Journal
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
Volume 29, Issue 9, Pages 964-973Publisher
WILEY
DOI: 10.1002/jhbp.1164
Keywords
creatinine; cystatin C; hepatocellular carcinoma; prognosis
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Funding
- [JP17K09225]
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The ratio of creatinine and cystatin C estimated glomerular filtration rates (eGFRcre/eGFRcys) is positively correlated with sarcopenia. This study investigated the relationship between eGFRcre/eGFRcys and long-term prognosis in patients after hepatic resection for hepatocellular carcinoma (HCC). The results showed that eGFRcre/eGFRcys can predict overall and recurrence-free survival in HCC patients undergoing hepatic resection.
Background The ratio of creatinine and cystatin C estimated glomerular filtration rates (eGFRcre/eGFRcys) is significantly positively correlated with sarcopenia. However, there are no published reports on the relationship between eGFRcre/eGFRcys and long-term prognosis in patients after hepatic resection for hepatocellular carcinoma (HCC). Methods A total of 157 patients who had undergone curative hepatic resection for HCC were retrospectively reviewed. Cystatin C levels were measured in serum samples that had been frozen after collection at surgery. We aimed to investigate the significance of cystatin C in prognostic value following hepatic resection for HCC. Results The best cut-off eGFRcre/eGFRcys value for overall survival after hepatic resection for HCC was 1.0025. High eGFRcre/eGFRcys was significantly associated with poor liver function, low skeletal muscle mass, large tumor size, large ascitic volume, worse overall and recurrence-free survival. The eGFRcre/eGFRcys was significantly related to severe recurrence patterns (multiple liver recurrences, distant metastasis). Conclusions Preoperative eGFRcre/eGFRcys can predict overall and recurrence-free survival in HCC patients undergoing hepatic resection. The eGFRcre/eGFRcys is a simple and reliable surrogate marker that indicates eligibility for hepatic resection for HCC.
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