Real-world risk score for hepatocellular carcinoma (RWS-HCC): a clinically practical risk predictor for HCC in chronic hepatitis B

We read with great interest the recent paper by Abu-Amara et al1 showing that hepatocellular carcinoma (HCC) risk scores derived from Asian cohorts with chronic hepatitis B (CHB) were applicable to a heterogeneous North American patient population as well. They reported that the scoring systems were especially accurate in identifying low-risk patients and as such it is reasonable to use them to guide HCC surveillance recommendations. Out of the five risk scores evaluated, the Chinese University (CU)-HCC and Guide with Age, Gender, HBV DNA, Core promoter mutations and Cirrhosis (GAG-HCC) performed the best.2 3 However, HBV DNA titres are needed in both scores and additionally, core mutation determination is needed for even better prediction in the GAG-HCC. Liu et al4 showed that HBsAg titre is useful in stratifying HCC risk in non-viraemic patients and a recent risk score published by Lin...

Source: Gut - April 7, 2016 Category: Gastroenterology Authors: Poh, Z., Shen, L., Yang, H.-I., Seto, W.-K., Wong, V. W., Lin, C. Y., Goh, B.-B. G., Chang, P.-E. J., Chan, H. L.-Y., Yuen, M.-F., Chen, C.-J., Tan, C.-K. Tags: PostScript Source Type: research