A new algorithm for predicting long-term survival in chronic hepatitis B patients with variceal bleeding after endoscopic therapy

A predictive algorithm for survival is urgently needed in clinical practice. This study aimed to establish an algorithm to predict long-term survival in chronic hepatitis B (CHB) patients with hepatic cirrhosis and variceal bleeding after endoscopic therapy. This was a retrospective study in which 6...

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Veröffentlicht in:Digestive and liver disease 2019-08, Vol.51 (8), p.1166-1171
Hauptverfasser: He, Lingling, Li, Ping, Jiang, Yu, Hu, Julong, Ma, Jiali, Ye, Xiaohui, Yang, Junru, Zhou, Yuling, Liang, Xiuxia, Ai, Zhenglin, Lin, Yijun, Wei, Hongshan
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Sprache:eng
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Zusammenfassung:A predictive algorithm for survival is urgently needed in clinical practice. This study aimed to establish an algorithm to predict long-term survival in chronic hepatitis B (CHB) patients with hepatic cirrhosis and variceal bleeding after endoscopic therapy. This was a retrospective study in which 603 patients who followed-up for three years were randomly assigned into a training cohort and a validation cohort in a 2:1 ratio. A new score model was devised based on the result of Cox regression analysis in the training cohort, and was verified in the validation cohort. A prediction score model composed of age, neutrophil–lymphocyte ratio, gamma-glutamyl transpeptidase and MELD score was established. The score ranged from 0 to 11. Areas under the ROC curve of the score were 0.821 (p 
ISSN:1590-8658
1878-3562
DOI:10.1016/j.dld.2019.01.004