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. 2023 Jan 3;5(3):100668. doi: 10.1016/j.jhepr.2022.100668

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.