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Table 2 Comparison of HCV Treatment Naïve and HCV-Treated HCC patients

From: Tumor aggression among hepatitis-C related hepatocellular carcinoma patients: an observational study regarding the impact of anti-HCV therapy

Parameter

 

All HCV-HCC

(n = 171)

TN (n = 120)

TH (n = 51)

Crude Odds

95% CI

P-value1

Age (yr)

>  55

98 (57.3)

77 (64.2)

21 (41.2)

Reference

0.005

≤ 55

73 (42.7)

43 (35.8)

30 (58.8)

2.56

1.30 to 5.00

 

Sex

Female

63 (36.8)

41 (34.2)

22 (43.1)

Reference

0.266

Male

108 (63.2)

79 (65.8)

29 (56.9)

0.68

0.35 to 1.34

 

Tobacco

No

73 (42.7)

47 (39.2)

26 (51.0)

Reference

0.153

Yes

98 (57.3)

73 (60.8)

25 (49.0)

0.62

0.32 to 1.19

 

DM

No

118 (69.6)

87 (73.1)

31 (60.8)

Reference

0.110

Yes

52 (30.4)

32 (26.9)

20 (39.2)

1.75

0.87 to 3.51

 

TBIL (mg/dL)

≤ 1.5

76 (44.4)

51 (42.5)

25 (49.0)

Reference

0.432

>  1.5

95 (55.6)

69 (57.5)

26 (51.0)

0.77

0.39 to 1.48

 

Albumin (g/dL)

>  3.5

22 (12.9)

15 (12.5)

7 (13.7)

Reference

0.369

2.8–3.5

94 (55.0)

70 (40.9)

24 (14.0)

0.74

0.26 to 2.02

 

<  2.8

55 (32.2)

35 (20.5)

20 (11.7)

1.22

0.43 to 3.51

 

ALT (IU/L)

≤ 56

94 (55)

64 (53.3)

30 (58.8)

Reference

0.509

>  56

77 (45)

56 (46.7)

21 (41.2)

0.80

0.41 to 1.55

 

ALKP (IU/L)

≤ 125

26 (15.2)

16 (13.3)

10 (19.6)

Reference

0.296

> 125

145 (84.8)

104 (86.7)

41 (80.4)

0.63

0.26 to 1.50

 

Plt (×  109/L)

≥ 150

57 (33.3)

48 (40.0)

9 (17.6)

Reference

0.005

<  150

114 (66.7)

72 (60.0)

42 (82.4)

3.11

1.38 to 6.97

 

NLR

≤ 2.5

57 (33.3)

46 (38.3)

11 (21.6)

Reference

0.033

>  2.5

114 (66.7)

74 (61.7)

40 (78.4)

2.26

1.05 to 4.84

 

CTP Class

Class A

33 (19.3)

25 (20.8)

8 (15.7)

Reference

0.257

Class B

89 (52.0)

65 (54.2)

24 (47.1)

1.15

0.46 to 2.91

 

Class C

49 (28.7)

30 (25.0)

19 (37.3)

1.98

0.74 to 5.28

 

Liver Size

Normal

51 (29.8)

37 (30.8)

14 (27.5)

Reference

0.386

Enlarge

56 (32.7)

42 (35.0)

14 (27.5)

0.88

0.37 to 2.09

 

Decrease

64 (37.4)

41 (34.2)

23 (45.1)

1.48

0.67 to 3.29

 

BCLC Stage 2

Stage A

27 (15.8)

20 (16.7)

7 (13.7)

Reference

0.032

Stage B

17 (9.9)

11 (9.2)

6 (11.8)

1.56

0.418 to 5.80

 

Stage C

65 (38.0)

53 (44.2)

12 (23.5)

0.65

0.22 to 1.88

 

Stage D

62 (36.3)

36 (30.0)

26 (51.0)

2.06

0.76 to 5.59

 

MTD (cm)

< 4.45

81 (47.4)

55 (45.8)

26 (51.0)

Reference

0.816

4.45–9.6

73 (42.7)

53 (44.2)

20 (39.2)

0.80

0.40 to 1.60

 

> 9.6

17 (9.9)

5 (9.8)

12 (10.0)

0.88

0.28 to 2.76

 

AFP (ng/dL)

< 100

74 (43.3)

55 (45.8)

19 (37.3)

Reference

0.049

100–1000

63 (36.8)

47 (39.2)

16 (31.4)

0.985

0.46 to 2.13

 

>  1000

34 (19.9)

18 (15.0)

16 (31.4)

2.573

1.10 to 6.03

 

PVT

No

120 (70.2)

96 (80.0)

24 (47.1)

Reference

0.000

Yes

51 (29.8)

24 (20.0)

27 (52.9)

4.500

2.22 to 9.14

 

Nodules

≤ 3

87 (50.9)

70 (58.3)

17 (33.3)

Reference

0.003

>  3

84 (49.1)

50 (41.7)

31 (66.7)

2.800

1.41to 5.56

 

AgI

Score = 4

22 (12.9)

20 (16.7)

2 (3.9)

Reference

0.000

Score 5–8

108 (63.2)

81 (67.5)

27 (52.9)

3.33

0.73 to 15.20

 

Score > 8

41 (24.0)

19 (15.8)

22 (43.1)

11.58

2.39 to 56.09

 
  1. 1P-value < 0.05 was considered as significant calculated by χ2–test
  2. 2There was not a single patient of stage 0 in our selected patients
  3. HCV Hepatitis-C Virus; HCC Hepatocellular carcinoma; TN HCV Treatment Naïve; TH Treated for HCV infection using interferon/DAA based regimens; DM Diabetes Mellitus; TBIL Total bilirubin; ALT Alanine aminotransferase; ALKP Alkaline phosphatase; Plt Platelet count; NLR Neutrophil to lymphocyte ratio; CTP class Child-Turcotte-Pugh class; BCLC Barcelona-Clinic Liver Cancer staging; MTD Maximum tumor diameter; AFP Alpha-fetoprotein; PVT Portal vein thrombosis; AgI Aggressiveness Index (sum of score) = MTD (in tertiles): MTD < 4.5; 4.5 = MTD = 9.6; MTD > 9.6; scores 1, 2, 3 respectively; AFP (cut-off): AFP < 100; 100 = AFP = 1000; AFP > 1000; scores 1, 2, 3 respectively; PVT) (no/yes): PVT (no); PVT (yes); scores 1, 3 respectively; nodules (number): Nodules = 3; nodules > 3; scores 1, 3 respectively