GPT and hepatocellular carcinoma: This finding was confirmed in a large study of three French cohorts by Poynard et al. in 2014 [30] and Klibansky et al. also showed that a model including bLSM, MELD score, and AST/ALT ratio had superior predictive value for a composite event of death, decompensation, variceal bleeding, HCC, increase in Child Pugh score and listing for transplant during a two year follow-up [11].