Prognostic scores in primary biliary cholangitis

被引:1
作者
Tababi, Ramzi [1 ]
Mrabet, Soumaya [1 ]
Akkari, Imen [1 ]
Harbi, Raida [1 ]
Ben Jazia, Elhem [1 ]
机构
[1] Farhat Hached Univ Hosp, Dept Gastroenterol, Sousse 4000, Tunisia
关键词
predictive scores; primary biliary cholangitis; prognosis; treatment response; ursodeoxycholic acid; URSODEOXYCHOLIC ACID; BIOCHEMICAL RESPONSE; SCORING SYSTEM; CIRRHOSIS;
D O I
10.2144/fsoa-2023-0203
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Aim: Evaluating prognostic scores' utility in predicting ursodeoxycholic acid (UDCA) biochemical response (BR) and long-term liver-related complications in primary biliary cholangitis (PBC) patients. Patients & methods: This retrospective single-center study included 50 predominantly female PBC patients (median age: 56) on UDCA treatment. BR was defined by Paris II criteria. Liver-related complications during a median 76-month follow-up were assessed. APRI, ALBI, Mayo, GLOBE and UK-PBC scores were calculated. Results: 64% achieved BR, while 40% experienced liver-related complications. All scores showed good BR prediction (concordance statistics: 0.76-0.94) and excellent negative predictive values for 5-year liver complications (concordance statistics: 0.73-0.89). Conclusion: Implementing these scores in clinical practice is encouraged due to their effectiveness in predicting BR- and liver-related events.
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页数:12
相关论文
共 27 条
[11]   Prognostic scores in primary biliary cholangitis patients with advanced disease [J].
Feng, Juan ;
Xu, Jia-Min ;
Fu, Hai-Yan ;
Xie, Nan ;
Bao, Wei-Min ;
Tang, Ying-Mei .
WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 2023, 15 (08) :1774-1783
[12]   Prognostic Factors in Primary Biliary Cholangitis: A Retrospective Study of Joint Slovak and Croatian Cohort of 249 Patients [J].
Gazda, Jakub ;
Drazilova, Sylvia ;
Janicko, Martin ;
Grgurevic, Ivica ;
Filipec Kanizaj, Tajana ;
Koller, Tomas ;
Bodorovska, Beatrica ;
Bozin, Tonci ;
Mijic, Maja ;
Rob, Zrinka ;
Mikolasevic, Ivana ;
Madir, Anita ;
Kucinsky, Branislav ;
Jarcuska, Peter .
JOURNAL OF PERSONALIZED MEDICINE, 2021, 11 (06)
[13]   A Comparison of Prognostic Scores (Mayo, UK-PBC, and GLOBE) in Primary Biliary Cholangitis [J].
Goet, Jorn C. ;
Perez, Carla F. Murillo ;
Harms, Maren H. ;
Floreani, Annarosa ;
Cazzagon, Nora ;
Bruns, Tony ;
Prechter, Florian ;
Dalekos, George N. ;
Verhelst, Xavier ;
Gatselis, Nikolaos K. ;
Lindor, Keith D. ;
Lammers, Willem J. ;
Gulamhusein, Aliya ;
Reig, Anna ;
Carbone, Marco ;
Nevens, Frederik ;
Hirschfield, Gideon M. ;
van der Meer, Adriaan J. ;
van Buuren, Henk R. ;
Hansen, Bettina E. ;
Pares, Albert .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2021, 116 (07) :1514-1522
[14]   Major Hepatic Complications in Ursodeoxycholic Acid-Treated Patients With Primary Biliary Cholangitis: Risk Factors and Time Trends in Incidence and Outcome [J].
Harms, Maren H. ;
Lammers, Willem J. ;
Thorburn, Douglas ;
Corpechot, Christophe ;
Invernizzi, Pietro ;
Janssen, Harry L. A. ;
Battezzati, Pier M. ;
Nevens, Frederik ;
Lindor, Keith D. ;
Floreani, Annarosa ;
Ponsioen, Cyriel Y. ;
Mayo, Marlyn J. ;
Dalekos, George N. ;
Bruns, Tony ;
Pares, Albert ;
Mason, Andrew L. ;
Verhelst, Xavier ;
Kowdley, Kris V. ;
Goet, Jorn C. ;
Hirschfield, Gideon M. ;
Hansen, Bettina E. ;
van Buuren, Henk R. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2018, 113 (02) :254-264
[15]   EASL Clinical Practice Guidelines: The diagnosis and management of patients with primary biliary cholangitis [J].
Hirschfield, Gideon M. ;
Beuers, Ulrich ;
Corpechot, Christophe ;
Invernizzi, Pietro ;
Jones, David ;
Marzioni, Marco .
JOURNAL OF HEPATOLOGY, 2017, 67 (01) :145-172
[16]   The albumin-bilirubin score as a predictor of outcomes in Japanese patients with PBC: an analysis using time-dependent ROC [J].
Ito, Takanori ;
Ishigami, Masatoshi ;
Morooka, Hikaru ;
Yamamoto, Kenta ;
Imai, Norihiro ;
Ishizu, Yoji ;
Honda, Takashi ;
Nishimura, Daisaku ;
Tada, Toshifumi ;
Yasuda, Satoshi ;
Toyoda, Hidenori ;
Kumada, Takashi ;
Fujishiro, Mitsuhiro .
SCIENTIFIC REPORTS, 2020, 10 (01)
[17]   AST/platelet ratio index associates with progression to hepatic failure and correlates with histological fibrosis stage in Japanese patients with primary biliary cirrhosis [J].
Joshita, Satoru ;
Umemura, Takeji ;
Ota, Masao ;
Tanaka, Eiji .
JOURNAL OF HEPATOLOGY, 2014, 61 (06) :1443-1445
[18]  
Kilmurry MR, 1996, HEPATOLOGY, V23, P1148
[19]   Paris II and Rotterdam criteria are the best predictors of outcomes in patients with primary biliary cholangitis in Japan [J].
Kimura, Naruhiro ;
Takamura, Masaaki ;
Takeda, Nobutaka ;
Watanabe, Yusuke ;
Arao, Yoshihisa ;
Takatsuna, Masahumi ;
Takeuchi, Suguru ;
Abe, Hiroyuki ;
Setsu, Toru ;
Kamimura, Hiroteru ;
Sakamaki, Akira ;
Kamimura, Kenya ;
Tsuchiya, Atsunori ;
Terai, Shuji .
HEPATOLOGY INTERNATIONAL, 2021, 15 (02) :437-443
[20]   Development and Validation of a Scoring System to Predict Outcomes of Patients With Primary Biliary Cirrhosis Receiving Ursodeoxycholic Acid Therapy [J].
Lammers, Willem J. ;
Hirschfield, Gideon M. ;
Corpechot, Christophe ;
Nevens, Frederik ;
Lindor, Keith D. ;
Janssen, Harry L. A. ;
Floreani, Annarosa ;
Ponsioen, Cyriel Y. ;
Mayo, Marlyn J. ;
Invernizzi, Pietro ;
Battezzati, Pier M. ;
Pares, Albert ;
Burroughs, Andrew K. ;
Mason, Andrew L. ;
Kowdley, Kris V. ;
Kumagi, Teru ;
Harms, Maren H. ;
Trivedi, Palak J. ;
Poupon, Raoul ;
Cheung, Angela ;
Lleo, Ana ;
Caballeria, Llorenc ;
Hansen, Bettina E. ;
van Buuren, Henk R. .
GASTROENTEROLOGY, 2015, 149 (07) :1804-+