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Prospective validation of the Eastern Staging in predicting survival after surgical resection for patients with hepatocellular carcinoma: a multicenter study from China

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机构： [1]Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Navy Medical University (Second Military MedicalUniversity), Shanghai, China, [2]Graduate School, Hebei North University, Hebei, China, [3]Department of General Surgery, CancerCenter, Division of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, HangzhouMedical College, Hangzhou, Zhejiang, [4]Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University& Shandong Provincial Qianfoshan Hospital, Shandong, [5]Department of Hepatobiliary Surgery, Mengchao HepatobiliaryHospital, Fujian Medical University, Fujian, [6]Department of Hepatobiliary Surgery, Pu’er People’s Hospital, Yunnan, [7]Department ofGeneral Surgery, Ziyang First People’s Hospital, Sichuan, [8]The First Department of General Surgery, The Fourth Hospital of Harbin,Heilongjiang, [9]Department of Hepatobiliary Surgery, Fuyang People’s Hospital, Anhui, [10]Department of General Surgery, LiuyangPeople’s Hospital, Hunan, [11]Department of Hepatobiliary Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, [12]School of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang, [13]Faculty of Medicine, The Chinese University of HongKong, Shatin, New Territories, Hong Kong SAR, [14]Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital ofNavy Medical University, Shanghai, China

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The Eastern Staging System, which was specially developed for patients undergoing surgical resection for hepatocellular carcinoma (HCC), has been proposed for more than ten years. To prospectively validate the predictive accuracy of the Eastern staging on long-term survival after HCC resection.Patients who underwent hepatectomy for HCC from 2011 to 2020 at 10 Chinese hospitals were identified from a prospectively collected database. The survival predictive accuracy was evaluated and compared between the Eastern Staging with six other staging systems, including the JIS, BCLC, Okuda, CLIP, 8th AJCC TNM, and HKLC staging.Among 2365 patients, the 1-, 3-, and 5-year overall survival rates were 84.2%, 64.5%, and 52.6%, respectively. Among these seven staging systems, the Eastern staging was associated with the best monotonicity of gradients (linear trend χ2: 408.5) and homogeneity (likelihood ratio χ2: 447.3), and the highest discriminatory ability (the areas under curves for 1-, 3-, and 5-year mortality: 0.776, 0.787, and 0.768, respectively). In addition, the Eastern staging was the most informative staging system in predicting survival (Akaike information criterion: 2982.33).Using a large multicenter prospectively collected database, the Eastern Staging was found to show the best predictive accuracy on long-term overall survival in patients with resectable HCC than the other 6 commonly-used staging systems.Copyright © 2022 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

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出版当年[2023]版：

大类 | 3 区医学

小类 | 3 区外科 4 区胃肠肝病学

最新[2023]版：

大类 | 3 区医学

小类 | 3 区外科 4 区胃肠肝病学

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出版当年[2023]版：

Q1 SURGERY Q2 GASTROENTEROLOGY & HEPATOLOGY

最新[2023]版：

Q1 SURGERY Q2 GASTROENTEROLOGY & HEPATOLOGY

影响因子： 2.7 最新[2023版] 3.2 最新五年平均 2.7 出版当年[2023版] 3.2 出版当年五年平均 2.9 出版前一年[2022版]

第一作者：

第一作者机构： [1]Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Navy Medical University (Second Military MedicalUniversity), Shanghai, China, [2]Graduate School, Hebei North University, Hebei, China,

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通讯作者：

通讯机构： [1]Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Navy Medical University (Second Military MedicalUniversity), Shanghai, China, [3]Department of General Surgery, CancerCenter, Division of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, HangzhouMedical College, Hangzhou, Zhejiang, [12]School of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang, [14]Eastern Hepatobiliary Clinical Research Institute, Third Affiliated Hospital ofNavy Medical University, Shanghai, China [*1]Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Navy Medical University, Shanghai, China

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