Child-Pugh Score
If you have liver cancer, the Child-Pugh classification system assesses how well your liver is working.
What is the Child-Pugh score?
If you have liver cancer, doctors assess how well your liver is working using the Child-Pugh classification system.
Child-Pugh looks at:
- the level of a waste product (called bilirubin) in the blood
- the level of a protein (called albumin) in the blood
- how quickly your blood clots
- whether there is any build-up of fluid in the tummy area (abdomen), called ascites
- whether liver damage is affecting how the brain is working (encephalopathy).
The results help doctors decide which treatments are best for your situation. Having certain treatments will depend on how well the liver is able to cope. They will also look at the stage of the cancer when planning your treatment.
Related pages
What are the Child-Pugh groups?
Based on this, people fall into 1 of 3 groups:
- A – the liver has some damage, but is working normally.
- B – there is some damage to the liver, affecting how well it works.
- C – the liver is very damaged and is not working well. It may not be able to cope with treatment for the cancer.
Date reviewed
This content is currently being reviewed. New information will be coming soon.

Our cancer information meets the PIF TICK quality mark.
This means it is easy to use, up-to-date and based on the latest evidence. Learn more about how we produce our information.