Ma Xiao, Yang Yang, Tu Hong, Gao Jing, Tan Yu-Ting, Zheng Jia-Li, Bray Freddie, Xiang Yong-Bing
1State Key Laboratory of Oncogene and Related Genes, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200032, China;; 2Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200032, China;
1State Key Laboratory of Oncogene and Related Genes, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200032, China;
Chin J Cancer Res. 2016 Apr;28(2):150-60. doi: 10.21147/j.issn.1000-9604.2016.02.02.
Hepatocellular carcinoma (HCC) is a malignant disease with limited therapeutic options due to its aggressive progression. It places heavy burden on most low and middle income countries to treat HCC patients. Nowadays accurate HCC risk predictions can help making decisions on the need for HCC surveillance and antiviral therapy. HCC risk prediction models based on major risk factors of HCC are useful and helpful in providing adequate surveillance strategies to individuals who have different risk levels. Several risk prediction models among cohorts of different populations for estimating HCC incidence have been presented recently by using simple, efficient, and ready-to-use parameters. Moreover, using predictive scoring systems to assess HCC development can provide suggestions to improve clinical and public health approaches, making them more cost-effective and effort-effective, for inducing personalized surveillance programs according to risk stratification. In this review, the features of risk prediction models of HCC across different populations were summarized, and the perspectives of HCC risk prediction models were discussed as well.
肝细胞癌(HCC)是一种恶性疾病,因其进展迅速,治疗选择有限。治疗HCC患者给大多数低收入和中等收入国家带来了沉重负担。如今,准确的HCC风险预测有助于就HCC监测和抗病毒治疗的必要性做出决策。基于HCC主要危险因素的HCC风险预测模型对于为具有不同风险水平的个体提供适当的监测策略是有用且有帮助的。最近,通过使用简单、有效且易于使用的参数,提出了几种针对不同人群队列估计HCC发病率的风险预测模型。此外,使用预测评分系统评估HCC发展可为改善临床和公共卫生方法提供建议,使其更具成本效益和效率效益,以便根据风险分层制定个性化监测计划。在本综述中,总结了不同人群中HCC风险预测模型的特点,并讨论了HCC风险预测模型的前景。