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Table 1 Demographics and clinicopathologic characteristics of study participants

From: Nomogram for prediction of the international study Group of Liver Surgery (ISGLS) grade B/C Posthepatectomy liver failure in HBV-related hepatocellular carcinoma patients: an external validation and prospective application study

Variables

Training Cohort

(n = 900)

Internal validation Cohort (n = 300)

External validation Cohort (n = 387)

P value

Age (years)

49 (42, 58)

49 (41, 55)

52 (45, 59)

<0.001

Sex, Male / Female

782 (86.9) / 118 (13.1)

261 (87.0) / 39 (13.0)

344 (88.9) / 43 (1.11)

<0.001

Height (cm)

166 (161, 170)

165 (160, 170)

165 (161, 170)

0.936

Weight (kg)

61 (55, 68)

60 (54, 67)

60 (54,69)

0.540

BMI (kg/m2)

22.3 (20.0, 24.4)

21.8 (20.0, 24.5)

22.1 (20.1, 24.5)

0.540

Hypertension, Yes / No

67 (7.4%) / 833 (92.6%)

19 (6.3%) / 281 (93.7%)

54 (14.0%) / 333 (86.0%)

<0.001

Diabetes, Yes / No

83 (9.2%) / 817 (90.8%)

21 (7.0%) / 279 (93.0%)

29 (7.5%) / 358 (92.5%)

0.373

HBsAg, Positive / Negative

259 (28.8%) / 641 (71.2%)

81 (27.0%) / 219 (73.0%)

90 (23.3%) / 297 (96.7%)

0.124

HBV-DNA, ≥2000 / < 2000 (IU/ml)

555 (61.7%) / 345 (38.4%)

179 (59.7%) / 121 (40.3%)

175 (45.2%) / 212 (54.8%)

<0.001

PLT (×  109/L)

199.9 (155.0, 260.0)

207.1 (160.0, 261.7)

149.0 (100.0, 193.0)

<0.001

T-Bil (μmol/L)

12.9 (9.5, 17.2)

13.0 (9.7, 17.8)

14.2 (10.7, 18.9)

<0.001

PA (mg/L)

178.0 (135.0, 224.0)

173.0 (130.0, 217.0)

202.0 (150.0, 244.0)

<0.001

ALB (g/L)

39.6 ± 4.6

39.3 ± 4.8

41.5 ± 4.4

<0.001

ALT (U/L)

36.0 (24.0, 52.5)

34.0 (25.0, 49.0)

34.0 (24.0, 54.7)

0.788

AST (U/L)

40.0 (30.0, 58.0)

38.0 (29.0, 55.0)

34.1 (26.0, 54.0)

<0.001

CR (μmol/L)

77.0 (68.0, 88.0)

79.0 (68.0, 89.0)

69.0 (61.0, 78.0)

<0.001

BUN (mmol/L)

4.9 (4.1, 5.9)

5.0 (4.2, 5.9)

5.4 (4.5, 6.4)

<0.001

PT (s)

12.8 (12.1, 18.6)

13.0 (12.2, 18.0)

12.0 (11.5, 18.8)

<0.001

INR

1.05 (0.98, 1.13)

1.06 (1.00, 1.16)

1.01 (0.96, 1.07)

<0.001

AFP ≥400 / < 400 (ng/mL)

388 (43.1%) / 512 (56.9%)

142 (47.3%) / 158 (52.7%)

130 (33.6%) / 257 (66.4%)

<0.001

CSPH, Yes / NO

75 (8.3) / 825 (91.7)

31 (10.3) / 269 (89.7)

95 (24.5) / 292 (75.5)

<0.001

Child-Pugh grade A / B (7 score)

858 (95.3%) / 42 (4.7%)

284 (94.7%) / 16 (5.3%)

373 (96.4%) / 14 (3.6%)

0.541

MELD score

4 (2, 7)

5 (3, 7)

4 (2, 5)

<0.001

ALBI score

−2.63 ± 0.41

−2.61 ± 0.45

−2.76 ± 0.40

<0.001

PALBI score

−2.47 (−2.67, −2.25)

−2.43 (−2.67, −2.17)

