High baseline liver function scores predict worse long-term survival in biliary tract cancer surgery.

• In a study of 616 patients, high APRI+ALBI scores correlated with median overall survival of 39.8 months vs. 62.9 months for low scores.
• The high score group also faced more complications and a 90-day mortality rate linked to major hepatectomy and advanced disease.

Understanding a patient’s baseline liver function can guide surgical decision-making and improve risk stratification.

• This score remained an independent predictor of outcomes even after adjusting for various factors.