Evidence map›Paper›PMID 40746370›Full record

ArticleGastroenterology report2025

Comparative performance of the GAAD and ASAP scores in predicting early-stage hepatocellular carcinoma.

Chongkonrat Maneenil, Pimsiri Sripongpun, Naichaya Chamroonkul, Piraya Tantisaranon, Roongrueng Jarumanokul, Maseetoh Samaeng, Yupawadee Yamsuwan, Lalita Fonghoi, Amornkan Numit, Teerha Piratvisuth and 1 more

Abstract read
In one paragraph

Article in Gastroenterology report, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Chongkonrat ManeenilGastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Pimsiri SripongpunGastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Naichaya ChamroonkulGastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Piraya TantisaranonDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Roongrueng JarumanokulDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Maseetoh SamaengDivision of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Yupawadee YamsuwanDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Lalita FonghoiDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Amornkan NumitDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Teerha PiratvisuthNKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Apichat KaewdechGastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID https://orcid.org/0000-0002-4058-5977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The gender, age, alpha-fetoprotein (AFP), and des-gamma-carboxy prothrombin (GAAD) score is a recent predictive tool for hepatocellular carcinoma (HCC) but lacks comparison with the AFP, Sex, Age, and Protein induced by vitamin K absence-II (ASAP) score, which uses similar parameters with different assays and formulas. Our study aimed to evaluate the performance differences between these two scores. Methods: Blood samples from 622 patients with chronic liver diseases at Songklanagarind Hospital between 20 April 2023 and 31 December 2023 were analyzed. The cutoffs for the ASAP and GAAD scores were established as 0.526 and 2.570, respectively, and HCC diagnoses followed the European Association for the Study of the Liver (EASL) or the American Association for the Study of Liver Diseases (AASLD) guidelines. Results: HCC diagnoses were observed in 28.6% of patients, with 48.3% diagnosed with early-stage diseases (Barcelona Clinic Liver Cancer stage 0 = 23, A = 63). Hepatitis B virus infection (40.4%) and metabolic dysfunction-associated steatotic liver disease (21.3%) were predominant causes. The area under the receiver operating characteristic curve (AUROCs) of the ASAP and GAAD scores for predicting all-stage HCC were comparable (0.933 vs 0.937, Conclusion: Both the GAAD and ASAP scores demonstrated excellent and comparable abilities in HCC detection across all stages, unaffected by cirrhosis or etiological differences.

Indexed as

ASAP scoreGAAD scorehepatocellular carcinomasurveillance

Identifiers

PMID40746370
PMCPMC12311291

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.