Journal
CANCER JOURNAL
Volume 10, Issue 5, Pages 317-325Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00130404-200409000-00009
Keywords
hepatocellular carcinoma; prognosis; screening; ultrasonography
Categories
Ask authors/readers for more resources
Purpose The purpose of this paper is to evaluate the efficacy of ultrasonographic screening for primary hepatocellular carcinoma. Patients and Methods A total of 680 eligible cases were classified into three groups (surveillance. opportunistic, and symptomatic groups) according to their initial exposure. We used survival time, tumor morphology, and T staging as prognostic outcomes. The outcomes of screened/unscreened and surveillance/nonsurveillance were compared with the use of the logistic regression model. Results The adjusted odds ratios for the screened group versus the unscreened group, with 1-, 2-, and 3-year survival time being used as outcomes, were 0.33 (95% confidence interval [CI], 0.21-0.52)2 0.33 (95% CI, 0.21-0.53), and 0.37 (95% Cl, 0.23-0.61), respectively. The adjusted odds ratios for surveillance versus nonsurveillance were 0.58 (95% CI, 0.35-0.97), 0.45 (95% CI. 0.27-0.74). and 0.44 (95% CI, 0.26-0.73). The odds ratios were even smaller when tumor morphology or T stage was taken as the main outcome. All these results were statistically significant. There were significant gradient relationships between prognostic outcomes and extent of screening history. Conclusion The significant impact of ultrasonographic screening on mortality reduction was demonstrated. These findings strongly suggest that early detection of hepatocellular carcinoma by ultrasound may improve the prognosis of patients with hepatocellular carcinoma.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available