Latest Cancer TreatmentsDr. Mohammadreza Dabiri
Dr. Mohammadreza Dabiriفارسی
Clinical tool

Child-Pugh and ALBI Score Calculator in Liver Cancer

Liver function reserve for choosing treatment of hepatocellular carcinoma

Updated: 27 October 20261 min read3 references

Liver reserve in cirrhosis and liver cancer: Child-Pugh score and ALBI grade.

Ascites
Hepatic encephalopathy

This calculator needs JavaScript; the formula and its interpretation are in the text of this page.

An aid for clinicians; it does not replace clinical judgement, local protocols or the drug label. Double-check every result before prescribing.

Two measures

  • Child-Pugh: bilirubin, albumin, INR, ascites and encephalopathy; class A 5–6, B 7–9 and C 10–15 points [1].
  • ALBI: bilirubin and albumin only: (log10 bilirubin in µmol/L × 0.66) + (albumin in g/L × −0.085). Grade 1 is −2.60 or less, grade 2 up to −1.39 and grade 3 above that [2]. ALBI separates prognosis within Child-Pugh A better [2].

BCLC 2022 bases treatment choice on tumour stage, liver function and performance status [3]. Read more: liver cancer.

Related cancer types

Liver cancer

Treatment regimens (physicians)

Gemcitabine-cisplatin with durvalumab in biliary tract cancerAtezolizumab with bevacizumab in liver cancerDurvalumab and tremelimumab in liver cancer (STRIDE)

References

3 references
Show all references, 1 with a study cardClose the reference list

Numbers in the text, such as [1], refer to these sources. Sources with a “Study card” button are summarised in the site’s evidence library.

  1. 1
    Transection of the oesophagus for bleeding oesophageal varicesPugh RN, Murray-Lyon IM, Dawson JL, et al · Br J Surg · 1973;60:646-9
    DOIPubMed Back to text
  2. 2
    Assessment of liver function in patients with hepatocellular carcinoma: a new evidence-based approach-the ALBI gradeJohnson PJ, Berhane S, Kagebayashi C, et al · J Clin Oncol · 2015;33:550-8
    DOIPubMed Back to text: 1 2
  3. 3
    BCLC strategy for prognosis prediction and treatment recommendation: The 2022 updateReig M, Forner A, Rimola J, et al · J Hepatol · 2022;76:681-693
    Study cardDOIPubMed Back to text

This page is based on reputable scientific sources and was last updated on 27 October 2026. The content of this website is for educational and informational purposes only and does not replace consultation, diagnosis or treatment by a specialist physician. Consult your treating physician about any treatment decision.

Printed from the website; the full and up-to-date version: https://drdabiri.com/en/tools/child-pugh-albi-calculator/

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