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Table 2 Clinical factors associated with hepatocellular carcinoma

From: Influence of insulin resistance on the development of hepatocellular carcinoma after antiviral treatment for non-cirrhotic patients with chronic hepatitis C

 

Univariate analysis

Multivariate analysis

Parameters

HR

95 % CI

P value

HR

95 % CI

P value

Age (years)

  ≥ 60 (ref. <60)

3.40

1.35–9.68

0.0085

  

NS

Male (ref. female)

1.77

0.73–4.54

0.21

   

Body mass index (kg/m2)

  ≥ 25.0 (ref. <25.0)

1.28

0.46–4.53

0.65

   

Pre-treatment ALT (U/L)

  ≥ 40 (ref. <40)

3.12

1.04–13.46

0.042

  

NS

Post-treatment ALT (U/L)

  ≥ 40 (ref. <40)

7.01

2.69–21.76

<0.0001

4.33

1.09–24.8

0.036

α-fetoprotein (ng/mL)

  ≥ 10.0 (ref. <10.0)

4.27

1.68–10.5

0.0030

  

NS

Fasting serum insulin (μU/mL)

  ≥ 15.0 (ref. <15.0)

3.99

1.61–9.78

0.0033

  

NS

HOMA-IR

  ≥ 2.5 (ref. <2.5)

15.7

4.47–99.1

<0.0001

12.8

2.81–93.0

0.0006

Fibrosis stage

 F3 (ref. F0-2)

13.9

5.42–40.26

<0.0001

8.85

2.99–29.3

<0.0001

Activity grade

 A2-3 (ref. A0-1)

1.60

0.63–4.56

0.33

   

Treatment outcome

 Non-SVR (ref. SVR)

5.23

1.74–22.55

0.0020

  

NS

  1. HR hazard ratio; CI confidence interval; NS no significance; ALT alanine aminotransferase; HOMA-IR homeostasis model assessment of insulin resistance; SVR sustained virological response