Research Article

HBV-DNA Load-Related Peritumoral Inflammation and ALBI Scores Predict HBV Associated Hepatocellular Carcinoma Prognosis after Curative Resection

Table 1

Clinical backgrounds of all patients and comparisons between the training and validation cohorts.

CharacteristicsTotalTraining cohortInternal validation cohortExternal validation cohortP-value
n=652n=342n=124n=186

Age, yr, median, (range)52.5 (18.0-77.0)52.5 (18.0-75.0)51.5 (21.0-77.0)53.0 (18.0-75.0)0.293
Gender (Female/Male)95/557 (14.6%/85.4%)49/293 (14.3%/85.7%)19/105 (15.3%/84.7%)27/159 (14.5%/85.5%)0.964
Cirrhosis (yes/no)567/85 (87.0%/13%)301/41(88.0%/12.0%)102/22(82.3%/17.7%)164/22 (88.2%/11.8%)0.249
ALT U/L, median (range)40.0 (8.0-912.0)39.0 (9.0-912.0)37.5 (10.0-297.0)41.5 (8.0-835.0)0.369
AST, U/L, median (range)36.5 (7.0-527.0)36.0 (7.0-523.0)40.0 (12.0-205.0)36.0 (11.0-527.0)0.587
GGT, U/L, median (range)56.5 (7.0-624.0)55.0 (8.0-583.0)57.0 (9.0-624.0)56.5 (7.0-388.0)0.163
ALB, g/L, median (range)43.0 (28.0-59.0)43.0 (30.0-57.0)42.5 (28.0-59.0)43.0 (33.0-55.0)0.276
TBIL, μmol/L, median (range)13.8 (2.6-135.5)13.7 (4.6-135.5)13.9 (2.6-48.9)13.1 (4.7-95.3)0.258
Child-Pugh grade (A/B)650/2 (99.7%/0.3%))340/2 (99.4%/0.6%)124/0 (100%/0)186/0 (100%/0)0.403
HBV-DNA loads207/445 (41.7%/58.3%)138/204 (40.4%/59.6%)26/98 (21.0%/79.0%)43/143 (23.1%/76.9%)<0.001
(≤104/>104 copies/ml)
Antiviral therapy (yes/no)98/554 (15.0%/85%)53/289 (15.5%/84.5%)20/104 16.1%/83.9%)25/161 (13.4%/86.6%)0.218
HBV-ALBI (I/II/III/IV)266/332/53/101106/171/32/33 (31.0%/50.0%/9.4%/9.6%)14/56/13/4146/105/8/27<0.001
(40.8%/50.9%/8.1%/15.5%)(11.3%/45.2%/10.5%/33.0%)(24.7%/56.5%/4.3%/14.5%)
HBV-PIS (I/II/III/IV)105/219/102/22662/88/76/116 (18.1%/25.7%/22.2%/34.0%)16/43/11/5427/88/15/56<0.001
(16.1%/33.6%/15.6%/34.7%)(12.9%/34.7%8.9%/43.5%%)(14.5%/47.3%/8.1%/30.1%)
AFP, ng/ml, (≤20/>20)265/387 (40.6%/59.4%)136/206(39.8%/60.1%)50/74(40.3%/59.7%)79/107 (42.5%/57.5%)0.798
Platelet, 109/L, median (range)138.0 (10.0-417.0)137.0 (25.0-417.0)137.5 (10.0-331.0)145.0 (46.0-333.0)0.139
HBsAg (Positive/Negative)538/114 (82.5%/17.5%))285/57 (83.3%/16.7%)100/24 (80.6%/19.4%)153/33 (82.3%/17.7%)0.792
Tumor number (single/multiple)578/74 (88.7%/11.3%)301/41 (88.0%/12.0%)113/11 (91.1%/8.9%)164/22 (88.2%/11.8%)0.626
Microvascular invasion (yes/no)184/468 (28.2%/71.8%))88/254 (25.7%/74.3%)35/89 (28.2%/71.8%)51/135 (27.4%/72.6%)0.152
Tumor capsule(complete/Inomplete)358/294 (54.9%/45.1%)188/154 (55.0%/45.0%)70/54 (56.5%/43.5%)100/86 (53.8%/46.2%)0.089
Tumor size, cm (≤3/>3)225/427 (34.5%/65.5%)123/219 (36.0%/64.0%)35/89 (28.2%/71.8%)67/119 (36.0%/64.0%)0.123
AJCC stage (I-II/IIIA)489/163 (75.0%/25.0%)268/74 (78.4%/21.6%)91/33 (73.4%/26.6%)130/56 (69.9%/30.1%)0.085
BCLC stage (0-A/B-C)418/234 (66.3%/33.7%)238/104 (69.6%/30.4%)83/41 (66.9%/33.1%)97/89 (52.2%/47.8%)<0.001

ALT: alanine aminotransferase; AST: aspartate aminotransferase; GGT: gamma-glutamyl transpeptidase; ALB: Albumin; TBIL: total bilirubin; HBV-ALBI: hepatitis B virus load related ALBI score; HBV-PIS: hepatitis B virus load related peritumoral inflammatory score; AFP: alpha fetoprotein; HBsAg: hepatitis B virus surface antigen; AJCC: American Joint Committee on Cancer; BCLC: Barcelona Clinic Liver Cancer.