Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients

Background: The EVendo score and Baveno VII criteria are non-invasive methods in predicting the presence of esophageal varices in patients with cirrhosis. The EVendo score is more practical to use in daily practice than the Baveno VII criteria because it does not require a liver stiffness measuremen...

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Main Authors: Muhamad Begawan Bestari, Bachti Alisjahbana, Toni Baskoro
Format: Article
Language:English
Published: Interna Publishing 2024-12-01
Series:The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
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Online Access:https://ina-jghe.com/index.php/jghe/article/view/972
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author Muhamad Begawan Bestari
Bachti Alisjahbana
Toni Baskoro
author_facet Muhamad Begawan Bestari
Bachti Alisjahbana
Toni Baskoro
author_sort Muhamad Begawan Bestari
collection DOAJ
description Background: The EVendo score and Baveno VII criteria are non-invasive methods in predicting the presence of esophageal varices in patients with cirrhosis. The EVendo score is more practical to use in daily practice than the Baveno VII criteria because it does not require a liver stiffness measurement. This study aims to compare the performance of the EVendo score with the Baveno VII criteria for predicting the presence of esophageal varices in patients with liver cirrhosis. Methods: This study was diagnostic study with cross-sectional approach on cirrhosis patients who had previously undergone upper gastrointestinal endoscopy who had laboratory examination data and liver stiffness measurement values. Based on the existing data, calculation and comparison of the diagnostic value of the EVendo score and the Baveno VII criteria were carried out. The research was conducted at dr. Hasan Sadikin based on patient data from April 2017 to May 2023.     Results: The Evendo score had a sensitivity of 80.5%, specificity 50%, PPV 84.6%, NPV 42.9%, positive likelihood ratio 1.61, and negative likelihood ratio 0.39. The Baveno VII criteria had a sensitivity of 95.1%, specificity of 25%, PPV 81.2%, NPV 42.9%, positive likelihood ratio 1.27, and negative likelihood ratio 0.2. Conclusion: The results of this study show that the EVendo score and Baveno VII criteria have high sensitiviy but low specificity for predicting esophageal varices in patients with liver cirrhosis.
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spelling doaj-art-c3496ffdacf045d3ab2f35be7484dd9e2025-08-20T01:53:37ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812024-12-0125319720210.24871/25320243-8897Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis PatientsMuhamad Begawan Bestari0Bachti Alisjahbana1Toni Baskoro2Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine Universitas Padjajaran/Dr. Hasan Sadikin General Hospital, BandungDivision of Tropical Infectious Disease, Department of Internal Medicine, Faculty of Medicine Universitas Padjajaran/Dr. Hasan Sadikin General Hospital, BandungDepartment of Internal Medicine, Faculty of Medicine Universitas Padjajaran/Dr. Hasan Sadikin General Hospital, BandungBackground: The EVendo score and Baveno VII criteria are non-invasive methods in predicting the presence of esophageal varices in patients with cirrhosis. The EVendo score is more practical to use in daily practice than the Baveno VII criteria because it does not require a liver stiffness measurement. This study aims to compare the performance of the EVendo score with the Baveno VII criteria for predicting the presence of esophageal varices in patients with liver cirrhosis. Methods: This study was diagnostic study with cross-sectional approach on cirrhosis patients who had previously undergone upper gastrointestinal endoscopy who had laboratory examination data and liver stiffness measurement values. Based on the existing data, calculation and comparison of the diagnostic value of the EVendo score and the Baveno VII criteria were carried out. The research was conducted at dr. Hasan Sadikin based on patient data from April 2017 to May 2023.     Results: The Evendo score had a sensitivity of 80.5%, specificity 50%, PPV 84.6%, NPV 42.9%, positive likelihood ratio 1.61, and negative likelihood ratio 0.39. The Baveno VII criteria had a sensitivity of 95.1%, specificity of 25%, PPV 81.2%, NPV 42.9%, positive likelihood ratio 1.27, and negative likelihood ratio 0.2. Conclusion: The results of this study show that the EVendo score and Baveno VII criteria have high sensitiviy but low specificity for predicting esophageal varices in patients with liver cirrhosis.https://ina-jghe.com/index.php/jghe/article/view/972baveno vii criteria, esophageal varices, evendo score
spellingShingle Muhamad Begawan Bestari
Bachti Alisjahbana
Toni Baskoro
Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
baveno vii criteria, esophageal varices, evendo score
title Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
title_full Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
title_fullStr Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
title_full_unstemmed Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
title_short Comparison Between Evendo Score and Baveno VII Criteria for Predicting Esophageal Varices in Cirrhosis Patients
title_sort comparison between evendo score and baveno vii criteria for predicting esophageal varices in cirrhosis patients
topic baveno vii criteria, esophageal varices, evendo score
url https://ina-jghe.com/index.php/jghe/article/view/972
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AT tonibaskoro comparisonbetweenevendoscoreandbavenoviicriteriaforpredictingesophagealvaricesincirrhosispatients