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Table 3 Univariable and multivariable analyses examining OS and PFS in association with body composition measures (n = 172)

From: Use of computed tomography-derived body composition to determine the prognosis of patients with primary liver cancer treated with immune checkpoint inhibitors: a retrospective cohort study

Variable

Univariate analysis

Multivariate analysis*

HR

95% CI

P value

HR

95% CI

P value

OS

Age (≥60 years)

1.23

0.63–2.41

0.550

   

Gender male

0.46

0.22–0.97

0.042

2.39

0.59–9.63

0.222

BMI

 Underweight

2.13

0.96–4.75

0.063

1.00

0.21–4.84

0.998

 Obesity

0.92

0.40–2.12

0.839

0.79

0.18–3.48

0.750

HBV

0.81

0.34–1.92

0.631

   

Alcohol consumption (yes vs no)

0.19

0.03–1.40

0.103

   

Smoking status (yes vs no)

1.06

0.54–2.07

0.872

   

BCLC stage (C)

0.94

0.45–1.98

0.878

   

ECOG-PS

 1

1.41

0.74–2.69

0.294

0.59

0.20–1.76

0.344

 2

1.17

0.27–5.03

0.834

0.00

0.00

0.987

 3

2.40

0.56–10.34

0.241

0.62

0.08–4.88

0.647

Child-Pugh Class

 B

2.19

1.09–4.39

0.028

1.68

0.55–5.15

0.367

 C

7.69

1.02–57.9

0.048

12.43

0.91–170.39

0.059

Comorbidity

 Hypertension (yes vs no)

1.10

0.52–2.31

0.801

   

 Diabetes (yes vs no)

0.97

0.40–2.32

0.941

   

 Liver Cirrhosis (yes vs no)

0.78

0.42–1.44

0.421

   

Previous treatment (yes vs no)

0.79

0.33–1.89

0.598

   

Baseline metastasis (yes vs no)

1.23

0.57–2.65

0.609

0.59

0.21–1.67

0.323

CRP (≥10 mg/L)

2.80

1.12–7.02

0.028

0.53

0.16–1.72

0.289

PCT (≥1 ng/mL)

0.04

0.00–142.19

0.448

   

NLR (≥2.57) 3

2.01

1.08–3.56

0.028

4.63

1.41–15.19

0.012

Body composition variable

 Sarcopenia

4.90

2.52–9.51

< 0.001

5.39

1.74–16.74

0.004

 SMD (low vs high)

1.64

0.89–3.03

0.116

1.06

0.33–3.39

0.920

 VATI (high vs low)

0.30

0.15–0.59

0.001

0.04

0.00–0.46

0.009

 SATI (high vs low)

0.31

0.17–0.58

< 0.001

3.44

0.32–37.31

0.310

 TATI (high vs low)

0.31

0.17–0.57

< 0.001

1.32

0.14–12.60

0.808

 VSR (high vs low)

0.73

0.29–1.86

0.509

   

PFS

Age (≥60 years)

0.94

0.64–1.38

0.748

   

Gender male

0.79

0.49–1.25

0.307

0.70

0.33–1.47

0.341

BMI

 Underweight

1.37

0.83–2.28

0.220

0.93

0.37–2.38

0.882

 Obesity

1.06

0.71–1.59

0.766

0.59

0.28–1.24

0.162

HBV

1.33

0.80–2.22

0.267

   

Alcohol consumption (yes vs no)

0.72

0.41–1.25

0.238

   

Smoking status (yes vs no)

1.14

0.81–1.62

0.456

   

BCLC stage (C)

1.26

0.84–1.88

0.265

   

ECOG-PS

 1

1.24

0.89–1.75

0.205

1.25

0.76–2.05

0.387

 2

1.93

0.96–3.88

0.064

1.36

0.34–5.38

0.665

 3

0.75

0.18–3.06

0.690

1.70

0.34–8.58

0.519

Child-Pugh Class

 B

1.12

0.73–1.71

0.612

1.55

0.86–2.76

0.143

 C

4.44

1.08–18.30

0.039

2.91

0.59–14.32

0.190

Comorbidity

 Hypertension (yes vs no)

0.99

0.66–1.49

0.953

   

 Diabetes (yes vs no)

0.98

0.61–1.59

0.941

   

 Liver Cirrhosis (yes vs no)

1.08

0.78–1.50

0.652

   

Previous treatment (yes vs no)

1.44

0.83–2.49

0.195

   

Baseline metastasis (yes vs no)

1.56

1.05–2.32

0.027

1.41

0.81–2.43

0.221

CRP (≥10 mg/L)

0.94

0.61–1.43

0.768

1.03

0.61–1.75

0.991

PCT (≥1 ng/mL)

0.80

0.36–1.77

0.588

   

NLR (≥2.57)

1.07

0.77–1.49

0.676

1.21

0.73–1.99

0.460

Body composition variable

Sarcopenia

1.62

1.18–2.28

0.005

1.48

0.82–2.67

0.195

SMD (low vs high)

0.83

0.60–1.16

0.269

0.56

0.32–0.99

0.044

VATI (high vs low)

0.87

0.53–1.43

0.590

1.07

0.37–3.11

0.895

SATI (high vs low)

0.80

0.54–1.18

0.259

1.28

0.37–4.47

0.695

TATI (high vs low)

0.90

0.61–1.33

0.590

0.67

0.21–2.12

0.491

VSR (high vs low)

0.98

0.63–1.52

0.937

   
  1. OS Overall survival, PFS Progression- free survival, HR Hazard ratio, CI Confidence interval, BMI Body mass index, HBV Hepatitis B virus, BCLC Barcelona Clinic Liver Cancer, ECOG Eastern Cooperative Oncology Group, PS Performance status, CRP c-reactive protein, PCT Procalcitonin, NLR Neutrophil-to-lymphocyte ratio, SMD Skeletal muscle density, SMG Skeletal muscle gauge, VATI Visceral adipose tissue index, SATI Subcutaneous adipose tissue index, TATI Total adipose tissue index, VSR Visceral to subcutaneous fat area ratio
  2. *Adjusted for sex, BMI, ECOG PS score, Child–Pugh score, baseline metastasis, CRP, and NLR