Evaluation of predictive value of CLIP, Okuda, TNM and JIS staging systems for hepatocellular carcinoma patients undergoing surgery (original) (raw)

2005, Journal of Gastroenterology and Hepatology

Background: An accurate staging system is required to assess hepatocellular carcinoma (HCC) patients in order to benefit from hepatic resection before surgery. Cancer of the Liver Italian Program (CLIP) score was considered to be better than the Okuda staging system to predict survival. Japan Integrated Staging Score (JIS score) includes tumor, nodes, metastases (TNM) stage and Child–Pugh grade as a new staging system for HCC. The purpose of the present paper was to compare the CLIP, Okuda, TNM and JIS staging systems for HCC patients undergoing surgery.Methods: From 1991 to 1995, 599 patients undergoing hepatic resection for HCC from four medical centers in Taiwan were evaluated. All patients were classified by Okuda, CLIP, TNM and JIS systems. Factors associated survivals were analyzed.Results: There was no statistical difference in survival between CLIP 0 and 1 patients, or among CLIP 2–4 patients. The prognostic validation of the Okuda and CLIP scoring systems in discriminati...

從無效到病人分類

International Journal of Chinese & Comparative Philosophy of Medicine, 2000

LANGUAGE NOTE | Document text in Chinese無效概念決定著➀對持久植物狀態(PVS)病人提供生命支援治療是否是適當的;➁對絕症晚期病人提供監護(ICU)是否是適當的(這兩類病例以下稱為“範例病例”)。對人的生命價值含義的基本分歧妨礙了無效概念的應用。病人分類規劃(確立醫療保健優先權標準的程式)是闡述這些範例病例的一個引人注目的選擇性框架。病人分類規劃允許社會從以下各個角度去考慮這些範例病例:各種不同的道德觀念、有限的資源、相爭的醫療保健需求。另外,範例病例至少提出了這樣一個實質性問題:對其治療是否為浪費?病人分類規劃能否成為鑒定和評估這類浪費的治療的有效模式。本文論述了如何實施病人分類規劃以闡述範例病例問題,並最終得出結論--按規劃提供了一個超出無效範圍來推進範例病例爭端的方法。DOWNLOAD HISTORY | This article has been downloaded 15 times in Digital Commons before migrating into this platform.

A Study of Measurement Invariance on E-Reading Strategy Scale

Journal of Educational Media & Library Sciences, 2015

The study tested age invariance of the E-Reading Strategy Scale (ERSS) with multi-group structural equation modeling (MG-SEM) to compare age differences among the pupils, junior high, and senior high students in terms of e-reading strategy status. Data collected from Taiwan by stratified random sampling whose final sample size was 3,908, including 1,122 pupils, 1,601junior high students, and 1,185 senior high students. The theoretical model of ERSS was a four-factor structure (searching and capturing, analyzing and understanding, using and communicating, reflecting and applying) with 11Likert's scale items. The results showed that the ERSS had good fit index, acceptable reliability and validity. In the tests of invariance, there was factor loading invariance existed between pupils and junior high school students. However, just configuration invariance was existed between junior and senior high school students, and between pupils and senior high school students. The weights of it...

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