Prognostic Value of Aspartate Transaminase/Alanine Transaminase Ratio in Patients With Hepatitis B Virus-Related Hepatocellular Carcinoma Undergoing Hepatectomy

Frontiers in Oncology

Zihan Zhou²  Runwei Li³  Wenfeng Gong⁴  Weizhong Tang⁵  Bangde Xiang⁵  Yingchun Liu⁷  Hongping Yu⁷  Qiuyan Mo⁹ 

[1] Anal Surgery, Department of Gastrointestinal Surgery, Guangxi Medical University Cancer Hospital, Nanning, China;Department of Cancer Prevention and Control, Guangxi Medical University Cancer Hospital, Nanning, China;Department of Environmental and Occupational Health, School of Public Health, Indiana University, Bloomington, IN, United States;Department of Hepatobiliary Surgery, Guangxi Medical University Cancer Hospital, Nanning, China;;Division of Colorectal &Guangxi Clinical Research Center for Colorectal Cancer, Nanning, China;Key Cultivated Laboratory of Cancer Molecular Medicine, Health Commission of Guangxi Zhuang Autonomous Region,Nanning, China;Research Department, Guangxi Medical University Cancer Hospital, Nanning, China;School of Public Health, Guangxi Medical University, Nanning, China;

关键词: hepatocellular carcinoma;    De Ritis ratio;    hepatitis B virus;    prognosis;    overall survival;   

DOI  :  10.3389/fonc.2022.876900

来源: DOAJ

【 摘 要 】

BackgroundAspartate transaminase/alanine transaminase (De Ritis) ratio is a good predictor of liver function damage, but its prognostic value in patients with hepatocellular carcinoma (HCC) undergoing hepatectomy remains unclear. This study aimed to assess the association of the De Ritis ratio with overall survival (OS) among hepatitis B virus (HBV)-related HCC patients undergoing hepatectomy.MethodsA total of 1,147 HCC patients were recruited. Cox regression analysis was used to identify the independent risk factors. Restricted cubic spline (RCS) was used to evaluate the association between the De Ritis ratio and mortality risk. Nomogram was constructed to determine the predictive power of the De Ritis ratio.ResultsMultivariate Cox regression analysis revealed that the tertile of the De Ritis ratio was an independent risk factor for mortality. After adjustment for confounding factors, the adjusted hazard ratios (HRs) with corresponding 95% CIs of mortality for the 2nd tertile and 3rd tertile were 1.175 (0.889–1.554) and 1.567 (1.199–2.046), respectively. RCS confirmed a non-linear association between the natural logarithm of the De Ritis ratio and the risk of mortality (p for non-linearity = 0.0375). The nomogram showed that the natural logarithm of the De Ritis ratio contributed the most to the prediction of prognosis in HBV-related HCC patients, and Harrell’s C-index was 0.680 with a 95% CI of 0.645–0.715.ConclusionThe De Ritis ratio is an independent predictor for OS in HBV-related HCC patients undergoing hepatectomy, which allows for prognostic stratification of patients, hence, individualized treatment and follow-up.

【 授权许可】

Unknown