The Value of the C-Reactive Protein-to-Albumin Ratio is Useful for Predicting Survival of Patients with Child–Pugh Class A Undergoing Liver ... View Full Text


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Article Info

DATE

2017-12-29

AUTHORS

Takayuki Shimizu, Mitsuru Ishizuka, Takashi Suzuki, Genki Tanaka, Takayuki Shiraki, Yuhki Sakuraoka, Takatsugu Matsumoto, Masato Kato, Taku Aoki, Keiichi Kubota

ABSTRACT

BackgroundAlthough a recent study has shown that the C-reactive protein-to-albumin ratio (CAR) can predict the survival in patients with hepatocellular carcinoma (HCC), it is unclear whether CAR can predict the survival after surgery.ObjectiveTo investigate the utility of CAR for prediction of postoperative survival among HCC patients with Child–Pugh class A.MethodsWe retrospectively reviewed 239 patients with Child–Pugh class A who were newly diagnosed with HCC and received initial liver resection. Univariate and multivariate analyses using the Cox proportional hazard model were performed to detect clinical characteristics that correlated with overall survival (OS), and their cutoff values were identified using receiver operating characteristic curve analyses. The cutoff value of CAR was 0.028. Kaplan–Meier analysis and the log-rank test were used for the comparison of OS and disease-free survival (DFS) between two CAR groups (>0.028/≤0.028).ResultsMultivariate analysis using 16 clinical characteristics selected by univariate analyses revealed that CAR (>0.028/≤0.028) (HR, 3.211; 95% CI 1.065–9.680; P = 0.038) was significantly associated with OS, as well as anatomical resection (presence/absence) (HR, 0.275; 95% CI 0.119–0.635; P = 0.275). A significant difference in OS and DFS was observed between patients with low CAR (≤0.028) and patients with high CAR (>0.028).ConclusionsCAR is a useful predictor of postoperative survival among HCC patients with Child–Pugh class A. More... »

PAGES

2218-2226

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00268-017-4446-0

    DOI

    http://dx.doi.org/10.1007/s00268-017-4446-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1100109557

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29288307


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    37 schema:description BackgroundAlthough a recent study has shown that the C-reactive protein-to-albumin ratio (CAR) can predict the survival in patients with hepatocellular carcinoma (HCC), it is unclear whether CAR can predict the survival after surgery.ObjectiveTo investigate the utility of CAR for prediction of postoperative survival among HCC patients with Child–Pugh class A.MethodsWe retrospectively reviewed 239 patients with Child–Pugh class A who were newly diagnosed with HCC and received initial liver resection. Univariate and multivariate analyses using the Cox proportional hazard model were performed to detect clinical characteristics that correlated with overall survival (OS), and their cutoff values were identified using receiver operating characteristic curve analyses. The cutoff value of CAR was 0.028. Kaplan–Meier analysis and the log-rank test were used for the comparison of OS and disease-free survival (DFS) between two CAR groups (>0.028/≤0.028).ResultsMultivariate analysis using 16 clinical characteristics selected by univariate analyses revealed that CAR (>0.028/≤0.028) (HR, 3.211; 95% CI 1.065–9.680; P = 0.038) was significantly associated with OS, as well as anatomical resection (presence/absence) (HR, 0.275; 95% CI 0.119–0.635; P = 0.275). A significant difference in OS and DFS was observed between patients with low CAR (≤0.028) and patients with high CAR (>0.028).ConclusionsCAR is a useful predictor of postoperative survival among HCC patients with Child–Pugh class A.
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