Copyright: ©Author(s) 2026.
World J Gastroenterol. Dec 21, 2026; 32(47): 121762
Published online Dec 21, 2026. doi: 10.3748/wjg.121762
Published online Dec 21, 2026. doi: 10.3748/wjg.121762
Table 1 Clinical characteristics of patients with biliary tract cancer-malignant biliary obstruction in the training and validation groups, n (%)
| Characteristics | Total (n = 284) | Training (n = 204) | Validation (n = 80) | P value |
| Gender | 0.105 | |||
| Female | 110 (38.7) | 85 (41.7) | 25 (31.3) | |
| Male | 174 (61.3) | 119 (58.3) | 55 (68.8) | |
| Age | 65.9 (10.3) | 66.0 (10.4) | 65.8 (10.2) | 0.917 |
| Bismuth type | 0.158 | |||
| I | 44 (15.5) | 31 (15.2) | 13 (16.3) | |
| II | 116 (40.8) | 76 (37.3) | 40 (50.0) | |
| III | 116 (40.8) | 90 (44.1) | 26 (32.5) | |
| IV | 8 (2.8) | 7 (3.4) | 1 (1.3) | |
| Interventions | 0.995 | |||
| Plastic catheter | 168 (59.2) | 121 (59.3) | 47 (58.8) | |
| Metal stent | 91 (32.0) | 65 (31.9) | 26 (32.5) | |
| Irradiation stent | 25 (8.8) | 18 (8.8) | 7 (8.8) | |
| Subtype of tumor | 0.509 | |||
| ICC | 55 (19.4) | 37 (18.1) | 18 (22.5) | |
| PCC | 145 (51.1) | 102 (50.0) | 43 (53.8) | |
| DCC | 62 (21.8) | 49 (24.0) | 13 (16.3) | |
| GBC | 22 (7.7) | 16 (7.8) | 6 (7.5) | |
| M stage | 0.676 | |||
| 0 | 235 (82.7) | 170 (83.3) | 65 (81.3) | |
| 1 | 49 (17.3) | 34 (16.7) | 15 (18.8) | |
| History of surgery | 0.405 | |||
| No | 214 (75.4) | 151 (74.0) | 63 (78.8) | |
| Yes | 70 (24.6) | 53 (26.0) | 17 (21.3) | |
| Subsequent surgery | 0.817 | |||
| No | 261 (91.9) | 187 (91.7) | 74 (92.5) | |
| Yes | 23 (8.1) | 17 (8.3) | 6 (7.5) | |
| Subsequent chemotherapy | 0.594 | |||
| No | 251 (88.4) | 179 (87.7) | 72 (90.0) | |
| Yes | 33 (11.6) | 25 (12.3) | 8 (10.0) | |
| Subsequent radiotherapy | 0.293 | |||
| No | 242 (85.2) | 171 (83.8) | 71 (88.8) | |
| Yes | 42 (14.8) | 33 (16.2) | 9 (11.3) | |
| Subsequent targeted therapy | 0.527 | |||
| No | 278 (97.9) | 199 (97.5) | 79 (98.8) | |
| Yes | 6 (2.1) | 5 (2.5) | 1 (1.3) | |
| Gallstones | 0.603 | |||
| No | 236 (83.1) | 171 (83.8) | 65 (81.3) | |
| Yes | 48 (16.9) | 33 (16.2) | 15 (18.8) | |
| Hydrothorax | 0.470 | |||
| No | 257 (90.5) | 183 (89.7) | 74 (92.5) | |
| Yes | 27 (9.5) | 21 (10.3) | 6 (7.5) | |
| Ascites | 0.293 | |||
| No | 242 (85.2) | 171 (83.8) | 71 (88.8) | |
| Yes | 42 (14.8) | 33 (16.2) | 9 (11.3) | |
| Hydrops | 0.285 | |||
| No | 234 (82.4) | 165 (80.9) | 69 (86.3) | |
| Yes | 50 (17.6) | 39 (19.1) | 11 (13.8) | |
| ALT (IU/L) | 116 (102) | 117 (105) | 120 (93) | 0.690 |
| AST (IU/L) | 122 (108) | 123 (103) | 119 (122) | 0.806 |
| γ-GT (IU/L) | 513 (367) | 505 (355) | 533 (397) | 0.568 |
