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Observational Study
Copyright: ©Author(s) 2026.
World J Gastroenterol. Dec 21, 2026; 32(47): 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
Gender0.105
Female110 (38.7) 85 (41.7)25 (31.3)
Male174 (61.3)119 (58.3)55 (68.8)
Age65.9 (10.3)66.0 (10.4)65.8 (10.2)0.917
Bismuth type0.158
I44 (15.5)31 (15.2)13 (16.3)
II116 (40.8)76 (37.3)40 (50.0)
III116 (40.8)90 (44.1)26 (32.5)
IV8 (2.8)7 (3.4)1 (1.3)
Interventions0.995
Plastic catheter168 (59.2)121 (59.3)47 (58.8)
Metal stent91 (32.0)65 (31.9)26 (32.5)
Irradiation stent25 (8.8)18 (8.8)7 (8.8)
Subtype of tumor0.509
ICC55 (19.4)37 (18.1)18 (22.5)
PCC145 (51.1)102 (50.0)43 (53.8)
DCC62 (21.8)49 (24.0)13 (16.3)
GBC22 (7.7)16 (7.8)6 (7.5)
M stage0.676
0235 (82.7)170 (83.3)65 (81.3)
149 (17.3)34 (16.7)15 (18.8)
History of surgery0.405
No214 (75.4)151 (74.0)63 (78.8)
Yes70 (24.6)53 (26.0)17 (21.3)
Subsequent surgery0.817
No261 (91.9)187 (91.7)74 (92.5)
Yes23 (8.1)17 (8.3)6 (7.5)
Subsequent chemotherapy0.594
No251 (88.4)179 (87.7)72 (90.0)
Yes33 (11.6)25 (12.3)8 (10.0)
Subsequent radiotherapy0.293
No242 (85.2)171 (83.8)71 (88.8)
Yes42 (14.8)33 (16.2)9 (11.3)
Subsequent targeted therapy0.527
No278 (97.9)199 (97.5)79 (98.8)
Yes6 (2.1)5 (2.5)1 (1.3)
Gallstones0.603
No236 (83.1)171 (83.8)65 (81.3)
Yes48 (16.9)33 (16.2)15 (18.8)
Hydrothorax0.470
No257 (90.5)183 (89.7)74 (92.5)
Yes27 (9.5)21 (10.3)6 (7.5)
Ascites0.293
No242 (85.2)171 (83.8)71 (88.8)
Yes42 (14.8)33 (16.2)9 (11.3)
Hydrops0.285
No234 (82.4)165 (80.9)69 (86.3)
Yes50 (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/DB1.41 (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 percentage73.3 (12.3)73.2 (11.6)73.5 (14.0)0.863
L percentage16.3 (9.13)16.5 (8.71)16.0 (10.2)0.703
NLR7.49 (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
< 5149 (55.8)106 (55.5)43 (56.6)
≥ 5118 (44.2)85 (44.5)33 (43.4)
CA19-9 (U/mL)0.977
< 1000152 (56.7)109 (56.8)43 (56.6)
≥ 1000116 (43.3)83 (43.2)33 (43.4)
HBP0.310
No180 (63.4)133 (65.2)47 (58.8)
Yes104 (36.6)71 (34.8)33 (41.3)
Diabetes0.420
No242 (85.2)176 (86.3)66 (82.5)
Yes42 (14.8)28 (13.7)14 (17.5)
Smoke0.574
No233 (82.0)169 (82.8)64 (80.0)
Yes51 (18.0)35 (17.2)16 (20.0)
Alcohol0.487
No241 (84.9)175 (85.8)66 (82.5)
Yes43 (15.1)29 (14.2)14 (17.5)
ECOG PS score0.600
025 (8.8)17 (8.3)8 (10.0)
1214 (75.4)157 (77.0)57 (71.3)
2 or 345 (15.8)30 (14.7)15 (18.8)


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