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

Table A1.

Determinants of Choice of Therapy, Including Surgeon Specialty

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 .064
    65 1.10 0.95 to 1.28 0.77 0.57 to 1.05 1.43 1.05 to 1.95
Tumor number and size
    3 tumors; largest, 2.5 cm Ref Ref Ref < .001
    1 tumor; 4.5 cm 1.81 1.41 to 2.32 3.26 1.58 to 6.74 0.55 0.27 to 1.12
    1 tumor; 2.5 cm 2.46 1.89 to 3.20 0.40 0.24 to 0.68 6.11 3.71 to 10.1
Type of resection required
    Left hemi-hepatectomy, FLR 60% Ref Ref Ref < .001
    Right posterior section, FLR 70% 1.56 1.23 to 1.97 1.34 0.89 to 2.01 1.17 0.82 to 1.67
    Left lateral section, FLR 85% 4.44 3.49 to 5.64 5.85 3.64 to 9.41 0.76 0.49 to 1.18
Etiology of cirrhosis*
    Chronic hepatitis C Ref Ref Ref < .001
    Chronic hepatitis B 1.18 0.94 to 1.48 0.75 0.50 to 1.11 1.59 1.08 to 2.33
    Past alcohol abuse 1.51 1.23 to 1.85 1.08 0.74 to 1.58 1.40 0.97 to 2.02
Biologic MELD score
    10 Ref Ref Ref < .001
    8 1.41 1.15 to 1.74 1.44 0.92 to 2.24 0.98 0.65 to 1.49
    6 1.68 1.37 to 2.04 1.56 1.03 to 2.37 1.07 0.71 to 1.61
Platelet count, per μL
    90,000 Ref Ref Ref < .001
    150,000 2.36 1.96 to 2.85 2.00 1.45 to 2.77 1.18 0.87 to 1.60
Liver transplantation waiting time, months
    2 Ref Ref Ref < .001
    5 1.34 1.10 to 1.64 0.99 0.61 to 1.60 1.36 0.85 to 2.18
    8 1.73 1.39 to 2.14 1.20 0.77 to 1.88 1.44 0.94 to 2.20
Liver transplantation surgeon
    Yes Ref Ref Ref < .001
    No 2.67 2.00 to 3.55 1.01 0.63 to 1.62 2.64 1.62 to 4.30

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

*

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