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Table 4 Cox regression multivariate analyses of factors associated with early mortality and early recurrence in hepatocellular carcinoma after hepatectomy

From: RAM score is an effective predictor for early mortality and recurrence after hepatectomy for hepatocellular carcinoma

 

Multivariate analysis

 

Hazard ratio (95% CI)j

P -value

Early Mortality

 RAM scorea

  class II/III vs. class I

2.847 (1.884~4.302)

<0.001

 ALBI scoreb

 

<0.001

  grade 2 vs. grade 1

2.309 (1.577~3.383)

<0.001

  grade 3 vs. grade 1

N/Ak

0.953

 MELD scorec

 

0.271

  grade 2 vs. grade 1

1.218 (0.782~1.897)

0.384

  grade 3 vs. grade 1

1.873 (0.830~4.231)

0.131

 Alcohol consumption (Yes)

1.799 (1.105~2.930)

0.018

 Cigarette smoking (Yes)

1.110 (0.710~1.734)

0.648

 Age > 80 (year-old)

1.988 (0.907~4.354)

0.086

 Pre-OP symptomsd (Yes)

1.411 (0.956~2.083)

0.083

 Pre-OP treatmente (Yes)

1.271 (0.765~2.111)

0.355

 Pre-OP platelets < 100 (1000/uL)

1.453 (0.905~2.332)

0.122

 Pre-OP total bilirubin > 2.0 (mg/dL)

1.377 (0.469~4.039)

0.561

 Pre-OP hemoglobin < 10 (g/dL)

1.102 (0.596~2.038)

0.756

 ICG-15f > 10 (%)

1.081 (0.740~1.580)

0.687

 OP durationg > 270 (mins)

1.295 (0.875~1.915)

0.196

 Tumor size > 10 (cm)

1.770 (1.130~2.771)

0.013

Early Recurrence

 RAM scorea

  class II/III vs. class I

1.640 (1.352~1.988)

<0.001

 ALBI scoreb

 

0.001

  grade 2 vs. grade 1

1.382 (1.190~1.606)

<0.001

  grade 3 vs. grade 1

0.962 (0.301~3.077)

0.948

 MELD scorec

 

0.868

  grade 2 vs. grade 1

0.952 (0.787~1.150)

0.608

  grade 3 vs. grade 1

1.015 (0.683~1.509)

0.941

 Alcohol consumption (Yes)

1.249 (1.003~1.557)

0.047

 Cigarette smoking (Yes)

1.258 (1.057~1.498)

0.010

 Pre-OP symptomsd (Yes)

1.006 (0.855~1.184)

0.943

 Pre-OP treatmente (Yes)

1.183 (0.953~1.469)

0.127

 Pre-OP total bilirubin > 2.0 (mg/dL)

1.513 (0.921~2.487)

0.102

 Pre-OP hemoglobin < 10 (g/dL)

1.215 (0.903~1.634)

0.199

 Pre-OP ALTh > 40 (U/L)

1.077 (0.940~1.234)

0.284

 ICG-15f > 10%

1.347 (1.167~1.554)

<0.001

 Tumor size > 10 (cm)

1.773 (1.456~2.160)

<0.001

 Inflow controli (Yes)

1.162 (0.985~1.370)

0.075

  1. aRisk Assessment for early Mortality score
  2. balbumin–bilirubin score
  3. cModel for End-Stage Liver Disease score
  4. dpreoperative symptoms included anemia, jaundice, palpable mass and ascites
  5. epreoperative treatments included transarterial chemoembolization, percutaneous ethanol injection and radiofrequency ablation
  6. findocyanine green retention test at 15 min
  7. gduration of operation
  8. hpreoperative serum alanine aminotransferase level
  9. iinflow control included as Pringle’s maneuver, Glissonian pedicle control, selective vascular control and total vascular exclusion
  10. j95% confidence interval
  11. kNot Applicable