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. 2015 Jan 15;5(2):756–771.

Table 2.

Univariate and multivariate analysis of factors associated with HCC recurrence

Factor N Recurrence rate (%) Univariate analysis (p value) Multivariate Analysis (p value) Hazard ratio 95% CI

1-year 3-year
Gender 0.255 NA NA NA
    Male 717 26.1 47.3
    Female 109 22.0 42.2
Age 0.531 NA NA NA
    < 50 361 26.6 48.8
    50-59 293 27.0 45.4
    ≥ 60 172 20.9 44.2
Cirrhosis 0.178 NA NA NA
    Yes 534 25.8 48.5
    No 292 25.0 43.2
Diabetes 0.441 NA NA NA
    Yes 46 23.9 52.2
    No 780 25.6 46.3
Metformin usea 0.574 NA NA NA
    Yes 8 12.5 37.5
    No 818 25.7 46.7
Anti-HBV therapy (n = 282)b 0.158 NA NA NA
    Yes 216 26.4 44.4
    No 66 34.8 51.5
Serum HBsAg level (S/CO) 0.006 0.026 1.538 1.054-2.243
    < 2000 137 21.2 36.5
    ≥ 2000 689 26.4 48.6
Seropositive HBeAg 0.032 0.022 1.424 1.052-1.928
    Negative 594 26.3 44.3
    Positive 232 23.7 52.6
Serum HBV DNA level (IU/ml) (n = 773)c 0.013 0.910 1.017 0.761-1.359
    < 2000 345 22.0 42.6
    ≥ 2000 428 28.3 50.0
ALT (U/L) 0.014 0.804 0.960 0.693-1.329
    ≤ 41 485 23.7 42.5
    > 41 341 28.2 52.5
AST (U/L) < 0.001 0.857 1.033 0.727-1.467
    ≤ 37 493 20.7 41.6
    > 37 333 32.7 54.1
TBIL (μmol/L) 0.285 NA NA NA
    ≤ 18.8 680 24.9 45.7
    > 18.8 146 28.8 50.7
γ-GT (U/L) < 0.001 0.003 1.561 1.164-2.093
    ≤ 61 435 18.2 36.1
    > 61 391 33.8 58.3
ALP (U/L) 0.036 0.053 0.648 0.417-1.006
    ≤ 129 729 24.0 45.5
    > 129 97 37.1 54.6
AFP (μg/L) 0.020 0.546 1.092 0.821-1.453
    ≤ 20 335 17.9 43.0
    > 20 491 30.8 49.1
ALB (g/L) 0.195 NA NA NA
    < 34 14 14.3 28.6
    ≥ 34 812 25.7 46.9
Prealbumin (mg/L) 0.118 NA NA NA
    < 170 211 33.2 50.7
    ≥ 170 615 22.9 45.2
PT (s) 0.043 0.025 1.451 1.047-2.011
    ≤ 13 704 25.1 45.0
    > 13 122 27.9 55.7
WBC (*109/L) 0.676 NA NA NA
    < 4 155 22.6 45.8
    ≥ 4 671 26.2 46.8
PLT (*109/L) 0.280 NA NA NA
    < 100 153 26.1 51.6
    ≥ 100 673 25.4 45.5
Tumor number < 0.001 0.003 1.621 1.183-2.222
    single 677 21.0 42.2
    multiple 149 46.3 66.4
Tumor size (cm) < 0.001 0.012 1.219 1.044-1.424
    ≤ 3 259 13.1 35.1
    3~5 272 23.5 44.5
    5~10 216 33.3 56.9
    > 10 79 51.9 63.3
Capsule formation < 0.001 0.149 0.787 0.569-1.089
    Yes 691 22.7 44.6
    No 135 40.0 57.0
Edmonson grading 0.032 0.521 0.911 0.684-1.212
    I 9 11.1 22.2
    II 199 13.1 39.7
    III 598 29.6 49.2
    IV 20 35.0 50.0
Portal vein invasion < 0.001 0.007 1.832 1.184-2.836
    Yes 62 59.7 79.0
    No 764 22.8 44.0
Microvascular invasion < 0.001 0.083 1.285 0.968-1.705
    Yes 261 41.0 58.6
    No 565 18.4 41.1
Cutting margin (cm) (n = 590)c 0.001 0.119 0.735 0.499-1.082
    < 1 478 25.9 46.7
    ≥ 1 112 12.5 30.4

HCC, hepatocellular carcinoma; HBV, hepatitis B virus; HBsAg, hepatitis B surface antigen; HBeAg, hepatitis B e antigen; WBC, white blood cell; PLT, platelet; AFP, alpha-fetoprotein; TBIL, total bilirubin; ALT, alanine aminotransferase; AST, aspartate aminotransferase; ALB, albumin; PT, prothrombin time; γ-GT, γ-glutamyl transpeptidase; ALP, alkaline phosphatase.

a

Drug users indicate patients using a drug at least 1 day pen month on average.

b

Only determined in patients with HBV DNA≥ 2000IU/mL and recieving antivirual therapy within 1 month pre-operation or within 3 months post-operation.

c

Number of available data.