Research Article

Fibrosis-4 Model Influences Results of Patients with Hepatocellular Carcinoma Undergoing Hepatectomy

Table 4

Characteristics of the included patients with fibrosis-4<3.15 and fibrosis-43.15.

ParametersFibrosis-4 <3.15Fibrosis-4 3.15P value
(N=477)(N=311)

Male (%)411 (86.2%)257 (82.6%)0.188
Age (years) (Mean ± SD)47.7±11.756.3±10.4<0.01
Etiology
 HBV (%)397 (83.2%)268 (86.2%)0.272
 HCV (%)5 (1.0%)9 (2.9%)0.094
 NBNC (%)81 (17.0%)44 (14.1%)0.319
Child Grade0.037
 A (%)458 (96.0%)288 (92.6%)
 B (%)19 (4.0%)23 (7.4%)

MELD, median (IQR)8 (7-10)9 (7-10)0.001
AST (U/L) (Mean ± SD)39.9±18.568.4±52.7<0.01
ALT (U/L) (Mean ± SD)44.5±26.858.1±54.6<0.01
Total bilirubin (umol/L) (Mean ± SD)15.5±16.217.3±8.50.06
Albumin (g/L) (Mean ± SD)41.5±4.240.7±4.70.035
INR (Mean ± SD)1.26±0.141.31±0.15<0.01
PLT (109/L) (Mean ± SD)170.2±67.794.2±43.6<0.01
Ishak<0.01
 0-2 (%)265 (55.6%)17 (5.5%)
 3-4 (%)83 (17.4%)12 (3.9%)
 5-6 (%)129 (27.0%)282 (90.7%)
Cirrhosis (%)129 (27.0%)282 (90.7%)<0.01
AFP (ng/mL) median (IQR)315 (9.5-1210)140 (8.6-1210)0.24
BCLC0.082
 0-A (%)328 (68.8%)209 (67.2%)
 B (%)61 (12.8%)56 (18%)
 C (%)88 (18.4%)46 (14.8%)
Tumor0.355
 Single (%)390 (81.8%)246 (79.1%)
 Multiple (%)87 (18.2%)65 (20.9%)
Macrovascular invasion (%)59 (12.4%)34 (10.9%)0.541
Microvascular Invasive (%)98 (20.5%)64 (20.6%)0.991
Differentiation Degree0.674
 Poor (%)56 (11.7%)33 (10.6%)
 Moderate (%)408 (85.5%)272 (87.5%)
  Well (%)13 (2.7%)6 (1.9%)
Recurrent Hepatocellular Carcinoma (%)19 (4.0%)18 (5.8%)0.242
Complications III-V (%)36 (7.5%)32 (10.3)0.180
Hepatic Insufficiency (%)30 (6.3%)37 (11.9%)0.006
Transfusion (%)101 (21.2%)74 (23.8%)0.387
Hospital Stay (days) median (IQR)8 (7-10)9 (7-11)<0.01

ALT: alanine aminotransferase; AST: aspartate aminotransferase. AFP: α-fetoprotein; BCLC: Barcelona Clinic Liver Cancer; INR: international normalized ratio; PLT: platelet count. APRI: AST-to-platelet ratio index; HBV: hepatitis B virus; HCV: hepatitis C virus; NBNC: non-B non-C hepatitis virus. IQR: interquartile range; SD: standard deviation.