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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: J Viral Hepat. 2019 Feb 14;26(6):738–749. doi: 10.1111/jvh.13065

Table 4:

Association between HBV and HDV infection with hepatocellular carcinoma or cirrhosis.

HBV and
HDV status
HCC vs. Controls Cirrhosis without
HCC vs. Controls
Cirrhosis
without HCC vs.
HCC
OR (95% CI) OR (95% CI) OR (95% CI)
HDV status determined by HDV RNA positivity
Unadjusted models
HBsAg− / HDV RNA− 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
HBsAg+ / HDV RNA− 6.50 (4.67, 9.06) 5.72 (3.68, 8.89) 0.88 (0.57, 1.36)
HBsAg+ / HDV RNA+ (8.59, ) (11.49, ) 1.35 (0.48, 3.85)
Adjusted models
HBsAg− / HDV RNA− 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
HBsAg+ / HDV RNA− 9.11 (6.09, 13.61) 7.36 (4.49, 12.07) 0.64 (0.37, 1.11)
HBsAg+ / HDV RNA+ 0.70 (0.22, 2.24)
HDV status determined by anti-HDV positivity
Unadjusted models
HBsAg− / anti-HDV − 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
HBsAg+ / anti-HDV − 6.40 (4.58, 8.94) 5.58 (3.57, 8.71) 0.87 (0.56, 1.35)
HBsAg+ / anti-HDV+ 27.21 (6.23, 118.86) 33.75 (7.10, 160.49) 1.24 (0.52, 2.94)
Adjusted models
HBsAg− / anti-HDV− 1.0 (Reference) 1.0 (Reference) 1.0 (Reference)
HBsAg+ / anti-HDV− 9.09 (6.06, 13.63) 7.22 (4.38, 11.90) 0.63 (0.36, 1.09)
HBsAg+ / anti-HDV+ 31.25 (6.81, 143.36) 31.31 (6.32, 155.10) 0.80 (0.30, 2.14)

Abbreviations: CI, confidence intervals; HBsAg, hepatitis B surface antigen; HCC, hepatocellular carcinoma; HDV, hepatitis D virus; OR, odds ratio

Cannot be estimated

OR estimates derived from polytomous logistic regression model comparing HCC cases and cirrhosis without HCC cases to controls.

OR estimates derived from logistic regression models comparing cirrhosis without HCC cases and HCC cases

Adjusted for age, sex, ethnicity, study site, earth floor, alcohol abuse, cigarette smoking, family history of cancer, HCV antibody, Ser-249 TP53 mutation, and BMI