Table 2.
Risk scores for prediction of hepatocellular carcinoma in treated chronic hepatitis B patients at baseline
Ref.
|
Risk score
|
Patients in derivation, n
|
Country or area
|
Age (yr)
|
HBeAg-positive, n (%)
|
Cirrhosis in derivation, n (%)
|
Follow-up (yr), median
|
Variables of the risk score
|
AUROC for 5- yr
|
Cut-off
|
Lee et al[35] | mREACH-B | 192 | South Korea | 49 (42-56) | 100 (52.1) | 90 (46.9) | 3.6 | Age, sex, ALT, HBeAg, LSM | 0.8051 | - |
Papatheodoridis et al[37] | PAGE-B | 1325 | Europe | 52 ± 21 | 210 (15.8) | 269 (20.3) | 4.2 | Age, sex, platelets | 0.82 | Low-risk ≤ 9; Intermediate risk 10-17; High risk ≥ 18 |
Sohn et al[43] | HCC-RESCUE | 990 | South Korea | 47.4 ± 10.5 | 556 (56.2) | 389 (39.3) | 2.1 | Age, sex, cirrhosis | 0.768 | Low-risk ≤ 64; Intermediate risk 65-84; High risk ≥ 85 |
Hsu et al[44] | CAMD | 23851 | South Korea | 47.5 (37.8-56.5) | - | 6308 (26.4) | 2.2 | Age, sex, diabetes, cirrhosis | 0.821 | Low-risk < 8; Intermediate risk 9-13; High risk > 13 |
Kim et al[46] | mPAGE-B | 2001 | South Korea | 50 (42-57) | 678 (33.9) | 383 (19.1) | 4.1 | Age, sex, platelets, albumin | 0.82 | Low-risk ≤ 8; Intermediate risk 9-12; High risk ≥ 13 |
Yu et al[47] | AASL | 944 | South Korea | 50 (41-57) | 528 (55.9) | 371 (39.3) | 4.1 | Age, sex, albumin, cirrhosis | 0.802 | Low-risk ≤ 5; Intermediate risk 6-19; High risk ≥ 20 |
Liang et al[48] | LSM-HCC and ELF | 453 | Hong Kong | 51.7 ± 10.3 | 155 (36.1) | - | 4.7 | Age, albumin, HBV DNA, LSM, ELF | - | LSM-HCC 20 or ELF 9.8 |
Yang et al[50] | REAL-B | 5365 | United States and Asia-Pacific area | 48.4 ± 12.7 | 1886 (37.4) | 1085 (20.2) | - | Age, sex, alcohol, diabetes, cirrhosis, platelet, AFP | 0.80 | Low-risk 0-3; Intermediate risk 4-7; High risk 8-13 |
Lee et al[51] | CAMPAS | 1511 | South Korea | 49.7 (42.1-56.2) | 795 (52.6) | 602 (39.8) | - | Age, sex, cirrhosis, platelet, albumin, LSM | 0.8842 | Low-risk ≤ 75; Intermediate risk 75-161; High risk > 161 |
Three-year hepatocellular carcinoma prediction.
7-yr hepatocellular carcinoma prediction. HBeAg: Hepatitis B e antigen; AUROC: Area under the receiver operating characteristic curve; mREACH-B: Modified Risk estimation for hepatocellular carcinoma in chronic hepatitis B; PAGE-B: Platelet, age, and gender-hepatitis B; mPAGE-B: Modified platelet, age, and gender-hepatitis B; CAMD: Cirrhosis, age, male sex, and diabetes mellitus; AASL: Age, albumin, sex, liver cirrhosis; LSM: Liver stiffness measurement; REAL-B: Real-world Effectiveness from the Asia Pacific Rim Liver Consortium for hepatitis B virus; ALT: Alanine aminotransferase; HBV: Hepatitis B virus; HCC: Hepatocellular carcinoma; ELF: Enhanced liver fibrosis; AFP: α-fetoprotein.