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. 2022 Jun 7;28(21):2251–2281. doi: 10.3748/wjg.v28.i21.2251

Table 2.

Risk factors for hepatocellular carcinoma development[6,181-183]

Risk factors in hepatocellular carcinoma (other than liver cirrhosis)
OR (95%CI)
Strong risk factors (OR > 10) Europe
Untreated chronic HBV/HCV hepatitis 191.0
Untreated chronic HCV hepatitis 31.2
Untreated chronic HBV hepatitis 18.8
East Asia and Africa
Untreated chronic HBV/HCV hepatitis 75.6
Untreated chronic HBV hepatitis 20.8
Untreated chronic HCV hepatitis 11.5
Moderate risk factors (OR = 2-10) Aflatoxin B1 exposure 5.9
Untreated chronic HDV infection 3.9
Diabetes 3.2
Asian race 3.2
Male gender 2.8
Alcohol intake 2.3
Severe iron overload 2.1
Weak risk factors (OR < 2) Obesity (BMI > 30 kg/m2) 1.9
Mild iron overload 1.6
Current smoking 1.6
HCV genotype 1b 1.6
PNPLA3 rs738409 single nucleotide polymorphism 1.4

HBV: Hepatitis B virus; HCV: Hepatitis C virus; HDV: Hepatitis D virus; OR: Odds ratio; CI: Confidence interval; BMI: Body mass index.