Plateletcrit as a potential index for predicting liver fibrosis in chronic hepatitis B
Journal of Viral Hepatitis Jan 30, 2020
Wang J, Xia J, Yan X, et al. - Researchers examined the predictive value of plateletcrit (PCT) for liver fibrosis in patients with chronic hepatitis B (CHB). Inclusion of 567 treatment-naïve CHB patients with available liver biopsies was done; of these, 378 patients formed a derivation cohort and 189 formed a validation cohort. In the derivation cohort, they noted lower PCT in CHB patients with S2-S4 (0.14%), S3-S4 (0.13%) and S4 (0.12%) than patients with S0-S1 (0.17%), S0-S2 (0.17%) and S0-S3 (0.16%), respectively. Findings suggest an independent predictive value of PCT for significant fibrosis (≥ S2), advanced fibrosis (≥ S3) and cirrhosis (S4). Higher AUROC was generated with PCT than the aspartate transaminase-to-platelet ratio index (APRI) in recognizing advanced fibrosis and cirrhosis, while in recognizing significant fibrosis, this was comparable with APRI. PCT and fibrosis-4 score (FIB-4) had comparable diagnostic value for predicting significant fibrosis, advanced fibrosis and cirrhosis. These findings support that in CHB patients, PCT is a simple and inexpensive indicator for liver fibrosis. PCT is identified to be as good or better than other more complex tools for staging liver fibrosis in CHB patients.
Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries