Table 2.
Risk factors for steatosis and NASH recurrence.
Steatosis recurrence |
NASH recurrence |
|||||
---|---|---|---|---|---|---|
Univariate p value | Multivariate analysis |
Univariate p value | Multivariate analysis |
|||
OR (95% CI) | p value | OR (95% CI) | p value | |||
Clinical characteristics before LT | ||||||
Sex (M/F) | 0.269 | 0.634 | ||||
Age at LT time | 0.012 | 0.004 | ||||
Age ≥50 years | 0.145 | 0.285 | ||||
Age ≥55 years | 0.276 | 0.098 | 1.470 (0.542-3.988)∗ | 0.449∗ | ||
Age ≥60 years | 0.452 | 0.040 | 1.673 (0.716-3.193)∗ | 0.235∗ | ||
Age ≥62 years | 0.307 | 0.002 | 0.397 (0.145-1.089)∗ | 0.073∗ | ||
Age ≥65 years | 0.383 | 0.035 | 0.237 (0.058-0.964)∗ | 0.044∗ | ||
BMI at LT time | 0.149 | 0.020 | ||||
≥20 kg/m2 | 0.809 | 0.564 | ||||
≥25 kg/m2 | 0.817 | 0.215 | ||||
≥30 kg/m2 | 0.056 | 0.0001 | 5.086 (1.000-28.857)∗∗ | 0.050∗∗ | ||
≥31 kg/m2 | 0.002 | 2.727 (1.048-7.098)∗ | 0.040 | 0.0001 | 11.017 (2.073-58.538)∗∗ | 0.005∗∗ |
≥32 kg/m2 | 0.003 | 1.766 (0.726-4.297)∗ | 0.210 | 0.001 | 5.715 (1.116-29.270)∗∗ | 0.036∗∗ |
≥35 kg/m2 | 0.201 | 0.293 | ||||
Pre-LT HCC | 0.538 | 0.856 | ||||
Pre-LT diabetes | 0.108 | 0.892 | ||||
Pre-LT HbA1c ≥7% | 0.602 | 0.621 | ||||
Pre-LT insulin therapy | 0.115 | 0.272 | ||||
Pre-LT arterial hypertension | 0.411 | 0.439 | ||||
Pre-LT metabolic syndrome | 0.043 | 1.029 (0.501-2.115) | 0.937 | 0.046 | 0.775 (0.286-2.098) | 0.616 |
Active smoking before LT | 0.810 | 0.836 | ||||
Donor characteristics | ||||||
Age of the donor (years) | 0.497 | 0.120 | ||||
Age ≥60 years | 0.091 | 1.466 (0.832-2.584) | 0.185 | 0.575 | ||
Age ≥70 years | 0.821 | 0.651 | ||||
Donor age + recipient age (years) | 0.185 | |||||
≥120 years | 0.260 | 0.926 | ||||
≥135 years | 0.829 | 0.984 | ||||
Donor BMI (kg/m2) | 0.378 | 0.333 | ||||
Graft steatosis (≥5%) | 0.162 | 0.191 | ||||
Grade ≥2 steatosis | 0.121 | 0.137 | ||||
Metabolic events after LT | ||||||
BMI at 1 year after LT | 0.008 | 0.054 | ||||
≥30 kg/m2 | 0.0001 | 0.976 (0.426-2.240)∗ | 0.955 | 0.0001 | 0.277 (0.286-1.216)∗∗∗ | 0.089∗∗∗ |
≥32 kg/m2 | 0.002 | 1.197 (0.654-2.191)∗ | 0.560 | 0.008 | 0.521 (0.193-1.409)∗∗∗ | 0.199∗∗∗ |
≥35 kg/m2 | 0.023 | 1.313 (0.623-2.766)∗ | 0.474 | 0.227 | ||
Weight difference 1-year post-LT (kg) | 0.148 | 0.805 | ||||
Diabetes post-LT | 0.974 | 0.635 | ||||
Arterial hypertension post-LT | 0.452 | 0.587 | ||||
TG ≥1.7 mmol/L post-LT | 0.248 | 0.527 | ||||
LDL-c ≥3.70 mmol/L post-LT | 0.474 | 0.566 | ||||
HDL-c <1.15 mmol/L | 0.402 | 0.050 | 3.463 (1.301-9.220) | 0.013 | ||
HbA1c ≥6.5% | 0.205 | 0.150 | ||||
HbA1c ≥7% | 0.333 | 0.330 | ||||
HbA1c ≥8% | 0.052 | 1.676 (0.939-2.990) | 0.080 | 0.194 | ||
Metabolic syndrome post-LT | 0.363 | 0.655 | ||||
Immunosuppressive regimen | ||||||
Tacrolimus | 0.163 | 0.098 | ||||
MMF | 0.101 | 0.629 | ||||
CYA | 0.375 | 0.934 | ||||
mTOR-i | 0.930 | 0.675 | ||||
CST | 0.071 | 0.337 (0.074-1.547) | 0.162 | 0.307 | ||
AZA | 0.377 | 0.673 | ||||
Specifics therapies after LT | ||||||
Statin therapy | 0.985 | 0.519 | ||||
Fibrate therapy | 0.329 | 0.377 | ||||
Insulin therap | 0.157 | 0.573 | ||||
Dyslipidemia or lipid drugs | 0.047 | 1.831 (0.883-3.795) | 0.104 | 0.910 | ||
Complications after LT | ||||||
CV events | 0.050 | 0.764 (0.444-1.313) | 0.330 | 0.420 | ||
OSAS | 0.056 | 1.130 (0.605-2.109) | 0.701 | 0.363 | ||
Acute rejection | 0.627 | 0.587 | ||||
Disease recurrence on the graft at 1 year | ||||||
Grade ≥1 steatosis | 0.002 | 10.521 (2.127-52.046)∗∗∗∗ | 0.004∗∗∗∗ | |||
Grade ≥2 steatosis | 0.0001 | 10.196 (3.553-29.257)∗∗∗∗ | 0.001∗∗∗∗ | |||
Grade 3 steatosis | 0.0001 | 2.729 (0.845-8.815)∗∗∗∗ | 0.093∗∗∗∗ |
Each variable was tested in univariate analysis. All variables with a p value <0.010 were retained for the multivariate model.
Univariate analysis was performed using log-rank analysis or Mann-Whitney analysis (for quantitative variables). All significant variables in the univariate analysis with a level set at p <0.1 were incorporated into multivariate models analyzed with binary logistic Cox regression. Values in bold are considered significant (<0.005).
AZA, azathioprine; CNI, calcineurin inhibitor; CST, corticosteroids; CYA, cyclosporine A; CV, cardiovascular; HbA1c, glycated hemoglobin; HCC, hepatocellular carcinoma; HDL-c, high-density lipoprotein-cholesterol; LDL-c, low-density lipoprotein-cholesterol; LT, liver transplantation; MMF, mycophenolate mofetil; mTOR-i, mTOR inhibitor; TG, triglyceride.
Because these variables are not independent, different multivariate analysis models were tested.