Table 2.
Asparthate-aminotraspherase-to-platelet ratio index and fibrosis score 4 for fibrosis detection in liver transplant recipients
|
Ref.
|
Study population and etiology of ESLD
|
Prevalence F2-F4 (%)
|
Months after LT
|
Biochemical marker
|
Cut-off
|
Se
|
Sp
|
AUC
|
PPV
|
NPV
|
| Toniutto et al[27], 2007 | 51 patients; HCV | 32.4 | 24 | APRI | 1.4 | 76 | 77 | 0.80 | 46 | 93 |
| Pissaia et al[28], 2009 | 50 patients; various etiologies | 28 | 30.7 | APRI | 0.5 | 81 | 80 | 0.87 | 62 | 91 |
| Kamphues et al[29], 2010 | 135 recipients; 94 HCV, 41 alcoholic cirrhosis | 68.1 | 80.6 | APRI | 0.48 | 70 | 63 | 0.68 | 80 | 80 |
| Pinto et al[30], 2014 | 30; biliary atresia, metabolic disease, other | 20 | 60 | APRI | 0.4 | 83 | 58 | 0.74 | 31 | 94 |
| Crespo et al[31], 2016 | 72; HCV | 33 | 12 | APRI | 1.36 | 69 | 87 | 0.83 | 75 | 83 |
| Pissaia et al[28], 2009 | 50 patients; various etiologies | 28 | 30.7 | FIB-4 | 3.25 | 31 | 94 | 0.78 | 67 | 77 |
| Kamphues et al[29], 2010 | 135 recipients; 94 HCV, 41 alcoholic cirrhosis | 68.1 | 80.6 | FIB-4 | 2.8 | 44 | 87 | 0.66 | 88 | 42 |
| Crespo et al[31], 2016 | 72; HCV | 33 | 12 | FIB-4 | 3.23 | 77 | 80 | 0.81 | 69 | 86 |
ESLD: End-stage liver disease; F: Fibrosis; Se: Sensitivity; Sp: Specificity; AUC: The area under the curve; PPV: Positive predictive value; NPV: Negative predictive value; HCV: Hepatitis C; APRI: AST-to-platelet ratio index; FIB-4: Fibrosis score 4.