Retrospective Cohort Study
Copyright ©The Author(s) 2025.
World J Transplant. Mar 18, 2025; 15(1): 99004
Published online Mar 18, 2025. doi: 10.5500/wjt.v15.i1.99004
Table 2 Predictors of post-transplant hepatocellular carcinoma recurrence
VariableUnivariate
Multivariate
HR (95%CI)
P value
HR (95%CI)
P value
Age (years)0.98 (0.91-1.05)0.62
Male1.55 (0.32-7.32)0.57
Female0.64 (0.13-3.03)0.58
Obesity0.56 (0.11-2.65)0.46
Overweight2.07 (0.58-7.35)0.25
Histology pre-transplant performed2.10 (0.60-7.31) 0.24
Explant tumour characteristics
Viable HCC on explant0.72 (0.09-5.7)0.76
Number of viable lesions
10.55 (0.05-5.3)0.60
2-30.44 (0.04-4.8)0.50
> 32.0 (0.22-17.9)0.53
Max diameter of viable tumour (mm)1.02 (0.98-1.06)0.19
Sum of diameters (mm)1.01 (0.96-1.0)0.64
Macrovascular invasion12.2 (1.47-102)0.0218.6 (1.98-174)0.01
Microvascular invasion1.75 (0.43-7.04)0.42
Tumour differentiation
Well1.52 (0.17-13.1)0.58
Moderate0.96 (0.10-8.6)0.47
Poor1.87 (1.63-80.5)0.12
Serum markers
Highest Pre-op alpha-fetoprotein1.00 (0.64-1.00)0.64
neutrophil-lymphocyte ratio0.90 (0.66-1.22)0.51
Waiting time (days) 1.00 (0.99-1.00)0.55
Cold Ischemia time (minutes) 1.00 (0.97-1.03)0.70
Wait time from HCC diagnosis to liver transplantation
< 6 months0.60 (0.17-2.15)0.44
> 6 months1.64 (0.46-5.85)0.43