaker for Gilead Sciences.
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© The Author(s) 2024.