Spotlight Series on Hepatitis C


Grading Severe Liver Disease and Predicting Survival

April 2015

Researchers have developed a scoring system to predict the likelihood of people with severe liver injury surviving. This system is called the Child-Turcotte-Pugh (or Child-Pugh) score, simplified as CTP. This scoring system takes into account a number of lab test results and severity of symptoms. CTP can be divided into three grades -- A, B and C. In general, the greater the CTP score, the lower the chances of survival. Here are some examples:

  • CTP-A with 5 to 6 points -- people have a 100% chance of surviving over the next year and an 85% chance of surviving for two years
  • CTP-B with 7 to 9 points -- people have an 81% chance of surviving over the next year and a 57% chance of surviving for two years
  • CTP-C with 10 to 15 points -- people have a 45% chance of surviving over the next year and a 35% chance of surviving for two years

In several reports in this issue of TreatmentUpdate, we will refer to CTP scores.

This article was provided by Canadian AIDS Treatment Information Exchange. It is a part of the publication TreatmentUpdate. Visit CATIE's Web site to find out more about their activities, publications and services.

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