Table 3. Recipient, donor and other characteristics associated with overall survival of HCV-infected OLT recipients.
Univariate analysis | Multivariate analysis* | ||||
---|---|---|---|---|---|
Hazard ratio (95% CI) | p-value | Hazard ratio (95% CI) | p-value | ||
Recipient Characteristics | |||||
Gender | <0.0001 | <0.0001 | |||
Male | 15,048 (73.8) | Ref. | Ref. | ||
Female | 5,337 (26.2) | 1.18 (1.11–1.25) | 1.17 (1.10–1.25) | ||
Age | 55.0±7.1 | 1.02 (1.01–1.02) | <0.0001 | 1.02 (1.01–1.02) | <0.0001 |
Race/Ethnicity | <0.0001 | <0.0001 | |||
White | 14,158 (69.5) | Ref. | Ref. | ||
Black | 2,512 (12.3) | 1.44 (1.34–1.55) | 1.31 (1.21–1.42) | ||
Hispanic | 2,862 (14.0) | 0.95 (0.88–1.03) | 0.89 (0.81–0.97) | ||
Asian | 624 (3.1) | 0.92 (0.78–1.08) | 0.90 (0.75–1.07) | ||
Other | 229 (1.1) | 0.88 (0.67–1.16) | 0.88 (0.67–1.17) | ||
Lab-MELD | <0.0001 | 0.33 | |||
MELD <10 | 2,660 (13.1) | 1.05 (0.95–1.16) | 1.02 (0.92–1.14) | ||
MELD 10–14 | 4,377 (21.5) | Ref. | Ref. | ||
MELD 15–19 | 4,332 (21.3) | 0.95 (0.88–1.04) | 1.03 (0.93–1.13) | ||
MELD 20–24 | 3,264 (16.0) | 1.14 (1.04–1.24) | 1.11 (0.98–1.25) | ||
MELD 25–29 | 1,976 (9.7) | 1.21 (1.09–1.34) | 1.19 (1.03–1.39) | ||
MELD 30–34 | 1,510 (7.4) | 1.31 (1.17–1.46) | 1.23 (1.03–1.47) | ||
MELD 35+ | 2,266 (11.1) | 1.42 (1.29–1.57) | 1.23 (1.00–1.52) | ||
Allocation MELD | <0.0001 | 0.005 | |||
MELD <10 | 163 (0.8) | 1.17 (0.88–1.55) | 1.20 (0.90–1.64) | ||
MELD 10–14 | 683 (3.4) | Ref. | Ref. | ||
MELD 15–19 | 2,736 (13.4) | 0.84 (0.72–0.98) | 0.85 (0.71–1.00) | ||
MELD 20–24 | 6,532 (32.0) | 1.10 (0.95–1.26) | 1.04 (0.87–1.25) | ||
MELD 25–29 | 5,150 (25.3) | 1.09 (0.95–1.26) | 1.02 (0.84–1.23) | ||
MELD 30–34 | 2,418 (11.9) | 1.21 (1.03–1.41) | 1.10 (0.89–1.36) | ||
MELD 35+ | 2,701 (13.3) | 1.40 (1.20–1.63) | 1.19 (0.93–1.51) | ||
Albumin | 3.0±0.7 | 0.96 (0.92–0.99) | 0.02 | 0.94 (0.90–0.98) | 0.007 |
Exception case | 0.15 | 0.19 | |||
No | 12,142 (59.6) | Ref. | Ref. | ||
Yes | 8,243 (40.4) | 0.96 (0.91–1.02) | 1.08 (0.96–1.20) | ||
ABO blood type | 0.63 | 0.32 | |||
0 | 9,091 (44.6) | Ref. | Ref. | ||
A | 7,514 (36.9) | 0.99 (0.93–1.05) | 1.04 (0.98–1.11) | ||
AB | 1,074 (5.3) | 0.94 (0.83–1.06) | 1.03 (0.91–1.18) | ||
B | 2,706 (13.3) | 0.96 (0.88–1.05) | 0.96 (0.88–1.05) | ||
Encephalopathy | 0.02 | 0.27 | |||
Absent | 7,217 (35.4) | Ref. | Ref. | ||
Present | 13,168 (64.6) | 1.07 (1.01–1.13) | 1.04 (0.97–1.12) | ||
Ascites | 0.17 | 0.82 | |||
Absent | 4,657 (22.9) | Ref. | Ref. | ||
Present | 15,728 (77.1) | 1.05 (0.98–1.12) | 1.01 (0.93–1.10) | ||
Diabetes | <0.0001 | <0.0001 | |||
No | 15,913 (78.1) | Ref. | Ref. | ||
Yes | 4,471 (21.9) | 1.33 (1.25–1.41) | 1.25 (1.17–1.33) | ||
Dialysis preTX | <0.0001 | <0.0001 | |||
No | 18,464 (90.6) | Ref. | Ref. | ||
Yes | 1,921 (9.4) | 1.52 (1.40–1.66) | 1.36 (1.23–1.51) | ||
Donor Characteristics | |||||
Gender | <0.001 | 0.75 | |||
Male | 12,291 (60.3) | Ref. | Ref. | ||
Female | 8,094 (39.7) | 1.10 (1.04–1.16) | 0.99 (0.94–1.05) | ||
Age | 40.4±15.9 | 1.02 (1.02–1.02) | <0.0001 | 1.02 (1.02–1.02) | <0.0001 |
Ethnicity | <0.0001 | <0.0001 | |||
