机构:[1]Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology and Hepatology Unit,Nanfang Hospital, Southern Medical University, Guangzhou, China,[2]Department of Hepatobiliary Surgery, Nanfang Hospital,Southern Medical University, Guangzhou, China[3]Department of General Surgery, Integrated Hospital of Traditional ChineseMedicine, Southern Medical University, Guangzhou, China,[4]Department of Hepatobiliary Surgery, the First Affiliated Hospitalof Jinan University, Guangzhou, China,[5]Department of Hepatobiliary Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-SenUniversity, Guangzhou, China,中山大学附属第二医院[6]Laboratory of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Guilin MedicalUniversity, Guilin, China
Background Hepatocellular carcinoma (HCC) is one of the leading malignant tumors worldwide. Prognosis and long-term survival of HCC remain unsatisfactory, even after radical resection, and many non-invasive predictors have been explored for post-operative patients. Most prognostic prediction models were based on preoperative clinical characteristics and pathological findings. This study aimed to investigate the prognostic value of a newly constructed nomogram, which incorporated post-operative aspartate aminotransferase to lymphocyte ratio index (ALRI). Methods A total of 771 HCC patients underwent radical resection from three medical centers were enrolled and grouped into the training cohort (n = 416) and validation cohort (n = 355). Prognostic prediction potential of ALRI was assessed by receiver operating curve (ROC) analysis. The Cox regression model was used to identify independent prognostic factors. Nomograms for overall survival (OS) and disease-free survival (DFS) were constructed and further validated externally. Results The ROC analysis ranked ALRI as the most effective prediction marker for resected HCC patients, with the cut-off value determined at 22.6. Higher ALRI level positively correlated with larger tumor size, higher tumor node metastasis (TNM) stage, and inversely with lower albumin level and shorter OS and DFS. Nomograms for OS and DFS were capable of discriminating HCC patients into different risk-groups. Conclusions Post-operative ALRI was of prediction value for HCC prognosis. This novel nomogram may categorize HCC patients into different risk groups, and offer individualized surveillance reference for post-operative patients.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81772923]; Science and Technology Planning Project of Guilin [20190218-1]
第一作者机构:[1]Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology and Hepatology Unit,Nanfang Hospital, Southern Medical University, Guangzhou, China,
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推荐引用方式(GB/T 7714):
Minjun Liao,Jiarun Sun,Qifan Zhang,et al.A Novel Post-Operative ALRI Model Accurately Predicts Clinical Outcomes of Resected Hepatocellular Carcinoma Patients[J].FRONTIERS IN ONCOLOGY.2021,11:doi:10.3389/fonc.2021.665497.
APA:
Minjun Liao,Jiarun Sun,Qifan Zhang,Cuirong Tang,Yuchen Zhou...&Yuanping Zhou.(2021).A Novel Post-Operative ALRI Model Accurately Predicts Clinical Outcomes of Resected Hepatocellular Carcinoma Patients.FRONTIERS IN ONCOLOGY,11,
MLA:
Minjun Liao,et al."A Novel Post-Operative ALRI Model Accurately Predicts Clinical Outcomes of Resected Hepatocellular Carcinoma Patients".FRONTIERS IN ONCOLOGY 11.(2021)