Lau-Corona D, Pineda LA, Avilés HH, Gutiérrez-Reyes G, Farfan-Labonne BE, Núñez-Nateras R, Bonder A, Martínez-García R, Corona-Lau C, Olivera-Martínez MA, Gutiérrez-Ruiz MC, Robles-Díaz G, Kershenobich D. Effective use of FibroTest to generate decision trees in hepatitis C. World J Gastroenterol 2009; 15(21): 2617-2622 [PMID: 19496191 DOI: 10.3748/wjg.15.2617]
Corresponding Author of This Article
David Kershenobich, MD, PhD, Professor of Medicine, Chief, Department of Experimental Medicine, School of Medicine, UNAM, General Hospital of Mexico, Mexico City 06726, Mexico. kesdhipa@yahoo.com
Article-Type of This Article
Brief Articles
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World J Gastroenterol. Jun 7, 2009; 15(21): 2617-2622 Published online Jun 7, 2009. doi: 10.3748/wjg.15.2617
Table 1 Clinical and laboratory data of the study population
Patients with chronic hepatitis C (n = 261)
Mean (range/SD)
Age (yr)
52 (20-78)
Age at infection (yr)
26.74 (birth-69)
Time of progression (yr)
26.41 (2-69)
Hemoglobin (g/dL)
14.83 ± 2.54
Platelet count (103/mm3)
203 ± 82
White cell count (103/mm3)
5.39 ± 1.82
γGT (IU/L)
77 ± 81
ALT (IU/L)
96.4 ± 108.1
Bilirubin (mg/dL)
0.9 ± 0.6
Table 2 Fibrosis stage (FibroTest) distribution according to gender in the study population n (%)
FibroTest score
Female
Male
Total
F0
16
4
20 (8)
F0-F1
5
4
9 (3)
F1
5
4
9 (3)
F1-F2
29
18
47 (18)
F2
21
13
34 (13)
F3
26
15
41 (16)
F3-F4
3
2
5 (2)
F4
44
52
96 (37)
Total
149 (57)
112 (43)
261 (100)
Table 3 Compound rules generated for classes F0 and F4 and the percentage of times that each rule was successfully applied
F0
F4
GGT ≤ 108 IU/L
Bilirubin > 1.2 mg/dL
A2M ≤ 280 g/L
GGT > 26 IU/L
Apo A1 > 144 g/L
A2M > 216 g/L
Age > 36 yr
Class F4 (95.6%)
Age ≤ 53 yr
Class F0 (79.4%)
A2M > 335 g/L
Haptoglobin ≤ 54.6 g/L
Age > 53 yr
Class F4 (95.5%)
Bilirubin ≤ 1.1 mg/dL
A2M ≤ 243 g/L
Apo A1 > 126 g/L
Haptoglobin > 73.5 g/L
Gender = M
Age ≤ 50 yr
Bilirubin > 0.5 mg/dL
Class F0 (77.7%)
A2M > 396 g/L
Class F4 (91.7%)
Bilirubin > 0.6 mg/dL
Haptoglobin ≤ 16.2 g/L
Class F4 (90.9%)
GGT > 40 IU/L
A2M > 372 g/L
Age > 59 yr
Class F4 (90.2%)
Table 4 Confusion matrix relating real FT scores (rows) to predicted FT scores (columns) in 261 patients with chronic hepatitis C
F0
F0-F1
F1
F1-F2
F2
F3
F3-F4
F4
F0
18
2
F0-F1
9
F1
7
2
F1-F2
2
37
1
7
F2
3
18
13
F3
38
3
F3-F4
1
3
1
F4
1
3
92
Citation: Lau-Corona D, Pineda LA, Avilés HH, Gutiérrez-Reyes G, Farfan-Labonne BE, Núñez-Nateras R, Bonder A, Martínez-García R, Corona-Lau C, Olivera-Martínez MA, Gutiérrez-Ruiz MC, Robles-Díaz G, Kershenobich D. Effective use of FibroTest to generate decision trees in hepatitis C. World J Gastroenterol 2009; 15(21): 2617-2622