Table 3.
Predictive accuracy of noninvasive models for decompensation and hospital stay in patients with non-viral cirrhosis
Non-viral cirrhosis (n = 1973) | AUC for the risk of ascites (95% CI) |
AUC for the risk of hepatic encephalopathy (95% CI) |
AUC for the risk of any decompensation (95% CI) |
Hazard ratio of decompensation (95% CI, P) | Concordance index (P)g | Hospital days IRR (95% CI, P)h | |||
---|---|---|---|---|---|---|---|---|---|
1-yeara | 3-yearb | 1-yearc | 3-yeard | 1-yeare | 3-yearf | ||||
ALBI | 0.657 (0.652–0.661) | 0.627 (0.623–0.632) | 0.785 (0.781–0.789) | 0.703 (0.697–0.709) | 0.708 (0.704–0.712) | 0.667 (0.661–0.673) | 1.88 (1.61–2.16, < 0.01) | 0.658 (< 0.01) | 1.21 (0.99–1.5, 0.07) |
ALBI-FIB-4 | 0.68 (0.674–0.686) | 0.662 (0.657–0.668) | 0.806 (0.802–0.811) | 0.741 (0.736–0.746) | 0.734 (0.73–0.738) | 0.706 (0.701–0.711) | 1.22 (1.13–1.32, < 0.01) | 0.682 (< 0.01) | 1.04 (0.93–1.16, 0.51) |
APRI | 0.628 (0.622–0.634) | 0.624 (0.62–0.629) | 0.706 (0.701–0.711) | 0.672 (0.667–0.677) | 0.672 (0.668–0.676) | 0.658 (0.652–0.663) | 1.12 (1.07–1.16, < 0.01) | 0.62 (< 0.01) | 0.98 (0.93–1.04, 0.58) |
CTP | 0.613 (0.608–0.618) | 0.586 (0.581–0.59) | 0.739 (0.735–0.743) | 0.647 (0.642–0.652) | 0.661 (0.657–0.665) | 0.62 (0.616–0.623) | 1.29 (1.19–1.4, < 0.01) | 0.612 (< 0.01) | 1.35 (1.17–1.54, < 0.01) |
FIB-4 | 0.673 (0.668–0.677) | 0.687 (0.682–0.692) | 0.763 (0.759–0.767) | 0.754 (0.75–0.759) | 0.717 (0.714–0.719) | 0.73 (0.725–0.736) | 1.03 (1.02–1.05, < 0.01) | 0.692 (< 0.01) | 0.98 (0.96–1.01, 0.23) |
Lok index | 0.652(0.647–0.656) | 0.658 (0.653–0.663) | 0.79 (0.785–0.794) | 0.741 (0.735–0.746) | 0.721 (0.718–0.725) | 0.716 (0.711–0.721) | 7.81 (5.25–11.6, < 0.01) | 0.668 (< 0.01) | 1.46 (1.0–2.14, 0.05) |
MELD | 0.634 (0.628–0.64) | 0.642 (0.637–0.648) | 0.748 (0.743–0.753) | 0.68 (0.674–0.685) | 0.69 (0.688–0.693) | 0.664 (0.66–0.67) | 1.05 (1.03–1.07, < 0.01) | 0.629 (< 0.01) | 1.09 (1.06–1.12, < 0.01) |
AUC area under the curve, CI confidence interval, IRR incidence risk ratio
AUC of ALBI-FIB-4 is significantly larger than AUCs of ALBI, APRI, CTP, Lok index, and MELD. There is no significant difference between ALBI-FIB-4 and FIB-4
AUC of FIB-4 is significantly larger than AUCs of other noninvasive models
AUC of ALBI-FIB-4 is significantly larger than AUCs of other noninvasive models
AUC of FIB-4 is significantly larger than AUCs of ALBI, APRI, CTP, FIB-4, Lok index, and MELD. There is no significant difference between ALBI-FIB-4 and FIB-4
AUC of ALBI-FIB-4 is significantly larger than AUCs of other noninvasive models
AUC of FIB-4 is significantly larger than AUCs of other noninvasive models
Concordance index of FIB-4 is significantly larger than concordance indexes of other noninvasive models
Akaike information criterion (AIC) of MELD (11,472) is smaller than the AIC of CTP (11,490); the MELD has the best predictive ability of hospitalization