Research Article

Risk Factors for Hepatocellular Carcinoma Recurrence and Survival after Liver Transplantation in Patients with HCV-Related Cirrhosis

Table 3

Results of simple cause-specific Cox regressions for hepatocellular carcinoma recurrence.

HR95% CI value

Age0.960.89-1.050.403
Sex
 Female
 Male3.710.47-28.970.212
Transplantation waiting time1.001.00-1.000.573
Child-Pugh classification
 Child-Pugh stage A
 Child-Pugh stage B2.410.62-9.320.202
 Child-Pugh stage C0.500.05-4.810.549
MELD score0.920.80-1.060.262
Alpha-fetoprotein 1.000.99-1.010.746
Received previous locoregional treatment for HCC1.280.37-4.370.695
Number of HCC lesions
 Single tumor
 2-3 tumors2.580.23-28.490.439
 4-5 tumors9.050.81-100.450.073
 >5 tumors5.810.70-48.300.103
Total tumor size
 <5 cm
 5-9 cm3.760.62-22.640.149
 >9 cm3.040.76-12.150.116
Incidental HCC diagnosed postoperatively1.130.33-3.870.842
Microvascular invasion14.864.47-49.39<0.001
Presence of tumor necrosis1.440.41-5.120.569
>4 red blood cells units transfused during transplantation1.300.35-4.920.695

aThe results reported for alpha-fetoprotein levels correspond to increases of 100 units of alpha-fetoprotein levels; i.e., the hazard ratio of 1.01 means that every increase of 100 ng/ml is associated with a 1% increase in the hazard of hepatocellular carcinoma recurrence. HCC: hepatocellular carcinoma; MELD: model for end-stage liver disease.