Objectives: This study aims to explore the spatial characteristics of the alpha-fetoprotein (AFP) reference value in healthy Chinese adults, and its relationship to geographical location.
Methods: A total of 9396 AFP reference values were collected from patients in 96 administrative units. A correlation analysis and support vector machine (SVM) were employed to extract dependent geographical factors and predict the reference values in the entire country, respectively. A geostatistics analysis was developed to reveal the spatial characteristics of the value.
Results: Under the long-term influence of geographical environment, AFP reference values show spatial autocorrelation and regional variation. The values are higher in western and northern areas than in eastern and southern areas of China.
Conclusions: The AFP reference values show regional differences, and this difference should be considered in clinical practice.
Keywords: Alpha-fetoprotein (AFP); Geography; Spatial statistics.
Copyright © 2017 National Medical Association. Published by Elsevier Inc. All rights reserved.