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