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The <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring systems for prognosis of <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> have been proposed recently, but have not been validated in Asian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To validate the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring systems in Chinese patients for prognosis of <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>. To clarify the role of anti\u2010gp210 as a biomarker, and to investigate whether anti\u2010gp210 could affect the prognostic values of <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analysed 276 patients with <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> evaluated between September 2004 and May 2016, including 133 anti\u2010gp210+ and 143 anti\u2010gp210\u2212 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 5\u2010year adverse outcome\u2010free survivals of anti\u2010gp210+ vs. anti\u2010gp210\u2212 patients were 70% and 85%, respectively (<jats:italic>P<\/jats:italic> = 0.005). Cirrhosis (<jats:italic>P<\/jats:italic> = 0.001), albumin level \u226440 g\/L (<jats:italic>P<\/jats:italic> = 0.011) and platelet count \u2264153 \u00d7 10<jats:sup>9<\/jats:sup> (<jats:italic>P<\/jats:italic> &lt; 0.001) had a superimposition effect on anti\u2010gp210 antibody as a risk factor. Furthermore, long\u2010term prognoses were evaluated using the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scores. For <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> scoring system, the area under receiver operating characteristic curve (<jats:styled-content style=\"fixed-case\">AUROC<\/jats:styled-content>) was 0.924 for all patients with <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> (<jats:italic>n<\/jats:italic> = 223), 0.940 for anti\u2010gp210+ patients (<jats:italic>n<\/jats:italic> = 110) and 0.888 for anti\u2010gp210\u2212 patients (<jats:italic>n<\/jats:italic> = 113). For <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring system, the area under receiver operating characteristic curve was 0.901 for all patients with <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> (<jats:italic>n<\/jats:italic> = 223), 0.924 for anti\u2010gp210+ patients (<jats:italic>n<\/jats:italic> = 110) and 0.848 for anti\u2010gp210\u2212 patients (<jats:italic>n<\/jats:italic> = 113). <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> score &gt;0.0578 (<jats:italic>P<\/jats:italic> &lt; 0.001, <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 32.736, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 11.368\u201394.267) and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> score &lt;0.850 (<jats:italic>P<\/jats:italic> &lt; 0.001, <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 18.763, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 7.968\u201344.180) were associated with poorer outcomes in the whole cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring systems were good 5\u2010year prognostic predictors in Chinese patients with <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>, especially in anti\u2010gp210+ patients. As a biomarker, anti\u2010gp210 antibody was associated with a more severe cholestatic manifestation and a worse long\u2010term prognosis. The anti\u2010gp210 antibody could be added to further optimise the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GLOBE<\/jats:styled-content> scoring systems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.13927","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T15:10:52Z","timestamp":1484320252000},"page":"733-743","source":"Crossref","is-referenced-by-count":83,"title":["The risk predictive values of <scp>UK<\/scp>\u2010<scp>PBC<\/scp> and <scp>GLOBE<\/scp> scoring system in Chinese patients with primary biliary cholangitis: the additional effect of anti\u2010gp210"],"prefix":"10.1111","volume":"45","author":[{"given":"F.","family":"Yang","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology Key Laboratory of Gastroenterology and Hepatology Ministry of Health State Key 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Gastroenterology and Hepatology Key Laboratory of Gastroenterology and Hepatology Ministry of Health State Key Laboratory for Oncogenes and Related Genes Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai Institute of Digestive Disease Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Wei","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Key Laboratory of Gastroenterology and Hepatology Ministry of Health State Key Laboratory for Oncogenes and Related Genes Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai Institute of Digestive Disease Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Bian","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Nantong Institute of Liver Disease Nantong Third People's Hospital Nantong University Jiangsu 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