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Assessment of the albumin-bilirubin score in breast cancer patients with liver metastasis after surgery

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Thyroid & Breast Surg,Wuhan 430030,Hubei,Peoples R China [2]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Dept Breast Surg Oncol, Natl Clin Res Ctr Canc,Canc Hosp, Beijing 100021, Peoples R China [3]Harbin Med Univ, Canc Hosp, Dept Breast Surg, Harbin 150081, Heilongjiang, Peoples R China [4]Huazhong Univ Sci & Technol,Chinese Acad Med Sci,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,NHC Key La,Wuhan 430030,Hubei,Peoples R China [5]Wuhan Univ, Zhongnan Hosp, Dept Hepatobiliary &Pancreat Surg, Wuhan 430071, Hubei, Peoples R China
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关键词: Breast cancer Albumin-bilirubin grade Albumin Bilirubin Liver metastasis

摘要:
Objective: This study aims to investigate the potential prognostic value of albumin-bilirubin (ALBI) score in breast cancer patients with liver metastasis after surgery.Methods: This was a retrospective study of 178 breast cancer patients with liver metastasis after surgery. ALBI score was calculated by the following formula: (log10 bilirubin x 0.66) - (albumin x 0.085). The optimal cutoff value of ALBI score was assessed by X-tile. The clinical influence of ALBI score on survival outcomes using Kaplan-Meier method, Log-rank test, Cox proportional hazards regression model. The calibration curves, decision curve analysis and time-dependent ROC curve were used to assess the predictive performance of the nomogram's models.Results: The classifications of 178 breast cancer patients with liver metastasis after surgery were as follows: low ALBI score group (<- 3.36) vs. high ALBI score group (>=-3.36). The Cox proportional hazards regression model indicated that ALBI score was a potential predictor. Kaplan-Meier survival curve performed that the median disease free survival (p = 0.0029) and overall survival (p<0.0001) in low ALBI score group were longer than in high ALBI score group. The ALBI-based nomograms had good predictive performance.Conclusions: The ALBI score has high prognostic ability for survival time in breast cancer with liver metastasis after surgery. These models will be valuable in discriminating patients at high risks of liver metastasis.

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出版当年[2022]版:
大类 | 4 区 综合性期刊
小类 | 4 区 综合性期刊
最新[2025]版:
大类 | 4 区 综合性期刊
小类 | 4 区 综合性期刊
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Q2 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Thyroid & Breast Surg,Wuhan 430030,Hubei,Peoples R China [2]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Dept Breast Surg Oncol, Natl Clin Res Ctr Canc,Canc Hosp, Beijing 100021, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Thyroid & Breast Surg,Wuhan 430030,Hubei,Peoples R China [2]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Dept Breast Surg Oncol, Natl Clin Res Ctr Canc,Canc Hosp, Beijing 100021, Peoples R China [4]Huazhong Univ Sci & Technol,Chinese Acad Med Sci,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,NHC Key La,Wuhan 430030,Hubei,Peoples R China [5]Wuhan Univ, Zhongnan Hosp, Dept Hepatobiliary &Pancreat Surg, Wuhan 430071, Hubei, Peoples R China [*1]Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer [*2]Department of Thyroid and Breast Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and [*3]Department of Hepatobiliary&Pancreatic Surgery, Zhongnan Hospital of Wuhan University,Wuhan, Hubei, 430071, PR [*4]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and
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