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.