Increased age, bilirubin, international normalized ratio, and creatinine score to triglyceride ratio are associated with alcohol-associated primary liver carcinoma: a single-centered retrospective study

Lipids in Health and Disease

Research

Xiaoqing Jia¹  Zheng Luo²  Rong Li²  Na Yang²  Tao Zhou²  Dalong Sun²  Xiaoting Zhang² 

[1] Department of Gastroenterology, Qilu Hospital, Shandong University, 107 West Wenhua Road, 250012, 250010, Jinan, Shandong, P.R. China;Department of Geriatric Medicine, Qilu Hospital, Shandong University, 107 West Wenhua Road, 250012, 250010, Jinan, Shandong, P.R. China;

关键词: Alcohol-associated liver diseases;    Primary liver carcinoma;    Epidemiology;    Dyslipidemia;    Triglyceride;   

DOI  :  10.1186/s12944-023-01888-y

 received in 2023-05-25, accepted in 2023-07-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis study analyzed the clinical features and biomarkers of alcohol-associated liver disease (ALD) to investigate the diagnostic value of age, bilirubin, international normalized ratio (INR), and creatinine (ABIC) score to triglyceride (TG) ratio (ABIC/TG) in ALD-associated primary liver carcinoma (PLC).Materials and methodsData were collected from 410 participants with ALD, and the epidemiological and clinical records of 266 participants were analyzed. Participants were divided into ALD-without-PLC and ALD-associated-PLC groups. Relationships between clinical characteristics, biomarkers and ALD-associated PLC were estimated. Serum lipid levels and liver function were compared between ALD patients without PLC and patients with ALD-associated PLC. Scoring systems were calculated to investigate ALD severity. The robustness of the relationship was analyzed by the receiver operating characteristic (ROC) curve.ResultsAge and dyslipidemia were more strongly associated with ALD-associated PLC than with ALD-without PLC, with AORs of 2.39 and 0.25, respectively, with P less than 0.05. Drinking time and average daily intake, ABIC score, and ABIC/TG ratio were significantly higher in the ALD-associated-PLC group than in the ALD-without-PLC group. The AUC for the ABIC/TG ratio predicting the incidence of PLC was 0.80 (P < 0.01), which was higher than that of the ABIC and TG scores alone; additionally, the specificity and Youden index for the ABIC/TG ratio were also higher, and the cutoff value was 6.99.ConclusionsIn ALD patients, age, drinking time, and average daily intake were risk factors for PLC. Drinking time, average daily intake, TG and ABIC score have diagnostic value for ALD-associated PLC. The ABIC/TG ratio had a higher AUC value and Youden index than the ABIC score and TG level.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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