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A new model to estimate duration of survival in patients with hepatocellular carcinoma with BCLC intermediate stage. | LitMetric

AI Article Synopsis

  • Determining the impact of individual therapies on survival for patients with HCC is challenging due to complex treatment histories.
  • A new survival prediction model was developed using data from 753 intermediate stage HCC patients, identifying key independent predictors like age and tumor characteristics.
  • The model, based on a Weibull distribution, can help assess treatment effectiveness in the evolving landscape of multi-modal therapies (multi-MTA).

Article Abstract

It is difficult to determine whether an individual therapy contributes to the elongation of survival because of the difficulty of organizing clinical research in patients who receive multiple treatments in HCC. We aimed to establish a new model of survival prediction in patients with intermediate stage HCC to establish standards in the recent and coming multi-MTA era. This analysis was prepared using a data set of 753 patients diagnosed HCC prior to 2017. Multiple regression analysis showed age, naïve or recurrence, the size of the largest tumor nodule, the number of nodules, total bilirubin, albumin and α-fetoprotein as independent predictors of survival. A Weibull model had the best fit and, based on these predictors, we established a new predicted survival model. The survival duration can be predicted the proposed model; EXP (4.02580 + (- 0.0086253) × age + (- 0.34667) × (naïve/recurrence) + (- 0.034962) × (number of nodules) + (- 0.079447) × (the size of the largest nodule) + (- 0.21696) × (total bilirubin) + 0.27912 × (albumin) + (- 0.00014741) × (α-fetoprotein)) × (- natural logarithm(0.5))^0.67250. This model is useful for the planning and evaluating the efficacy of recent sequential therapies in multi-MTA era.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676419PMC
http://dx.doi.org/10.1038/s41598-023-48068-7DOI Listing

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