{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T04:00:51Z","timestamp":1792555251821,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T00:00:00Z","timestamp":1549411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds &amp; Aims<\/jats:title><jats:p>The Baveno VI guidelines proposed criteria including liver stiffness (LS) and platelet count to avoid screening endoscopy in patients with compensated advanced chronic liver disease (cACLD). This study was performed to validate the Baveno IV criteria and to compare its diagnostic accuracy with other non\u2010invasive models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with cACLD who underwent laboratory tests, upper gastrointestinal endoscopy and abdominal ultrasound within 6\u00a0months of transient elastography were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1218 patients with cACLD were included. VNT occurred in 249 patients (20.4%). With the Baveno VI criteria, the VNT miss rate was 1.9% with a 25.7% saved endoscopy rate. Using two criteria of LS &lt;20\u00a0kPa and platelet count &gt;110\u00a0\u00d7\u00a010<jats:sup>9<\/jats:sup>\u00a0cells\/L or LS &lt;25\u00a0kPa and platelet count &gt;120\u00a0\u00d7\u00a010<jats:sup>9<\/jats:sup>\u00a0cells\/L, the saved endoscopy rate was 39.1% while maintaining the VNT miss rate &lt;5%. The optimal LS and platelet count\u2010based criteria for predicting VNT differed according to the underlying liver disease. The area under the receiver operating characteristic curve of LS\u2010spleen diameter to platelet score (LSPS) was 0.780 (95% confidence interval: 0.774\u20100.820), which was significantly higher than other models. The optimal cut\u2010off value of the LSPS for predicting VNT was 1.47.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Liver stiffness and platelet count\u2010based criteria are useful for discriminating patients with very low risk of having VNT among patients with cACLD and are partly affected by the type of underlying liver disease. Conversely, the LSPS is a predictor of VNT in patients with cACLD regardless of the type of underlying liver disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.14036","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T13:53:31Z","timestamp":1545918811000},"page":"1071-1079","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Prediction of the varices needing treatment with non\u2010invasive tests in patients with compensated advanced chronic liver disease"],"prefix":"10.1111","volume":"39","author":[{"given":"Han Ah","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9658-8050","authenticated-orcid":false,"given":"Seung Up","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of 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