| Derivation cohort | Internal validation cohort | External validation cohort | p1 Value | p2 Value | |||
---|---|---|---|---|---|---|---|---|
All patients (n = 385) | HCC (n = 37) | All patients (n = 166) | HCC (n = 16) | All patients (n = 211) | HCC (n = 20) | |||
Age—years | 61.00(57.00–66.00) | 64.00(59.00–67.00) | 60.50(57.00–66.00) | 64.50(60.00–69.00) | 57.00(50.00–62.00) | 61.00(58.00–67.00) | 0.671 |  < 0.001 |
Male (%) | 44.42 | 64.86 | 39.16 | 68.75 | 38.86 | 35.00 | 0.252 | 0.190 |
Follow-up time (months) | 66.60 ± 12.30 | 47.30(30.40–58.80) | 65.20 ± 13.90 | 37.20(28.10–51.60) | 27.80 ± 13.50 | 26.80 ± 18.10 | 0.226 |  < 0.001 |
BMI (kg/m2) | 26.74 ± 3.83 | 25.45(22.83–27.62) | 26.87 ± 9.28 | 25.00(24.24–26.23) | 24.89 ± 4.69 | 26.39 ± 3.14 | 0.872 |  < 0.001 |
Hypertension (%) | 36.36 | 24.32 | 37.95 | 43.75 | 24.64 | 20.00 | 0.092 | 0.015 |
Diabetes (%) | 24.42 | 27.03 | 31.33 | 12.50 | 23.70 | 35.00 | 0.950 | 0.845 |
Hyperlipidemia (%) | 12.73 | 5.41 | 20.48 | 18.75 | – | – | 0.020 | – |
Alcohol use disorder (%) | 13.77 | 27.03 | 16.27 | 31.25 | 25.59 | 25.00 | 0.445 |  < 0.001 |
Fibrotic stage (%) | ||||||||
 ≥ F3 | 83.64 | 70.27 | 89.76 | 75.00 | 84.83 | 75.00 | 0.061 | 0.702 |
Decompensated cirrhosis | 16.36 | 29.73 | 10.24 | 25.00 | 15.17 | 25.00 | 0.061 | 0.702 |
Antiviral regimen (%) | ||||||||
PEG ± RBV | 37.92 | 21.62 | 31.93 | 6.25 |  |  | 0.179 | – |
DAA | 45.45 | 62.16 | 47.59 | 56.25 | 74.41 | 50.00 | 0.644 |  < 0.001 |
PR + DAA | 16.63 | 16.22 | 20.48 | 37.50 | 25.59 | 50.00 | 0.277 | 0.009 |
HCV genotype (%) | ||||||||
1b | 64.94 | 70.27 | 69.28 | 93.75 | 63.51 | 75.00 | 0.323 | 0.643 |
2a | 27.79 | 18.92 | 22.89 | – | 21.80 | 20.00 | 0.231 | 0.109 |
3a | – | – | – | – | 3.32 | – | – | – |
3b | – | – | – | – | 4.26 | 5.00 | – | – |
6a | – | – | – | – | 7.11 | – | – | – |
Undetected | 7.27 | 10.81 | 7.83 | 6.25 | – | – | 0.819 |  < 0.001 |
HCV-RNA (log IU/ml) | 6.00 ± 0.87 | 5.90(5.02–6.66) | 6.14 ± 0.85 | 6.35(5.56–6.85) | 5.59 ± 0.84 | 5.63 ± 0.81 | 0.183 |  < 0.001 |
WBC (× 109/L) | 4.89(3.73–6.02) | 4.09(2.96–5.08) | 4.98(3.85–6.40) | 4.92(3.19–6.25) | 4.19(3.13–5.45) | 3.37(2.94–4.85) | 0.625 |  < 0.001 |
HGB (g/L) | 137.56 ± 20.11 | 125.29 ± 24.32 | 136.06 ± 17.59 | 132.80(113.25–158.00) | 132.77 ± 22.92 | 126.50(107.00–139.00) | 0.471 | 0.074 |
Platelet count (× 109/L) | 132.00(89.00–178.00) | 108.73 ± 69.88 | 119.50(79.25–167.25) | 80.50(62.00–121.75) | 89(65.00–142.00) | 76.50(40.50–97.00) | 0.196 |  < 0.001 |
ALT (IU/L) | 77.46 ± 61.98 | 79.35 ± 49.70 | 71.09 ± 53.81 | 68.50(45.50–86.75) | 67.73 ± 50.66 | 45.85 ± 26.97 | 0.302 | 0.040 |
AST (IU/L) | 70.39 ± 45.49 | 81.91 ± 39.22 | 67.32 ± 40.63 | 59.00(41.75–93.75) | 68.84 ± 44.24 | 74.54 ± 48.12 | 0.556 | 0.809 |
GGT (IU/L) | 57.43 ± 46.77 | 60.30 ± 45.08 | 58.50 ± 58.33 | 79.20 ± 91.58 | 105.69 ± 186.37 | 82.54 ± 85.93 | 0.807 | 0.001 |
Albumin (g/L) | 43.00(39.70–45.10) | 39.55(34.55–42.70) | 42.55(39.30–44.58) | 42.20(37.18–44.75) | 40.10(36.10–43.50) | 37.10(32.55–39.10) | 0.880 |  < 0.001 |
Bilirubin (µmol/L) | 17.50(13.80–23.40) | 27.09 ± 17.22 | 17.95(14.00–25.98) | 20.70(14.25–27.18) | 18.00(14.10–23.50) | 26.85(16.25–40.95) | 0.619 |  < 0.001 |
Cr (µmol/L) | 52.10(45.40–60.40) | 54.10(47.95–63.98) | 53.00(45.42–58.70) | 62.41 ± 30.12 | 56.50(44.50–61.50) | 57.00(37.00–72.00) | 0.609 | 0.001 |
INR | 1.05(0.99–1.14) | 1.18 ± 0.21 | 1.05(0.99–1.14) | 1.03(0.99–1.14) | 1.10(1.01–1.22) | 1.14(1.06–1.30) | 0.523 |  < 0.001 |
AFP (ng/mL) | 12.32 ± 20.47 | 16.14 ± 17.15 | 13.40 ± 22.16 | 21.57 ± 46.30 | 17.66 ± 22.70 | 15.71 ± 12.88 | 0.608 | 0.001 |
CTP | 5.34 ± 0.89 | 5.97 ± 1.43 | 5.41 ± 1.02 | 5.50 ± 1.27 | 5.46 ± 1.01 | 6.31 ± 1.84 | 0.083 | 0.203 |
LSM (kPa) | 14.9(10.80–20.90) | 26.55 ± 15.10 | 15.10(10.80–20.48) | 22.00(13.65–40.75) | 21.3(14.00–34.30) | 33.65(23.08–66.95) | 0.566 |  < 0.001 |
Delta-LSM (kPa) | 6.09 ± 8.07 | 8.83 ± 11.96 | 5.42 ± 7.25 | 9.75(1.43–15.15) | – | – | 0.475 | – |
FIB-4 score | 5.00 ± 4.38 | 7.52 ± 4.32 | 5.23 ± 4.47 | 6.69(3.30–9.70) | 6.56 ± 5.43 | 11.00 ± 7.74 | 0.999 |  < 0.001 |
Delta-FIB-4 | 1.50 ± 3.24 | 3.16 ± 3.54 | 1.60 ± 2.65 | 1.94(0.61–3.85) | – | – | 0.212 | – |