Research Article

Survival after Locoregional Treatments for Hepatocellular Carcinoma: A Cohort Study in Real-World Patients

Table 1

Baseline characteristics of the study patients by treatment. Data are reported as absolute numbers (percentages), but for age and AFP.

VariableTotal
( 𝑁 = 4 2 5 )
Surgery
( 𝑁 = 3 4 )
PEI°
( 𝑁 = 2 5 6 )
RFA°
( 𝑁 = 5 0 )
TAE/TACE
( 𝑁 = 8 0 )
O t h e r
( 𝑁 = 8 )

Year of diagnosis
 199833 (8%)4 (12%)23 (9%)2 (4%)4 (5%)0 (0%)
 199983 (20%)5 (15%)55 (21%)9 (18%)14 (18%)0 (0%)
 2000106 (25%)12 (35%)59 (23%)9 (18%)26 (32%)1 (13%)
 2001112 (26%)7 (21%)68 (27%)16 (32%)21 (26%)1 (13%)
 200291 (21%)6 (18%)51 (20%)14 (28%)15 (19%)6 (75%)

Male gender327 (77%)30 (88%)188 (73%)40 (80%)65 (81%)7 (88%)

Age yrs, mean (SD)67 (8)62 (7)68 (7)67 (8)64 (8)68 (7)

Diagnostic assessment
 Histology195 (46%)23 (68%)125 (49%)13 (26%)32 (40%)3 (38%)
 Instrumental + AFP > 20051 (12%)3 (9%)28 (11%)9 (18%)12 (15%)0 (0%)
 Instrumental only179 (42%)8 (24%)103 (40%)28 (56%)36 (45%)5 (63%)

Instrumental appraisal
 Ultrasonography187 (44%)11 (32%)123 (48%)21 (42%)27 (34%)6 (75%)
 NMR13 (3%)4 (12%)4 (2%)5 (10%)0 (0%)0 (0%)
 CT178 (42%)14 (41%)96 (38%)20 (40%)48 (60%)2 (25%)
 Missing47 (11%)5 (15%)33 (13%)4 (8%)5 (6%)0 (0%)

Underlying liver disease
 Liver cirrhosis414 (97%)32 (94%)250 (98%)49 (98%)78 (98%)8 (100%)
 Chronic Hepatitis11 (3%)2 (6%)6 (2%)1 (2%)2 (2%)0 (0%)

Etiology
 Viral366 (86%)32 (94%)214 (83%)46 (92%)71 (89%)6 (75%)
 Nonviral10 (2%)0 (0%)8 (3%)0 (0%)2 (2%)0 (0%)
 Missing49 (12%)2 (6%)34 (13%)4 (8%)7 (9%)2 (25%)

Viral etiology
 HCV324 (76%)24 (71%)197 (77%)43 (86%)56 (70%)7 (88%)
 HBV59 (14%)9 (26%)21 (8%)11 (22%)18 (22%)1 (13%)

Child-Pugh score
 A200 (47%)22 (65%)105 (41%)26 (52%)42 (52%)7 (88%)
 B137 (32%)8 (24%)79 (31%)20 (40%)31 (39%)0 (0%)
 Missing88 (21%)4 (12%)72 (28%)4 (8%)7 (9%)1 (12%)

AFP mg/dl, median (IQ range)27 (7–156)12 (3–146)28 (8–127)34 (9–183)31 (7–334)14 (5–27)

Number of nodules
 <4305 (72%)25 (74%)189 (74%)38 (76%)49 (61%)5 (62%)
 ≥412 (3%)0 (0%)3 (1%)1 (2%)8 (10%)0 (0%)
 Missing108 (25%)9 (26%)64 (25%)11 (22%)23 (29%)3 (38%)

Tumour size (cm)
 ≤3207 (49%)13 (38%)143 (56%)24 (48%)23 (29%)5 (62%)
 3–590 (21%)9 (26%)43 (17%)11 (22%)28 (35%)0 (0%)
 >539 (9%)4 (12%)12 (5%)7 (14%)15 (19%)1 (12%)
 Missing89 (21%)8 (24%)58 (23%)8 (16%)14 (18%)2 (25%)

Tumour morphology
 Single nodule204 (48%)18 (53%)132 (52%)23 (46%)26 (32%)5 (62%)
 Multiple nodules175 (41%)10 (29%)93 (36%)24 (48%)48 (60%)3 (38%)
 Missing46 (11%)6 (18%)31 (12%)3 (6%)6 (8%)0 (0%)

CLIP score
 076 (18%)9 (26%)43 (17%)10 (20%)12 (15%)2 (25%)
 1111 (26%)10 (29%)65 (25%)13 (26%)23 (29%)1 (12%)
 259 (14%)3 (9%)29 (11%)9 (18%)19 (24%)1 (12%)
 314 (3%)0 (0%)6 (2%)3 (6%)5 (6%)0 (0%)
 >30 (0%)0 (0%)0 (0%)0 (0%)0 (0%)0 (0%)
 Missing165 (39%)12 (35%)113 (44%)15 (30%)21 (26%)4 (50%)

°Including three subjects who received both RFA and PEI; I n c l u d i n g 8 laser therapy; PEI: percutaneous ethanol injection, RFA: radiofrequency ablation, TACE/TAE transarterial embolization with (TACE) or without (TAE) chemotherapy, AFP: alphafetoprotein, NMR nuclear magnetic resonance.