Kuo et al reported a score predicting liver-related complications after eradication of hepatitis C virus (HCV). This can help to identify a patient who may require more aggressive management. The authors are from Kaohsiung Chang Gung Memorial Hospital and Chang Gung University in Taiwan.
Patient selection: chronic HCV after eradication of the HCV
Parameters:
(1) liver stiffness in kPa
(2) FIB-4 score, from 0 to probably around 10 (>3.25 associated with F3-FIB 4 fibrosis)
(3) diabetes
Parameter
Finding
Points
liver stiffness
< 14.5 kPa
0
>= 14.5 kPa
2
FIB-4 score
< 2.9
0
>= 2.9
1
diabetes
no
0
yes
1
total score =
= SUM(points for the 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Total Score
Risk Category
Liver-Related Complications
0 or 1
low
1.7%
2 or 3
intermediate
14.9%
4
high
36.4%
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