White | 13,567 (66.6) | Ref. | Ref. | ||
Black | 3,446 (16.9) | 0.96 (0.89–1.03) | 0.92 (0.85–0.99) | ||
Hispanic | 2,623 (12.9) | 1.17 (1.08–1.26) | 1.26 (1.15–1.36) | ||
Asian | 473 (2.3) | 1.44 (1.23–1.69) | 1.39 (1.18–1.64) | ||
Other | 276 (1.4) | 1.14 (0.91–1.43) | 1.33 (1.05–1.68) | ||
Diabetes | <0.0001 | 0.03 | |||
No | 18,329 (89.9) | Ref. | Ref. | ||
Yes | 2,056 (10.1) | 1.37 (1.26–1.49) | 1.10 (1.01–1.20) | ||
HCV-antibody status | 0.69 | 0.48 | |||
Negative | 18,872 (92,6) | Ref. | Ref. | ||
Positive | 1,472 (7.2) | 1.033 (0.93–1.15) | 1.06 (0.95–1.19) | ||
Not reported | 41 (0.2) | 0.84 (0.48–1.48) | 0.85 (0.47–1.55) | ||
Independent Characteristics | |||||
Cold Ischemic Time | 7.0±3.4 | 1.01 (1.01–1.02) | <0.01 | 1.01 (1.00–1.02) | <0.01 |
Transplant procedure | 0.16 | 0.63 | |||
Whole liver | 20,137 (98.8) | Ref. | Ref. | ||
Split/partial liver | 248 (1.2) | 0.83 (0.64–1.08) | 1.07 (0.81–1.41) | ||
Region, N (%)* | <0.0001 | <0.0001 | |||
1 | 749 (3.7) | Ref. | Ref. | ||
2 | 2,645 (13.0) | 1.04 (0.90–1.21) | 1.02 (0.87–1.20) | ||
3 | 3,537 (17.4) | 0.85 (0.73–0.99) | 0.91 (0.77–1.06) | ||
4 | 2,121 (10.4) | 0.84 (0.72–0.98) | 0.89 (0.75–1.05) | ||
5 | 3,030 (14.9) | 0.82 (0.70–0.96) | 0.75 (0.64–0.88) | ||
6 | 785 (3.9) | 0.70 (0.57–0.85) | 0.76 (0.62–0.94) | ||
7 | 1,240 (6.1) | 0.98 (0.82–1.16) | 0.92 (0.77–1.10) | ||
8 | 1,322 (6.5) | 0.79 (0.66–0.94) | 0.87 (0.72–1.04) | ||
9 | 1,295 (6.4) | 1.12 (0.95–1.33) | 0.96 (0.81–1.14) | ||
10 | 1,660 (8.1) | 0.89 (0.76–1.05) | 0.97 (0.82–1.15) | ||
11 | 2,001 (9.8) | 0.87 (0.74–1.02) | 0.95 (0.80–1.13) | ||
Transplant year | 0.05 | 0.006 | |||
2002 | 594 (2.9) | 0.96 (0.83–1.12) | 1.022 (0.870–1.201) | ||
2003 | 1,263 (6.2) | 0.99 (0.88–1.11) | 0.991 (0.874–1.124) | ||
2004 | 1,546 (7.6) | Ref. | Ref. | ||
2005 | 1,613 (7.9) | 1.01 (0.91–1.14) | 0.99 (0.88–1.12) | ||
2006 | 1,763 (8.7) | 0.98 (0.87–1.10) | 0.94 (0.83–1.06) | ||
2007 | 1,753 (8.6) | 1.00 (0.89–1.12) | 1.00 (0.88–1.13) | ||
2008 | 1,687 (8.3) | 1.16 (1.03–1.30) | 1.12 (0.99–1.26) | ||
2009 | 1,853 (9.1) | 1.06 (0.94–1.19) | 0.97 (0.86–1.10) | ||
2010 | 1,824 (9.0) | 1.00 (0.88–1.14) | 0.91 (0.80–1.04) | ||
2011 | 1,837 (9.0) | 0.91 (0.80–1.04) | 0.85 (0.73–0.98) | ||
2012 | 1,911 (9.4) | 0.92 (0.79–1.07) | 0.84 (0.72–0.98) | ||
2013 | 1,832 (9.0) | 0.91 (0.76–1.09) | 0.83 (0.69–1.00) | ||
2014 | 909 (4.5) | 1.21 (0.83–1.78) | 1.08 (0.74–1.57) |
Values in column 2 are absolute N (%) or mean±SD
*States and areas in regions of OPTN: 1 Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont; 2 Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Northern Virginia, West Virginia; 3 Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Puerto Rico 4 Oklahoma, Texas; 5 Arizona, California, Nevada, New Mexico, Utah; 6 Alaska, Hawaii, Idaho, Montana, Oregon, Washington; 7 Illinois, Minnesota, North Dakota, South Dakota, Wisconsin; 8 Colorado, Iowa, Kansas, Missouri, Nebraska, Wyoming; 9 New York; 10 Indiana, Michigan, Ohio; 11 Kentucky, North Carolina, South Carolina, Tennessee, Virginia. Multivariate analyses adjust for all other covariates.