共 30 条
Development and validation of a model for staging hepatic fibrosis for chronic hepatitis B patients with E antigen-positive
被引:2
作者:

Wang, Hong
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Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Zhou, Ying
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Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Yan, Rong
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Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Ru, Guo Qing
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Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Pathol, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Yu, Li Li
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Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Pathol, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Wang, Ming Shan
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机构:
Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China

Chen, Mei Juan
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h-index: 0
机构:
Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China
机构:
[1] Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China
[2] Hangzhou Med Coll, Peoples Hosp, Zhejiang Prov Peoples Hosp, Dept Pathol, Hangzhou, Zhejiang, Peoples R China
来源:
关键词:
E antigen positive;
hepatitis B virus;
liver fibrosis;
liver biopsy;
non-invasive fibrosis marker;
SIMPLE NONINVASIVE INDEX;
SURFACE-ANTIGEN;
LIVER FIBROSIS;
NATURAL-HISTORY;
PREDICT;
FIB-4;
INFECTION;
STANDARD;
BIOPSY;
APRI;
D O I:
10.18632/oncotarget.22003
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Background: Interest is growing in the use of non-invasive techniques for complementing liver biopsy for liver fibrosis assessment. We aimed to prospectively evaluate liver histology in chronic hepatitis B (CHB) patients with e-antigen positivity, and develop and validate a novel scoring system-e-antigen-positive CHB liver fibrosis (EPLF) score-for noninvasively predicting the fibrosis stages. Methods: We identified the baseline variables associated with fibrosis stage (MATAVIR score, F0-F4) in 212 CHB patients with e-antigen positivity. These significant variables were used to develop the EPLF scoring system. The EPLF score equation was developed based on the prediction of fibrosis stages via multivariate ordered logistic regression analysis. The diagnostic powers of the EPLF score and several non-invasive markers were assessed through an area under the receiver operating characteristic curve (AUROC) analyses. This EPLF score model was validated in another set of 208 similar patients. Results: The natural logarithms of serum albumin, HBeAg, and HBsAg levels were selected as significant independent variables for the EPLF score equation. The EPLF score had good diagnostic power (AUROC, 0.72-0.90, p< 0.001) and good diagnostic accuracy (72-85%), with a high positive predictive value (80.8-92.8%) for each fibrosis stage in the test group. Similar results were observed in the validation group (AUROC, 0.73-0.89, p< 0.001). The EPLF score exhibited a strong correlation with fibrosis stage (r= 0.67, p< 0.001), and was the preferable non-invasive marker for staging liver fibrosis. Conclusion: In e-antigen-positive patients with CHB, the EPLF score could serve as a potential non-invasive marker of liver fibrosis stage.
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收藏
页码:98812 / 98822
页数:11
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Bourliere, M.
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Hop St Joseph, Marseille, France Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France

Pettinelli, M. E.
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机构: Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France

Giry, C.
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Ctr Hosp Mayotte, Biol Lab, Mayotte, France Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France

Vallet-Pichard, A.
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Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France
Univ Paris 05, Paris, France
INSERM, U 567, Paris, France Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France

Fontaine, H.
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Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France
INSERM, U 567, Paris, France Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France

Pol, S.
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Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France
Univ Paris 05, Paris, France
INSERM, U 567, Paris, France Hop Cochin, Assistance Publ Hop Paris, F-75014 Paris, France