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. 2011 Jan 4;29(6):619–625. doi: 10.1200/JCO.2010.30.8650

Table 3.

Determinants of Choice of Therapy: Clinical Factors

Factor LR v LT
LR v RFA
RFA v LT
P
RRR 95% CI RRR 95% CI RRR 95% CI
Age, years
    50 Ref Ref Ref .046
    65 1.11 0.96 to 1.29 0.78 0.57 to 1.05 1.44 1.06 to 1.95
Tumor number and size
    3 tumors; largest, 2.5 cm Ref Ref Ref < .001
    1 tumor; 4.5 cm 1.72 1.35 to 2.19 3.23 1.57 to 6.64 0.53 0.26 to 1.07
    1 tumor; 2.5 cm 2.27 1.76 to 2.93 0.40 0.24 to 0.68 5.65 3.48 to 9.16
Type of resection required
    Left hemi-hepatectomy, FLR 60% Ref Ref Ref < .001
    Right posterior section, FLR 70% 1.54 1.23 to 1.94 1.34 0.89 to 2.02 1.15 0.80 to 1.65
    Left lateral section, FLR 85% 4.19 3.31 to 5.31 5.79 3.61 to 9.30 0.72 0.47 to 1.12
Etiology of cirrhosis*
    Chronic hepatitis C Ref Ref Ref < .001
    Chronic hepatitis B 1.18 0.95 to 1.47 0.75 0.50 to 1.12 1.58 1.08 to 2.32
    Past alcohol abuse 1.47 1.21 to 1.80 1.08 0.74 to 1.59 1.36 0.94 to 1.97
Biologic MELD score
    10 Ref Ref Ref < .001
    8 1.44 1.18 to 1.77 1.46 0.94 to 2.28 0.99 0.65 to 1.49
    6 1.66 1.37 to 2.02 1.56 1.03 to 2.37 1.06 0.71 to 1.59
Platelet count, per μL
    90,000 Ref Ref Ref < .001
    150,000 2.32 1.93 to 2.79 1.97 1.43 to 2.73 1.18 0.87 to 1.59
Liver transplantation waiting time, months
    2 Ref Ref Ref < .001
    5 1.30 1.08 to 1.57 0.98 0.60 to 1.60 1.33 0.83 to 2.11
    8 1.70 1.39 to 2.09 1.20 0.77 to 1.88 1.41 0.93 to 2.15

Abbreviations: LR, liver resection; LT, liver transplantation; RFA, radiofrequency ablation; RRR, relative risk ratio; Ref, referent; FLR, future liver remnant; MELD, model for end-stage liver disease.

*

All patients were described as having Child's A cirrhosis.