AAT score based on pretreatment indicators predicts outcomes in unresectable HCC patients treated with TACE, Sintilimab, and Bevacizumab - Summary - MDSpire

AAT score based on pretreatment indicators predicts outcomes in unresectable HCC patients treated with TACE, Sintilimab, and Bevacizumab

  • By

  • Wanying Qin

  • Xudong Fei

  • Renfang Shi

  • Yuchen Zhou

  • Jiajie Tang

  • Yizhe Liu

  • Yi Zhu

  • Liya Suo

  • Weijia Liao

  • June 10, 2026

  • 0 min

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Objective:

To develop a prognostic tool specifically for predicting outcomes in uHCC patients receiving TACE combined with sintilimab and bevacizumab therapy.

Approach:
    Key Findings:
    • AFP, ALP, and TBS were confirmed as independent OS predictors, with the AAT model outperforming individual factors.
    • The AAT model achieved ROC curve areas of 0.813 and 0.819 in training and validation cohorts, indicating strong predictive capability.
    • The AAT score stratified patients into low, median, and high-risk groups with distinct 2-year OS rates of 80.0%, 48.0%, and 4.0%, respectively.
    Interpretation:

    The AAT model effectively stratifies OS and PFS in uHCC patients undergoing TACE plus sintilimab and bevacizumab, providing a basis for personalized treatment decisions.

    Limitations:
    • Retrospective design may introduce selection bias, potentially affecting the reliability of the findings.
    • Single-center data may limit generalizability to broader populations.
    Conclusion:

    The AAT model aids in guiding personalized treatment decisions for uHCC patients.

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