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Table 4 Prognostic factors for survival and recurrence of very elderly patients

From: Prognoses, outcomes, and clinicopathological characteristics of very elderly patients with hepatocellular carcinoma who underwent hepatectomy

 

Overall survival

Relapse-free survival

Characteristics

Univariate (p)

Multivariate (p) (hazard ratio) (95% CI)

Univariate (p)

Multivariate (p) (hazard ratio) (95% CI)

Epidemiology

    

 Sex, male

0.64

 

0.29

 

 HBs-Ag positive

0.24

 

0.09

 

 HCV-Ab positive

0.28

 

0.94

 

 NBNC

0.07

 

0.63

 

Biochemical factors

    

 Platelets < 100,000/mm3

0.50

 

0.42

 

 PA < 80%

< 0.01

0.02 (8.109) (1.227–53.587)

0.57

 

 ChE < 180 IU/l

0.01

0.35 (2.021) (0.447–9.127)

0.70

 

 Albumin < 3.5 g/dl

0.24

 

0.43

 

 ICGR15 ≥ 15%

0.06

 

0.77

 

 AFP ≥ 20 ng/ml

0.11

 

< 0.01

0.85 (0.911) (0.339–2.444)

 PIVKA-II ≥ 400 mAU/ml

< 0.01

0.03 (9.838) (1.220–79.309)

0.01

0.02 (4.038) (1.147–14.211)

Tumor factors

    

 Tumor size ≥ 10 cm

0.03

0.65 (0.707) (0.157–3.189)

< 0.01

0.27 (0.424) (0.089–2.006)

 Tumor number multiple

0.93

 

0.04

0.20 (2.115) (0.672–6.657)

 Macroscopic type except simple nodular

0.42

 

0.03

0.05 (2.646) (0.982–7.127)

Histological factors

    

 Differentiation, poor

0.35

 

0.02

0.45 (1.440) (0.552–3.757)

 PVI

0.75

 

0.01

0.01 (4.580) (1.342–15.629)

 HVI

0.24

 

0.02

< 0.01 (7.393) (1.923–28.424)

 Fibrosis

0.57

 

0.02

0.01 (3.483) (1.258–9.644)

Surgical factors

    

 FRLR < 50%

0.03

0.81 (1.204) (0.245–5.911)

0.17

 

 Non-anatomical resection

0.80

 

0.99

 

 Blood loss ≥ 400 ml

< 0.01

0.18 (5.000) (0.470–53.111)

0.77

 
  1. PA prothrombin activity, ChE cholinesterase, ICGR15 indocyanine green retention rate at 15 min, AFP alpha-fetoprotein, PIVKA-II protein induced by vitamin K absence-II, PVI portal venous invasion, HVI hepatic venous invasion, FRLR future remnant liver rates