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.