Noninvasive Indirect Markers of Liver Fibrosis in Alcoholics.

The aim of this study was to evaluate the diagnostic values of noninvasive indirect markers of liver fibrosis: APRI, GAPRI, Forns, FIB-4, Age-Platelet, and Hepascore in alcoholics. Blood samples were collected from a randomized group of 142 alcohol-dependent patients. The diagnosis of dependency was...

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Publicado en:BioMed Research International pp. 1 - 10
Autores principales: Chrostek, Lech, Przekop, Dagmara, Gruszewska, Ewa, Gudowska-Sawczuk, Monika, Cylwik, Bogdan
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 5/5/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/5/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/3646975
        136236241
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        atl: Noninvasive Indirect Markers of Liver Fibrosis in Alcoholics.
      aug:
        au:
          Chrostek, Lech
          Przekop, Dagmara
          Gruszewska, Ewa
          Gudowska-Sawczuk, Monika
          Cylwik, Bogdan
        affil: Department of Biochemical Diagnostics, Medical University of Bialystok, Waszyngtona 15A, 15-269 Bialystok, Poland
      sug:
        subj:
          Noninvasive Procedures Methods
          Liver Cirrhosis Diagnosis
          Persons with Alcoholism
          Biological Markers Blood
          Aspartate Aminotransferase Blood
          Platelet Count Evaluation
          Clinical Assessment Tools
          Human
          Blood Specimen Collection
          International Classification of Diseases
          World Health Organization
          Algorithms
          Liver Cirrhosis Blood
          Cholesterol Blood
          Liver Cirrhosis Classification
      ab: The aim of this study was to evaluate the diagnostic values of noninvasive indirect markers of liver fibrosis: APRI, GAPRI, Forns, FIB-4, Age-Platelet, and Hepascore in alcoholics. Blood samples were collected from a randomized group of 142 alcohol-dependent patients. The diagnosis of dependency was made according to the ICD-10 WHO criteria. The values of noninvasive markers were calculated with specific algorithms. The fibrosis stage was evaluated on the basis of FibroTest. The values of APRI, Forns, FIB-4, GAPRI, AP, and Hepascore differ between various stages of liver fibrosis. Patients with fibrosis stage F0 present lower values of APRI, Forns, FIB-4, GAPRI, and Hepascore in comparison to the patients with stages F1 and F0-F1. Patients with fibrosis stages < F2 have lower values of all noninvasive markers than patients with stages ≥F2. Patients with fibrosis stages ≥F2 but <F4 have lower values of APRI, Forns, FIB-4, GAPRI, and Hepascore than patients with stage F4. The values of noninvasive markers tested here differ in various stages of liver fibrosis. To our surprise, the patented marker, Hepascore, achieves a lower diagnostic value in alcoholics than simple markers involving only liver enzymes, platelet count, and cholesterol. The best marker of liver fibrosis in alcoholic patients seems to be the Forns index.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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