ArticleScientific reports2026
Development of a longitudinal predictive model for hepatocellular carcinoma occurrence in patients with chronic hepatitis B.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Hepatocellular carcinoma (HCC) remains a major cause of morbidity and mortality among patients with chronic hepatitis B (CHB). Existing HCC risk scores are largely based on baseline variables and do not account for longitudinal changes over time. We aimed to develop and validate a longitudinal predictive model for HCC using time-dependent Cox regression. We retrospectively analyzed 4,431 patients with CHB followed between 2009 and 2022. After excluding patients with viral co-infections, early HCC, or incomplete data, 2,245 patients were included. The cohort was randomly divided into a training set (n = 1,685) and a test set (n = 562). Time-updated demographic, clinical, and laboratory variables were incorporated into the model. During follow-up, 121 patients developed HCC. Independent predictors of HCC included age, sex, platelet count, cirrhosis, serum albumin, and α-fetoprotein (AFP). These variables were incorporated into the final model (PSU HCC score): (0.023 × age) - (0.627 × female sex) - (0.847 × albumin) - (0.005 × platelet count [× 10
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