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.
Drug users indicate patients using a drug at least 1 day pen month on average.
Only determined in patients with HBV DNA≥ 2000IU/mL and recieving antivirual therapy within 1 month pre-operation or within 3 months post-operation.
Number of available data.