Table 2.
Univariate and multivariate risk factor analysis of EM after hepatectomy in patients with HCC
| Univariate | Multivariate | |||||
|---|---|---|---|---|---|---|
| All | Preoperative | Postoperative | ||||
| Variable | HR (95% CI) | P value | HR (95% CI) | P value | HR (95% CI) | P value |
| Sex, Female vs Male | 0.941(0.386,2.296) | .894 | ||||
| Age, ≥ 60 vs < 60 | 0.426(0.198,0.918) | .029 | 0.639(0.265,1.540) | .319 | 0.637(0.243,1.670) | .359 |
| Charlson Comorbidity Index | 1.034(0.833,1.284) | .762 | ||||
| ASA classification | 1.064(0.567,1.995) | .847 | ||||
| Abdominal Surgery History, Yes vs No | 1.682(0.558,5.065) | .355 | ||||
| HBV Infection, Yes vs No | 0.619(0.205,1.867) | .394 | ||||
|
Child–Pugh g rade, B vs A |
3.444(1.247,9.511) | .017 | 7.892(2.318,26.865) | <.001 | 5.419(1.422,20.651) | .013 |
| BCLC staging | 2.736(1.796,4.166) | <.001 | 1.955(1.172,3.261) | .010 | 1.660(0.948,2.906) | .076 |
| Tumor burden score | 1.294(1.179,1.419) | <.001 | 1.256(1.127,1.400) | <.001 | 1.174(1.034,1.333) | .014 |
| AFP, > 400 μg/L vs ≤ 400 μg/L | 3.129(1.565,6.254) | .001 | 1.233(0.525,2.897) | .631 | 0.884(0.353,2.213) | .792 |
| NLR | 1.163(0.948,1.426) | .148 | ||||
| Anatomical hepatectomy, Yes vs No | 2.784(1.113,6.962) | .029 | 0.943(0.266,3.348) | .928 | ||
| Resection extent, Major vs minor | 6.600(2.894,15.053) | <.001 | 1.894(0.621,5.773) | .262 | ||
| Operation duration (min) | 1.004(1.002,1.005) | <.001 | 1.002(0.999,1.005) | .169 | ||
| Operation blood loss (ml) | 1.000(1.000,1.001) | .032 | 1.000(0.999,1.000) | .301 | ||
| Textbook Outcome, No vs Yes | 6.810(3.139,14.773) | <.001 | 5.124(1.924,13.643) | .001 | ||
| Microvascular Invasion, Yes vs No | 5.922(2.738,12.812) | <.001 | 2.858(1.050,7.785) | .040 | ||
| Degree of Inflammation and Necrosis(G), 2/3/4 vs 0/1 | 1.422(0.616,3.284) | .409 | ||||
| Degree of Fibrosis(S), 2/3/4 vs 0/1 | 1.457(0.605,3.510) | .401 | ||||
| Postoperative hospital stays | 1.050(1.015,1.086) | .005 | 0.981(0.937,1.028) | .423 | ||
ASA classification, American Society of Anesthesiologists Physical Status Classification; HBV infection, Hepatitis B Virus infection; BCLC staging, Barcelona Clinic Liver Cancer staging system; NLR, Neutrophil-to-Lymphocyte Ratio