Prediction of survival among patients receiving transarterial chemoembolization for hepatocellular carcinoma: A response-based approach
Hepatology Nov 24, 2019
Han G, Berhane S, Toyoda H, et al. - Using the response to transarterial chemoembolization (TACE) as a variable, researchers developed and validated statistical models that offer individualized patient survival prediction. They obtained clinically relevant baseline parameters for 4,621 individuals with hepatocellular carcinoma (HCC) treated with TACE at 19 centers in 11 countries. Tumor number and size, alpha-fetoprotein, albumin, bilirubin, vascular invasion, etiology, and response as assessed by mRECIST were the factors affecting survival. The proposed models displayed superior predictive precision vs existing models (the HAP score and its various modifications) and allowed for patient stratification into four distinct risk categories whose median overall survival ranged from 7 months to more than 4 years. A TACE-specific and extensively validated model based on routine clinical features and response after first patient-level prognosis was permitted by TACE.
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