| AKP (IU/L) | 626 (413) | 603 (394) | 687 (455) | 0.125 |
| ALB (g/L) | 32.1 (5.11) | 32.3 (5.12) | 31.6 (5.06) | 0.271 |
| GLB (g/L) | 26.4 (IQR: 23.5, 31.8) | 25.7 (IQR: 23.4, 31.9) | 27.6 (IQR: 24.7, 30.7) | 0.122 |
| TB (μmol/L) | 238 (151) | 239 (155) | 234 (139) | 0.798 |
| DB (μmol/L) | 169 (106) | 169 (109) | 170 (101) | 0.977 |
| TB/DB | 1.41 (IQR: 1.37, 1.46) | 1.41 (IQR: 1.37, 1.46) | 1.41 (IQR: 1.36, 1.44) | 0.331 |
| TC (mmol/L) | 5.93 (3.93) | 6.09 (4.22) | 5.51 (3.05) | 0.265 |
| TG (mmol/L) | 2.29 (IQR: 1.41, 3.12) | 2.24 (IQR: 1.36, 3.03) | 2.37 (IQR: 1.57, 3.33) | 0.137 |
| BUN (mmol/L) | 5.35 (4.65) | 5.10 (4.16) | 5.99 (5.68) | 0.147 |
| Cr (μmol/L) | 62.6 (37.6) | 59.0 (19.0) | 71.7 (63.1) | 0.010 |
| K (mmol/L) | 3.72 (0.50) | 3.68 (0.48) | 3.82 (0.53) | 0.024 |
| Na (mmol/L) | 136 (8.68) | 136 (3.66) | 134 (15.25) | 0.112 |
| Cl (mmol/L) | 101 (4.96) | 101 (4.65) | 101 (5.69) | 0.564 |
| Ca (mmol/L) | 2.37 (2.92) | 2.44 (3.44) | 2.19 (0.14) | 0.519 |
| Glu (mmol/L) | 5.87 (1.98) | 5.90 (1.81) | 5.81 (2.38) | 0.740 |
| WBC (× 109/L) | 8.15 (3.80) | 8.12 (3.70) | 8.22 (4.07) | 0.836 |
| N percentage | 73.3 (12.3) | 73.2 (11.6) | 73.5 (14.0) | 0.863 |
| L percentage | 16.3 (9.13) | 16.5 (8.71) | 16.0 (10.2) | 0.703 |
| NLR | 7.49 (12.7) | 7.84 (14.7) | 6.59 (5.00) | 0.458 |
| Hb (g/L) | 110 (18.2) | 110 (18.6) | 109 (17.0) | 0.652 |
| PLT (× 109/L) | 227 (98.0) | 230 (98.3) | 219 (97.1) | 0.397 |
| CEA (ng/mL) | 0.872 | |||
| < 5 | 149 (55.8) | 106 (55.5) | 43 (56.6) | |
| ≥ 5 | 118 (44.2) | 85 (44.5) | 33 (43.4) | |
| CA19-9 (U/mL) | 0.977 | |||
| < 1000 | 152 (56.7) | 109 (56.8) | 43 (56.6) | |
| ≥ 1000 | 116 (43.3) | 83 (43.2) | 33 (43.4) | |
| HBP | 0.310 | |||
| No | 180 (63.4) | 133 (65.2) | 47 (58.8) | |
| Yes | 104 (36.6) | 71 (34.8) | 33 (41.3) | |
| Diabetes | 0.420 | |||
| No | 242 (85.2) | 176 (86.3) | 66 (82.5) | |
| Yes | 42 (14.8) | 28 (13.7) | 14 (17.5) | |
| Smoke | 0.574 | |||
| No | 233 (82.0) | 169 (82.8) | 64 (80.0) | |
| Yes | 51 (18.0) | 35 (17.2) | 16 (20.0) | |
| Alcohol | 0.487 | |||
| No | 241 (84.9) | 175 (85.8) | 66 (82.5) | |
| Yes | 43 (15.1) | 29 (14.2) | 14 (17.5) | |
| ECOG PS score | 0.600 | |||
| 0 | 25 (8.8) | 17 (8.3) | 8 (10.0) | |
| 1 | 214 (75.4) | 157 (77.0) | 57 (71.3) | |
| 2 or 3 | 45 (15.8) | 30 (14.7) | 15 (18.8) |
- Citation: Zhang YZ, Tang YZ, Pan ST, He YX, Dai HC, Zhou WZ, Zhou HF. Survival prediction for patients with malignant biliary obstruction caused by biliary tract cancer undergoing percutaneous biliary decompression. World J Gastroenterol 2026; 32(47): 121762
- URL: https://www.wjgnet.com/1007-9327/full/v32/i47/121762.htm
- DOI: https://dx.doi.org/10.3748/wjg.121762