The above-mentioned instruments are designed forchronic liver disease, but not for LC specifically. There isdifference between these two disease types. Anotherpoint worth noting is that Japanese-related research hasfound no statistically significant differences among different severity levels of liver disease [13]. However, theLC-PROM tool differs from the scale these researchersused, which was translated directly from English. TheLC-PROM is designed specifically for LC, and its itempool took shape through deep interviewing and cognitivetesting of patients. Therefore, our instrument may beaccepted by respondents more easily, and it performsbetter for measuring patients’ health status.