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. 2019 May 2;14(5):e0216173. doi: 10.1371/journal.pone.0216173

Table 6. Multivariate cox regression analysis on survival according to palliative treatment modalities with BCLC stage.

Initial treatment modality Number of patients Univariate analysis Multivariate analysis
Model 1 Model 2 Model 3
Alive Dead crude HR
(95% CI)
p value adjust HR
(95% CI)
p value adjust HR
(95% CI)
p value adjust HR
(95% CI)
p value
TACE patients& BCLC 0,A,B (n = 1715,alive = 684,death = 1030)
Age, years 59.7±9.6 62.8±10.8 1.02(1.02–1.03) <0.001 1.02(1.01–1.03) <0.001 1.02(1.02–1.03) <0.001 1.02(1.02–1.03) <0.001
Gender (Female vs. male) 178/572 262/898 0.94(0.82–1.08) 0.385 0.85(0.73–0.99) 0.034 0.89(0.76–1.03) 0.118 0.86(0.74–1.00) 0.043
CTP Class (Class B vs. Class A) 78/672 288/872 1.87(1.64–2.14) <0.001 1.82(1.53–2.17) <0.001 1.43(1.17–1.75) 0.001 1.43(1.17–1.75) 0.001
Etiology
 Hepatitis B 504 622 0.70(0.62–0.79) <0.001 0.85 (0.54–1.33) 0.480 0.81 (0.51–1.27) 0.355 0.84 (0.53–1.33) 0.457
 Hepatitis C 87 196 1.24 (1.07–1.45) 0.006 0.94 (0.60–1.46) 0.772 0.90 (0.57–1.42) 0.655 0.91 (0.58–1.44) 0.696
 NBNC 24 35 0.98 (0.70–1.37) 0.913 0.66 (0.38–1.15) 0.144 0.57 (0.32–1.01) 0.054 0.60 (0.34–1.05) 0.074
 Alcohol 135 299 1.37 (1.20–1.57) <0.001 0.98 (0.62–1.57) 0.943 0.90 (0.56–1.45) 0.663 0.95 (0.59–1.52) 0.824
Maximal tumor diameter
 2–5 cm vs. ≤2 cm 329/343 522/331 1.45(1.27–1.67) <0.001 1.37(1.18–1.58) <0.001 1.36(1.17–1.57) <0.001 1.38(1.19–1.60) <0.001
 >5 cm vs. ≤2 cm 77/343 270/331 2.67(2.28–3.14) <0.001 2.65(2.21–3.17) <0.001 2.53(2.12–3.03) <0.001 2.64(2.20–3.16) <0.001
Alpha-fetoprotein, ng/mL
 > 400 vs. ≤ 400 88/611 227/867 1.61 (1.38–1.87) <0.001 1.45 (1.23–1.70) <0.001 1.40 (1.20–1.65) <0.001 1.41 (1.20–1.66) <0.001
ALBI grade
 grade 2 vs. grade 1 332/395 690/385 1.62(1.43–1.83) <0.001 1.55(1.34–1.79) <0.001 1.37(1.15–1.62) <0.001
 grade 3 vs. grade 1 23/395 85/385 2.26(1.79–2.86) <0.001 1.39(1.02–1.90) 0.036 1.00(0.72–1.40) 0.992
PALBI grade
 grade 2 vs. grade 1 250/428 469/424 1.51(1.32–1.72) <0.001 1.38(1.20–1.60) <0.001 1.18(1.00–1.39) 0.053
 grade 3 vs. grade 1 72/428 267/424 2.32(1.99–2.70) <0.001 2.09(1.67–2.62) <0.001 1.86(1.46–2.38) <0.001
sorafenib & BCLC C (n = 111, alive = 4, death = 107)
Age, years 62.0±7.4 55.5±11.5 0.99(0.98–1.00) 0.086 0.99(0.97–1.01) 0.402 0.99(0.97–1.02) 0.436 0.99(0.96–1.01) 0.288
Gender (Female vs. male) 0/4 23/150 1.15(0.74–1.79) 0.524 1.45(0.73–2.88) 0.296 1.47(0.73–2.95) 0.285 1.49(0.74–3.03) 0.266
CTP Class (Class B vs. Class A) 0/4 75/98 1.91(1.41–2.60) <0.001 2.32(1.44–3.73) 0.001 1.95(1.20–3.19) 0.007 2.04(1.24–3.37) 0.005
Etiology
 Hepatitis B 3 123 1.28(0.91–1.80) 0.157 2.17 (0.71–6.62) 0.175 2.09 (0.72–6.10) 0.178 2.12 (0.70–6.40) 0.185
 Hepatitis C 0 18 0.83 (0.51–1.36) 0.455 1.67 (0.57–4.90) 0.348 1.62 (0.59–4.46) 0.349 1.63 (0.57–4.69) 0.362
 NBNC 0 8 0.89 (0.43–1.80) 0.736 2.42 (0.51–11.4) 0.265 2.36 (0.52–10.66) 0.263 2.57 (0.54–12.18) 0.236
