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Table 3 Univariate and multivariable analysis of survival

From: ALPPS versus two-stage hepatectomy for colorectal liver metastases—–a comparative retrospective cohort study

 

Univariate analysis

Multivariate analysis

 

HR (95% CI)

p value

HR (95% CI)

p value

Demographics

 Sex (female = 1)

1.27 (0.56–2.92)

.569

  

 Age (≤ 60 years = 1)

2.18 (0.96–4.93)

.063

excluded

 

 BMI (≤ 25 kg/m2 = 1)

1.30 (0.16–10.33)

.803

  

 ASA (I/II = 1)

1.47 (0.61–3.56)

.393

  

Oncological data

 Timing (synchronous = 1)

2.03 (0.90–4.58)

.090

excluded

 

 Site of primary

 

.471

  

  Right-sided colon

1

   

  Left-sided colon

0.50 (0.17–1.48)

   

  Rectum

0.67 (0.22–2.03)

   

 T category primary (T1/T2 = 1)

4.80 (0.63–36.67)

.131

  

 N category primary (N0 = 1)

0.60 (0.22–1.67)

.330

  

 Preoperative chemotherapy (no = 1)

1.92 (0.57–6.46)

.292

  

 Second-line treatment (no = 1)

1.03 (0.38–2.76)

.958

  

 Number of cycles of chemotherapy

 

.060

 

.024

  ≤ 6

1

 

1

 

  > 6

3.38 (0.95–12.03)

 

5.92 (1.26–27.78)

 

 Antibody utilization (no = 1)

1.29 (0.57–2.90)

.540

  

 Response to chemotherapy

 

.024

 

.013

  Stable disease

1

 

1

 

  Partial remission

0.32 (0.13–0.78)

 

0.17 (0.05–0.55)

 

  Progressive disease

n. a.

 

n. a.

 

 Number of lesions at hepatectomy

 

.763

  

  ≤ 3

1

   

  > 3

1.14 (0.48–2.70)

   

 Largest tumor diameter at hepatectomy

 

.099

excluded

 

  ≤ 35

1

   

  > 35

1.98 (0.88–4.44)

   

Clinical chemistry

 AST (≤ 30 U/l = 1)

0.52 (0.23–1.17)

.112

  

 ALT (≤ 30 U/l = 1)

0.78 (0.35–1.75)

.550

  

 GGT (≤ 75 U/l = 1)

1.00 (0.44–2.27)

.944

  

 Bilirubin (≤ 0.4 mg/dl = 1)

1.54 (0.68–3.48)

.296

  

 Alkaline phosphatase (≤ 105 U/l = 1)

1.87 (0.81–4.30)

.143

  

 INR (≤ 1 = 1)

0.77 (0.32–1.85)

.553

  

 Prothrombin time (≥ 100% = 1)

0.86 (0.37–2.02)

.731

  

 Hemoglobin (≤ 13 g/dl = 1)

0.77 (0.34–1.73)

.520

  

 CRP, mg/l (≤ 10 mg/l = 1)

2.38 (1.02–5.57)

.045

excluded

 

Operative and inter-stage data

 Operative approach

 

.954

  

  ALPPS

1

   

  TSH

.976 (0.43–2.23)

   

 Operative time step 1 (≤ 180 min = 1)

1.02 (0.42–2.45)

.972

  

 Blood transfusion step 1 (no = 1)

1.18 (0.47–2.98)

.772

  

 Interval between stages (≤ 35 days = 1)

0.69 (0.28–1.67)

.408

  

 Inter-stage chemotherapy (no = 1)

0.04 (0.01–4.11)

.171

  

 Completion (no = 1)

0.46 (0.06–3.67)

.460

  

 Operative time step 2 (≤ 240 min = 1)

0.83 (0.37–1.86)

.649

  

 Blood transfusion step 2 (no = 1)

1.66 (0.73–3.78)

.231

  

Pathological data

R1 resection (no = 1)

0.04 (0.01–44.68)

475

  
  1. Univariate and multivariable Cox regression analyses were carried out to determine predictors of overall survival. Variables displaying a p value < 0.1 were included in the multivariable Cox regression model
  2. ALPPS associating liver partition and portal vein ligation for staged hepatectomy, ALT alanine aminotransferase, AP alkaline phosphatase, ASA American Society of Anesthesiologists classification, AST aspartate aminotransferase, BMI body mass index, CRP c-reactive protein, GGT gamma glutamyltransferase, INR international normalized ratio