−2.64 (−2.80, − 2.41)

<0.001

APRI score

0.52 (0.35, 0.84)

0.48 (0.34, 0.85)

0.64 (0.38, 1.19)

<0.001

Tumour size (cm)

6.1 (4.0, 17.5)

6.8 (4.0, 16.5)

5.7 (4, 18)

0.387

Tumour number, Multiple/ Single

239 (26.6%) / 661 (73.4%)

73 (24.3%) / 227 (75.7%)

101 (25.9%) / 286 (74.1%)

<0.001

Portal invasion, Yes / No

103 (11.4%) / 761 (84.6%)

29 (9.7%) / 271 (90.3%)

30 (7.7%) / 357 (92.3%)

0.393

BCLC stage

   

0.001

 0

31 (3.4%)

12 (4.0%)

29 (7.5%)

 

 A

560 (62.2%)

197 (65.7%)

242 (62.5%)

 

 B

206 (22.9%)

62 (20.6%)

82 (21.3%)

 

 C

103 (11.5%)

29 (9.7%)

34 (8.7%)

 

Operation time (min)

193 (160, 240)

200 (165, 250)

190 (160, 240)

0.172

Blood loss, ≥400 / < 400 (mL)

346 (38.4%) / 554 (61.6%)

114 (38.0%) / 186 (62.0%)

136 (35.1%) / 251 (64.9%)

<0.001

Blood transfusion, Yes / No

59 (6.6%) / 841 (93.4%)

21 (7.0%) / 279 (93.0%)

42 (10.9%) / 345 (89.1%)

0.026

eTLV (mL)

1212.2 ± 109.6

1208.6 ± 107.5

1212.0 ± 113.0

0.874

FLR (mL)

939.6 (791.2, 1042.5)

919.8 (780.8, 1028.8)

948.2 (840.6, 1045.9)

0.053

sFLR (%)

69.0 (34.0, 85.0)

67.9 (36.0, 84.2)

69.6 (37.0, 86.0)

0.013

Hepatic vascular occlusion

   

0.903

 No

243 (27.0%)

80 (26.7%)

111 (28.7%)

 

 HVC

283 (31.4%)

89 (29.7%)

114 (29.5%)

 

 THVE

374 (41.6%)

131 (43.7%)

162 (41.8%)

 

Cirrhosis, Yes / No

389 (43.2%) / 511 (56.8%)

149 (49.7%) / 151 (50.3%)

190 (49.1%) / 197 (51.9%)

0.052

PHLF

214 (23.8%) / 686 (76.2%)

63 (21.0%) / 237 (79.0%)

145 (37.5) / 242 (62.5%)

<0.001

 Grade A

93 (10.3%)

30 (10.0%)

67 (17.3%)

<0.001

 Grade B

114 (12.7%)

32 (10.7%)

70 (18.1%)

 Grade C

7 (0.8%)

1 (0.3%)

8 (2.1%)

 Grade B/C

121 (13.5%)/779 (86.5%)

33 (11.0%) / 267 (89.0%)

78 (20.2%) / 309 (79.8%)

0.001

  1. Note: Data are mean ± SD or median (IQR 25–75) unless otherwise indicated
  2. Abbreviations: BMI Body mass index, HbsAg Hepatitis B surface antigen, HBV-DNA Hepatitis B virus DNA, PLT Platelet, T-Bil Total bilirubin, PA Prealbumin, ALB Albumin, ALT Alanine aminotransferase, AST Aspartate aminotransferase, CR Creatinine, BUN Blood urine nitrogen, PT Prothrombin time, INR International normalized ratio, MELD Model for end-stage liver disease, ALBI Albumin–bilirubin, PALBI Platelet-albumin-bilirubin, APRI Aspartate aminotransferase to platelet ratio index, AFP α-Fetoprotein, CSPH Clinically signifcant portal hypertension, BCLC Barcelona Clinic Liver Cancer, eTLV Estimated total liver volume, FLR Future liver remnant, sFLR Standard future Liver remnant, HVC Hemilhepatic vascular control, THVE Total hepatic vascular exclusion, PHLF Posthepatectomy liver failure