 Alcohol 1 27 0.85 (0.57–1.29) 0.45 1.27 (0.38–4.31) 0.699 1.03 (0.32–3.32) 0.961 1.07 (0.32–3.57) 0.919
Maximal tumor diameter
 2–5 cm vs. ≤2 cm 0/1 15/3 4.10(1.16–14.40) 0.028 3.59(0.94–13.7) 0.062 3.27(0.82–13.02) 0.093 3.16(0.80–12.51) 0.102
 >5 cm vs. ≤2 cm 1/3 95/3 2.67(0.84–8.49) 0.097 2.44(0.70–8.46) 0.160 2.04(0.58–7.22) 0.267 1.99(0.56–7.06) 0.290
Alpha-fetoprotein, ng/mL
 > 400 vs. ≤ 40 3/1 104/63 1.54 (1.05–2.25) 0.029 1.63 (1.08–2.46) 0.020 1.68 (1.12–2.54) 0.013 1.68 (1.11–2.53) 0.014
ALBI grade
 grade 2 vs. grade 1 3/1 119/40 1.58(1.10–2.27) 0.013 1.38(0.77–2.49) 0.280 1.20(0.63–2.30) 0.579
 grade 3 vs. grade 1 0/1 14/40 2.55(1.37–4.73) 0.003 1.25(0.50–3.17) 0.632 0.81(0.30–2.20) 0.683
PALBI grade
 grade 2 vs. grade 1 2/1 60/36 1.44(0.95–2.18) 0.088 1.10(0.59–2.07) 0.764 0.99(0.50–1.97) 0.986
 grade 3 vs. grade 1 1/1 77/36 2.35(1.57–3.52) <0.001 1.95(1.05–3.64) 0.036 1.89(0.96–3.72) 0.064
supportive patients (n = 1147, alive = 81, death = 1066)
Age, years 59.3±11.8 62.9±12.6 1.00(0.99–1.00) 0.200 1.01(1.00–1.01) 0.051 1.01(1.00–1.01) 0.043 1.01(1.00–1.01) 0.041
Gender (Female vs. male) 19/62 206/860 0.91(0.78–1.06) 0.232 0.97(0.81–1.17) 0.752 0.97(0.81–1.17) 0.748 0.96(0.80–1.16) 0.670
CTP Class
 Class B vs. Class A 20/61 474/400 2.03(1.77–2.32) <0.001 1.74(1.43–2.11) <0.001 1.61(1.32–1.95) <0.001 1.53(1.24–1.89) <0.001
 Class C vs. Class A 0/61 192/400 3.41(2.85–4.07) <0.001 3.09(2.30–4.14) <0.001 3.03(2.36–3.94) <0.001 2.68(1.98–3.63) <0.001
Etiology
 Hepatitis B 39 572 1.22(1.08–1.38) 0.002 0.95 (0.61–1.46) 0.798 0.96 (0.63–1.48) 0.861 0.95 (0.62–1.47) 0.824
 Hepatitis C 3 131 0.93 (0.77–1.12) 0.427 0.94 (0.63–1.42) 0.773 0.96 (0.64–1.45) 0.838 0.96 (0.64–1.45) 0.842
 NBNC 1 24 0.91 (0.60–1.36) 0.629 0.95 (0.50–1.80) 0.880 0.91 (0.48–1.71) 0.767 0.90 (0.48–1.70) 0.754
 Alcohol 35 340 0.86 (0.75–0.97) 0.018 0.96 (0.61–1.51) 0.867 0.96 (0.61–1.52) 0.871 0.96 (0.61–1.51) 0.850
Maximal tumor diameter
 2–5 cm vs. ≤2 cm 32/30 217/93 1.47(1.16–1.88) 0.002 1.51(1.16–1.96) 0.002 1.44(1.11–1.87) 0.007 1.46(1.12–1.90) 0.005
 >5 cm vs. ≤2 cm 16/30 516/93 2.87(2.29–3.59) <0.001 3.23(2.51–4.15) <0.001 2.96(2.31–3.79) <0.001 3.08(2.39–3.96) <0.001
Alpha-fetoprotein, ng/mL
 > 400 vs. ≤ 400 14/57 463/522 2.13(1.82–2.49) <0.001 1.50 (1.28–1.75) <0.001 1.49 (1.28–1.74) <0.001 1.50 (1.28–1.75) <0.001
ALBI grade
 grade 2 vs. grade 1 43/30 599/258 1.83(1.53–2.19) <0.001 1.43(1.14–1.79) 0.002 1.00(0.76–1.32) 0.985
 grade 3 vs. grade 1 8/30 463/258 2.89(2.38–3.53) <0.001 1.88(1.38–2.56) <0.001 1.21(0.84–1.73) 0.308
PALBI grade
 grade 2 vs. grade 1 34/28 279/112 1.58(1.27–1.97) <0.001 1.60(1.24–2.07) 0.000 1.60(1.20–2.15) 0.002
 grade 3 vs. grade 1 19/28 675/112 3.18(2.59–3.89) <0.001 2.22(1.69–2.91) <0.001 2.16(1.55–2.99) <0.001

TACE, transarterial chemoembolization; BCLC, Barcelona clinic liver cancer stage; CTP, Child-Turcotte-Pugh; ALBI, albumin-bilirubin; PALBI, platelet-albumin-bilirubin