Table 3.
Factors associated with recurrence of hepatocellular carcinoma after completing antiviral therapy in patients who achieved SVR
| Factor | Univariate analysis | Multivariate analysis | ||
|---|---|---|---|---|
| Odds ratio (95% CI) | p | Odds ratio (95% CI) | p | |
| Age | 0.991 (0.957–1.027) | 0.6024 | ||
| Sex (male) | 0.628 (0.319–1.186) | 0.1537 | ||
| Past history of IFN (yes) | 0.786 (0.421–1.477) | 0.4495 | ||
| Resolved HBV infection (yes) | 1.432 (0.767–2.691) | 0.2581 | ||
| Number of HCC treatments before DAA (≥3 times) | 2.709 (1.366–5.235) | 0.0051 | 1.7163 (0.8045–3.5598) | 0.1589 |
| Number of days from HCC treatment to DAA | 0.998 (0.997–0.999) | 0.0009 | 0.9998 (0.9975–0.9997) | 0.0064 |
| HCC stage III at initial treatment | 1.799 (0.824–3.629) | 0.1336 | ||
| HCC stage III at treatment just before DAA | 2.193 (0.694–5.954) | 0.1671 | ||
| Number of tumors (≥3) at treatment just before DAA | 3.374 (1.699–6.544) | 0.0008 | 2.0633 (0.9623–4.3238) | 0.0624 |
| Maximum tumor diameter (≥2.5 cm) at treatment just before DAA | 1.231 (0.489–4.129) | 0.6874 | ||
| Platelet count (at start of DAA) | 0.959 (0.890–1.029) | 0.2537 | ||
| Albumin (at the beginning DAA) | 0.973 (0.479–1.954) | 0.9400 | ||
| Prothrombin time (at start of DAA) | 0.996 (0.978–1.016) | 0.7018 | ||
| Fibrosis-4 index (at start of DAA) | 0.996 (0.913–1.059) | 0.9050 | ||
| AFP (at end of DAA treatment) <8 vs ≥8 (≥8) | 1.031 (1.009–1.047) | 0.0091 | 2.6695 (1.2462–5.5706) | 0.0123 |
| 2.507 (1.285–4.782) | 0.0078 | |||
| DCP (at end of DAA treatment) | 1.004 (0.999–1.008) | 0.0681 | ||
| ALT (at end of DAA treatment) | 0.999 (0.964–1.031) | 0.9674 | ||
| Anti-HBs change ratio | 0.058 (0.001–2.090) | 0.1384 | ||
| Anti-HBc change ratio | 0.163 (0.014–3.476) | 0.2212 | ||
AFP, α-fetoprotein; ALT, alanine aminotransferase; DAA, direct-acting antiviral; DCP, des-gamma-carboxy prothrombin; HBV, hepatitis B virus; HCC, hepatocellular carcinoma; IFN, interferon; SVR, sustained virologic response
Anti-HBs change ratio = anti-HBs level at the end of DAA therapy/anti-HBs level before DAA
Anti-HBc change ratio = anti-HBc level at the end of DAA therapy/anti-HBc level before DAA